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, scalabi