Vice President, Corporate Transactions & Regional Counsel

Job Posting Closing Date: Open until Filled

Where do you belong?

Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional,  at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer  career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture,  outstanding benefits and competitive compensation package is best in class.

Job Description

The Vice President, Legal, Corporate Transactions & Regional Counsel serves as a key member of the Legal Leadership Team and will provide legal counsel and strategic partnership across the organization’s Management Services Organization (MSO) operations, with primary responsibility for supporting enterprise growth initiatives, health system partnerships, clinical education, and corporate development.
The Vice President plays a critical role in enabling USACS’ long-term growth strategy by leading complex healthcare contracting and transaction activity, advising senior executives on legal and regulatory risk, and helping shape scalable operational and governance frameworks that support a high-growth, physician-led organization. This role works closely with executive leadership, operations, finance, business development, compliance, and external stakeholders to drive enterprise priorities while ensuring alignment with applicable healthcare laws and corporate governance standards.

ESSENTIAL JOB FUNCTIONS:

Strategic Health System Partnerships

• Serve as a lead legal advisor for complex health system and strategic partnership arrangements across emergency medicine, hospital medicine, critical care, and other clinical service lines.
• Structure, draft, negotiate, and manage sophisticated professional services agreements, management services agreements, joint operating arrangements, and related healthcare transactions.
• Partner closely with operational and business development leaders to support enterprise growth objectives while balancing legal, regulatory, and operational considerations.
• Working with legal and compliance colleagues, provide proactive counsel regarding healthcare laws, including Stark Law, Anti-Kickback Statute, corporate practice of medicine, and physician reimbursement matters.

Corporate Transactions & Enterprise Legal Strategy

• Partner with the General Counsel and executive leadership on mergers, acquisitions, joint ventures, affiliations, financings, and other strategic corporate transactions.
• Coordinate legal due diligence and work with outside counsel on reviewing and drafting transaction documentation.
• Provide post-transaction integration support.
• Oversee corporate entity formation and organization, and multi-state legal qualification related to MSO and physician practice operations.
• Provide strategic legal guidance regarding organizational growth initiatives, enterprise risk management, and evolving healthcare regulatory developments.
• Manage and mentor legal support staff, including the Senior Corporate Paralegal, while helping build scalable legal processes and operational efficiencies.

Executive Compensation & Equity Programs

• Partner with executive leadership, human resources (HR), finance, and the Director of Equity to support the design, implementation, and administration of management incentive and equity programs, including profits interest and other long-term incentive arrangements.
• Assist in drafting and maintaining equity award agreements, governance documentation, and related program materials.

Clinical Operations & Academic Partnerships

• Oversee the drafting, negotiation, and maintenance of ancillary agreements supporting clinical and operational initiatives, including academic affiliation agreements, medical directorships, and vendor arrangements.
• Support operational leaders in addressing legal and contractual matters impacting clinical operations and physician partnerships.

Growth, Innovation & Business Partnership

• Provide strategic legal counsel for enterprise business development initiatives, Requests for Proposals (RFPs), and commercial partnership opportunities.
• Draft and negotiate NDAs and other commercial agreements.
• Collaborate cross-functionally to identify opportunities for process improvement, scalability, and operational optimization within legal and contracting functions.
• Act as a trusted advisor to senior leadership by translating complex legal concepts into practical business guidance and actionable solutions.

KNOWLEDGE, SKILLS AND ABILITIES:

• Executive presence with exceptional communication, negotiation, and relationship management skills.
• Strategic thinker with strong business acumen and the ability to influence at senior leadership levels.
• Demonstrated ability to manage competing priorities, navigate ambiguity, and drive results in a high-growth environment.
• Collaborative leadership style with a commitment to partnership, operational excellence, and continuous improvement.
• Deep expertise in healthcare law and regulatory frameworks, including Stark Law, Anti-Kickback Statute, corporate practice of medicine, and physician reimbursement matters.

EDUCATION AND EXPERIENCE: 

• Minimum of 7 years of progressively responsible legal experience in healthcare law, corporate transactions, or related in-house counsel roles supporting hospitals, physician groups, health systems, management services organizations, or other complex healthcare organizations.
• Demonstrated experience negotiating complex provider and health system agreements and managing sophisticated healthcare transactions.
• Experience advising senior executives and cross-functional business leaders in a strategic advisory capacity preferred.
• Juris Doctor (JD) from an accredited law school.
• Active license and good standing with at least one state bar association.
• Strong understanding of healthcare business models, physician services arrangements, and MSO structures.
• Primarily remote role with limited travel requirements (approximately 3–4 multi-day trips annually).

PHYSICAL DIMENSIONS:

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds. 
• Required to have close visual acuity to perform the job.

Salary Range:

$157,973.00 - $292,250.00

USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.

Benefits may vary based on role, location, and employment status, but generally include:

• Medical, dental, and vision insurance options

• Health savings accounts (HSA) and flexible spending accounts (FSA)

• 401(k) employee and employer contributions

• Paid time off, including vacation, sick leave, and company holidays

• Paid parental leave & family support benefits

• Short-term and long-term disability insurance

• Life and accidental death & dismemberment (AD&D) insurance

• Employee assistance programs & wellness resources

Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.

Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.