Senior Counsel, Commercial Transactions (TPA)

Location: Remote, United States

Salary: $150,000–$200,000 base salary per year, depending on location, skills, and experience.

Company

hirify.global provides a personalized health platform combining health plan administration, wellbeing solutions, and care navigation for employers, health plans, and health systems.

What you will do

• Draft, negotiate, and close TPA client agreements, renewals, amendments, fee schedules, performance guarantees, business associate agreements, and implementation, transition, and termination provisions for self-funded ERISA and non-ERISA plan sponsors.
• Support wellbeing platform, services, strategic partnership, and channel agreements.
• Negotiate provider network, pharmacy benefit, stop-loss, cost-containment, claims editing, care navigation, and point-solution vendor contracts.
• Advise on ERISA and health plan compliance, including fiduciary and plan administrator role allocation, plan documents, SPDs, claims and appeals, COBRA, the No Surprises Act, and transparency requirements.
• Advise Sales, Account Management, Finance, Operations, Procurement, executives, and senior leaders on contract interpretation, disputes, deal structure, risk, and commercial terms.
• Maintain contract templates, negotiation playbooks, and fallback positions while independently managing a high-volume docket from intake through execution.

Requirements

• Juris Doctor and an active license in good standing in at least one U.S. state.
• At least 5 years of legal practice.
• Experience counseling senior leaders and executive team members.
• Working knowledge of ERISA and related health plan compliance, including HIPAA, COBRA, the ACA, and the No Surprises Act.
• Understanding of TPA operations, including eligibility and enrollment, claims adjudication and payment, provider network access and repricing, stop-loss coordination, plan sponsor funding arrangements, and their translation into contract terms.
• Familiarity with the roles of plan sponsors, plan administrators, and TPAs under ERISA, including differences between governmental and church plans.
• Contract drafting and negotiation expertise across a high volume of varied agreement types.
• Financial fluency in fee structures, performance guarantees, and service-level commitments.

Nice to have

• Experience in the self-funded health plan space, gained at a TPA, health plan, national carrier, provider network, PBM, stop-loss carrier, or law firm serving these clients.

Culture & Benefits

• Competitive base salary and full benefits effective on day one.
• Comprehensive medical and dental coverage through hirify.global solutions.
• Unlimited PTO.
• Mental health support, retirement planning, and financial protection.
• Professional development, career progression, and learning budgets.
• Mission-driven environment focused on diverse perspectives and improving people's health.