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Professional - Non-Clinical
Sr. Counsel - Health Plan
Houston, TX, US
Are you ready to join an organization ranked among the best in the nation? Texas Children’s Health Plan is looking for a Senior Counsel who is passionate about improving the health and well-being of children and families across Texas.
In this role, you will support the Deputy General Counsel in providing legal counsel and strategic guidance to Texas Children’s Health Plan and its affiliated entities. You’ll work closely with leadership, navigate regulatory frameworks, manage contractual matters, liaise with outside counsel, and play a vital role in shaping compliance and operational initiatives.
Think you’ve got what it takes?
Job Duties & Responsibilities
- Provide legal counsel to Texas Children’s Health Plan and its affiliated entities.
- Deliver clear, actionable legal guidance, including written legal opinions and memoranda, to Health Plan leadership and staff, under the direction of the Deputy General Counsel.
- Research, investigate, and advise on legal and regulatory compliance matters relevant to health insurance operations.
- Review internal policies and procedures and assess applicable legal issues and regulatory standards, including those from state and federal health agencies (e.g., HHSC, CMS, TDI).
- Support litigation-related activities, as directed, including managing discovery and coordinating with external counsel.
- Draft, review, and revise a variety of contractual agreements including provider agreements, vendor contracts, and government program arrangements.
- Lead and participate in contract negotiations, ensuring compliance with applicable laws, rules, and regulations.
- Collaborate with internal departments and external partners on regulatory and business initiatives.
- Represent Legal in key meetings and serve on committees, providing legal insight and guidance as needed.
- Support the Legal Department and Deputy General Counsel on additional matters and projects as assigned.
Skills & Requirements
- Juris Doctor Degree (JD) required.
- Must have an active license to practice law in the State of Texas. If not currently licensed in Texas, must hold a license in another state and become licensed in Texas within 18 months of hire.
- Minimum 2 years of attorney experience required.
Preferred Qualifications
- At least 4 years of experience as a licensed attorney, with a strong focus on health care law, litigation, insurance, or regulatory compliance, particularly related to Medicaid or managed care organizations (MCOs).
- Experience working with or within health plans, state regulatory agencies, or in a health care legal environment is a strong plus.
About Texas Children’s
Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
