Overview
General Counsel & Compliance Officer Jobs in United States at Nest Health
Title: General Counsel & Compliance Officer
Company: Nest Health
Location: United States
Compensation: $250K-$300K Annually
Who is Nest Health?
As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Nest’s first-of-its-kind family-based, in-home, and virtual care model includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same-and-next-day acute visits, chronic condition and transitions of care management, social services and navigation, and more. Nest’s innovative model has resulted in partnerships, unlocking care for thousands of families across our markets. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion to families across the United States.
What does it mean to be a part of a startup?
Working at a healthcare startup can be a unique experience with a fast-paced, ever-changing environment that can involve varied workloads, quick changes, and high expectations. Taking a position at a Healthcare startup allows for the opportunity to be high impact in disrupting the US healthcare system. You will have the chance to be creative, solution oriented, and have your voice heard! You will need to be flexible, accountable, and self-sufficient, and you might take on multiple roles. Here are some things you can expect:
- Role Breadth- Your role may be less defined than in other settings, with the need to wear multiple hats & juggle various responsibilities
- Learning opportunities- you will have the opportunity, at times, to function outside of your standard position and learn about new roles & areas
- Fast Paced- Startups often must move faster than traditional large companies. This means you may be asked to cope with or advise on quick changes regarding systems or processes
- Autonomy- You will need to be highly autonomous, as there is less structure and learning and development than at large orgs. This requires you to be able to learn asynchronously, as well as raise your hand when help is needed, or gaps are identified
- Collaboration- With so many opportunities to build processes and improve how we deliver care to our patients, we rely heavily on one another to communicate effectively to ensure seamless support across functions. This often requires this individual to give and receive feedback frequently and communicate challenges or opportunities effectively.
What is the purpose of this role?
Reporting to the Chief Executive Officer, the General Counsel and Compliance Officer is a core member of the executive leadership team, and a key architect of how the company scales responsibly, creatively, and at speed. This role goes far beyond traditional legal oversight: the General Counsel and Compliance Officer is a strategic partner who helps shape business strategy, unlock growth, and operationalize compliance as a competitive advantage.
As a business-first legal leader, the General Counsel and Compliance Officer sets and executes the company’s legal and compliance strategy in deep partnership with operations, growth, clinical leadership, and product. They bring a builder’s mindset—designing systems, guardrails, and decision frameworks that enable teams to move quickly and confidently in a highly regulated healthcare environment.
This is a hands-on, pragmatic role for an attorney who thrives in ambiguity and understands that the job is not just to identify risk, but to solve for it. The General Counsel and Compliance Officer will own the full legal and compliance landscape—governance, healthcare regulatory compliance, privacy, employment, and risk management—and will partner closely with Business Development on payer contracting, including contract review and negotiation with payer counsel, while embedding legal thinking directly into day-to-day operations and long-term strategy.
As the company grows across markets, products, and payer relationships, the General Counsel and Compliance Officer will build and continuously evolve a modern, scalable legal and compliance function that supports innovation, protects the mission, and accelerates execution. This role is critical to ensuring the company can grow boldly and responsibly.
What you’ll do
Strategic Legal & Regulatory Advisory (30%)
- Serve as a trusted advisor to executive leadership and cross-functional teams on what the company can and cannot do under healthcare, consumer protection, and related regulatory regimes.
- Provide real-time legal and regulatory guidance on product design, patient engagement, employee relations and incentive programs, marketing and patient communication strategies, pricing, and go-to-market strategies.
- Translate complex regulatory requirements into clear, practical guidance that enables teams to move quickly and confidently.
- Help leadership evaluate risk-reward tradeoffs and design compliant paths forward.
Regulatory Compliance & Risk Management (20%)
- Serve as a subject-matter leader on healthcare legal and regulatory issues impacting the business, including Medicaid, Medicare Advantage, value-based care, telehealth, home-based care models, corporate practice of medicine, and new state entry.
- Lead the design, implementation, and ongoing optimization of the company’s Compliance Program, aligned with applicable federal and state healthcare laws and regulations, including CMS and OIG requirements.
- Partner with clinical, operations, marketing, and growth teams to proactively identify regulatory risks and ensure compliance across markets.
- Oversee enterprise risk management efforts, aligning legal and compliance priorities with business strategy and growth plans.
Building & Scaling the Legal Function (20%)
- Build and scale a right-sized legal and compliance function designed to support rapid growth, operational execution, and increasing regulatory complexity in a high-growth healthcare services company.
- Implement practical processes, playbooks, decision frameworks, and tools that enable teams to move quickly and confidently into new markets and service lines while maintaining regulatory rigor.
- Oversee the company’s policy and procedure framework, ensuring policies are operationalized, understood, and embedded into day-to-day workflows rather than existing solely as documentation.
- Manage outside counsel relationships, budgets, and legal spending with a focus on efficiency, business value, and using external advisors strategically rather than by default.
- Hire, mentor, and develop in-house legal and compliance talent as the organization grows, with an emphasis on scalable ownership, clear decision rights, and cross-functional partnership.
Payer, Partner & Vendor Contracting (20%)
- Provide direct, hands-on legal support to Business Development, clinical operations, sales, growth, and marketing teams on commercial and contractual matters.
- Oversee drafting and negotiation of payer agreements, affiliation agreements, MSAs, MOUs, vendor contracts, and internal policies and procedures.
- Support negotiation of contracts with health plans, managed care organizations, government payers, and strategic partners.
- Advise go-to-market initiatives, promotional materials, and external communications to ensure regulatory compliance while supporting growth objectives.
Litigation, Investigations & Government Matters (10%)
- Oversee all litigation, audits, governmental inquiries, and investigations.
- Develop strategy in partnership with management and outside counsel, maintaining tight internal control of costs, scope, and outcomes.
- Serve as the primary internal point of contact for regulatory agencies and enforcement of matters when required.
What do you bring to the Nest?
Required Education and Experience
- J.D. from an accredited law school
- Member in good standing of a U.S. State Bar
- 10–15+ years of progressive legal experience, including substantial time in an in-house or lead advisory role within a healthcare company or healthcare-focused law firm
- Significant experience advising healthcare services organizations, including regulatory, payer, and operational matters
- Experience partnering with executive teams through market expansion, new product launches, or payer strategy shifts
- Demonstrated ability to serve as a commercially oriented, business-minded legal advisor
- Strong working knowledge of HIPAA, PHI, data sharing, and healthcare privacy frameworks
- Track record of successful project management and operational excellence
- Exceptional communication skills with the ability to distill complex legal issues into practical business guidance
- Deep familiarity with Medicaid, Medicare Advantage, and value-based care models
Preferred Education and Experience
- Experience in VC- or PE-backed healthcare companies, including high-growth or scaling environments
- Experience with home-based, community-based, or tech-enabled healthcare delivery
- Experience building or materially scaling a legal and compliance function
Skills and Competencies
- Expert knowledge of healthcare landscape
- Strong strategic thinking and planning capabilities
- Excellent stakeholder management and relationship-building skills
- Superior written and verbal communication abilities
- Proven ability to navigate complex organizational dynamics
- Political acumen and government relations experience
- Ability to synthesize complex information into actionable strategies
- Strong project management and execution skills
- Proficiency with Microsoft Office suite, particularly SharePoint, PowerPoint, and Excel
- Exceptional organizational and time management skills
- Ability to prioritize multiple competing demands and maintain attention to detail
- Strong problem-solving and analytical capabilities
- Discretion when handling confidential and sensitive information
