Associate General Counsel (Regulatory and Commercial)

Who We Are

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Who You Are

As Associate General Counsel, you will play a pivotal role at the intersection of healthcare regulation, commercial strategy, and product innovation. You will provide trusted counsel across Inovalon’s payer, provider, specialty pharmacy, and life sciences businesses, helping leaders pursue growth while navigating complex regulatory, privacy, and contractual considerations. This is a broad, high-impact legal leadership opportunity for an executive who can translate complexity into practical guidance, influence senior stakeholders, and support business outcomes in a dynamic healthcare technology environment. Reporting line: [CONFIRM: reporting line].

What You'll Do

• Serve as a strategic legal advisor to business leaders and senior executives on healthcare regulatory, privacy, commercial, and corporate matters affecting Inovalon’s products, services, and go-to-market strategies.

• Guide the legal and regulatory structure of commercial transactions, including issues involving the Anti-Kickback Statute, False Claims Act, healthcare fraud and abuse laws, and related compliance considerations.

• Lead the drafting, review, negotiation, and resolution of complex commercial agreements, including customer, vendor, data, and other business-critical contracts, with a focus on balancing legal risk and business objectives.

• Counsel teams supporting Medicare Advantage, ACA, and Medicaid risk adjustment programs on matters including RADV audits, chart review, supplemental data submissions, provider engagement, and fraud, waste, and abuse risk.

• Advise on HIPAA, HITECH, applicable state privacy laws, and the use, disclosure, de-identification, tokenization, linking, and commercialization of health data, including business associate agreements, subcontractor BAAs, and data use agreements.

• Partner with product, sales, and business teams on healthcare analytics, AI, SaaS, data strategy, interoperability, information blocking, and 21st Century Cures Act considerations to enable compliant product and commercial execution.

• Support specialty pharmacy-related matters, including hub services, patient support and adherence programs, manufacturer, pharmacy, and payer arrangements, copay and patient assistance considerations, and applicable pharmacy and PBM regulation.

• Provide legal support on non-commercial matters as needed, including pre-litigation issues, disputes, customer correspondence, regulatory inquiries, subpoenas, and broader legal initiatives that advance enterprise priorities.

• Strengthen the effectiveness of the Legal function by contributing to process improvements, playbooks, templates, and contract lifecycle tooling that improve consistency, scalability, and execution.

What You'll Need

• Minimum of 12 years of legal experience, including at least five years of specialized healthcare experience in a law firm, corporate legal department, federal healthcare agency, or similar environment.

• J.D. degree from an accredited law school and licensed to practice law in any U.S. state or Washington, D.C., or equivalent combination of education and experience required.

• Significant experience with healthcare regulatory and transactional matters.

• Demonstrated working knowledge of HIPAA, business associate agreements, and de-identification of health data.

• Familiarity with payer operations and CMS programs, including risk adjustment and quality measurement such as HEDIS and Star Ratings, as well as provider-facing data and interoperability arrangements.

• Substantial experience drafting, reviewing, negotiating, and advising business partners on complex commercial agreements.

• Ability to provide strategic regulatory advice and communicate complex legal and regulatory concepts clearly and concisely to senior management, Sales, Product, and other business leaders.

• Strategic Vision and Business Acumen: Sets clear legal and business priorities grounded in healthcare market dynamics, the regulatory environment, and Inovalon’s business model, translating complexity into practical direction.

• Influence: Builds credibility with executive stakeholders and cross-functional partners, aligns competing priorities, and shapes decisions through sound judgment, insight, and trusted relationships.

• Leadership and Organizational Development: Operates effectively in a matrixed environment, contributes to a collaborative culture, and strengthens organizational capability through partnership, judgment, and a willingness to lead where needed.

• Results Orientation and Execution Excellence: Independently manages priorities, executes with discipline, and advances high-quality outcomes across multiple complex matters while balancing speed, risk, and business impact.

• Adaptability: Adjusts quickly to changing business needs, legal developments, and shifting priorities while remaining focused on practical solutions and enterprise goals.

• Systems Thinking: Understands how legal, regulatory, commercial, product, and operational decisions interact across the business and anticipates downstream implications and trade-offs.

• Nice to have: Exposure to specialty pharmacy, hub services, or pharmacy/PBM regulation.

Our Shared Commitments

• Maintain compliance with Inovalon’s policies, procedures and mission statement;

• Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and

• Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of Employer.

Work Environment

• This is primarily a computer-based role performed in a remote, hybrid, or office environment. The role requires prolonged periods of computer use and frequent communication and interaction with others, either virtually and/or in person. The role may occasionally require transporting or moving work-related equipment weighing up to 10 pounds, such as a laptop and related materials. Some travel may be required, depending on the needs of the role. Reasonable accommodations may be provided to enable qualified individuals with disabilities to perform the essential functions of the position, consistent with applicable law.

This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)

If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.

By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

To review the legal requirements, including all labor law posters, please visit this link

To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link

Work Location: If the US position is listed as remote, employees who reside within a 40-mile radius of one of our office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).