Associate General Counsel (Regulatory and Commercial)

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.

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].

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.

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