Assistant General Counsel

US Oral Surgery Management is a private equity-backed dental support organization providing non-clinical business, administrative, and operational support to affiliated dental practices in 32 states. We are seeking an experienced, business-minded attorney to serve as Assistant General Counsel.

This senior role is a trusted advisor to leadership, operations, and our affiliated clinicians. You will independently handle transactions, contracts, employment matters, real estate, and healthcare regulatory issues across a fast-growing, multi-state platform. You will join a small, high-impact legal department where you own matters end to end and see the direct results of your work on the business.

Responsibilities

General counsel and business partnership

• Provide in-house legal counsel to leadership, business development, operations, finance, revenue cycle, HR, IT, real estate and affiliated practices on a wide range of legal issues.
• Develop a thorough understanding of the company's business, people, markets, facilities, and affiliated clinicians, and use it to shape practical legal advice, structures, and strategies.
• Serve as day-to-day legal point of contact for field leadership, triaging issues and resolving most matters independently.

Transactions and business development

• Lead or support the legal workstream on practice acquisitions, de novo openings, and other strategic transactions, including LOIs, due diligence, facility leasing and renovation, and closing deliverables.
• Coordinate post-closing integration of acquired practices, including contract assignment and licensure and permit transfers.

Contracts

• Negotiate, draft, and review agreements across the organization, including oral surgeon employment and independent contractor agreements, IT and software vendors, equipment and supply vendors, real estate leases, consultants, and payer contracts.
• Develop and maintain contract templates, playbooks, and approval workflows that let the business move quickly within defined guardrails.

Employment

• Advise HR and operations on multi-state employment matters, including hiring, discipline, terminations, wage-and-hour, leave, accommodations, and reductions in force.
• Draft and enforce restrictive covenants, including state-specific non-compete and non-solicitation provisions in clinician agreements.
• Manage agency charges and employment-related disputes with outside counsel.

Real estate

• Negotiate and review office leases, lease amendments, assignments, and build-out agreements for practice locations, de novos, and support offices.

Healthcare regulatory and compliance

• Advise on healthcare regulatory matters, including HIPAA and state privacy laws, cybersecurity, the Anti-Kickback Statute, Stark and state self-referral laws, fee-splitting, Medicaid, and advertising and promotional rules.
• Advise on corporate practice of dentistry restrictions across all operating states and help preserve clinical independence within the DSO model.
• Advise on state dental board requirements, including licensure, sedation and anesthesia permits, scope of practice, and facility permits.
• Conduct or support privileged internal investigations raised through the compliance program or otherwise.
• Review, analyze, and interpret statutes, regulations, policies, and administrative or judicial decisions to determine their impact on the company.
• Develop policies that support the business and help ensure compliance with applicable laws and regulations.
• Review marketing materials, websites, patient financing programs, and other external communications for legal compliance.

Risk management and litigation

• Prepare and help implement proactive risk-mitigation strategies, policies, and processes.
• Manage litigation, demand letters, subpoenas, government inquiries, and dental board complaints in coordination with outside counsel and insurers.

Requirements

Required

• JD from an accredited law school, with active bar admission in good standing in at least one U.S. jurisdiction, and eligibility for in-house registration where the role is based.
• At least 6 years of combined law-firm and in-house experience, including meaningful healthcare industry experience.
• Broad, hands-on knowledge of transactions, commercial contracts, healthcare regulatory, compliance, and employment law.
• Demonstrated ability to own matters independently, from first draft through negotiation and close, with limited supervision.
• Strong detail orientation and analytical, organizational, and drafting skills, with the judgment to prioritize many assignments and deadlines at once.
• A business- and customer-focused approach that delivers practical legal solutions as a business partner, not a roadblock.
• Thrives in a fast-paced, evolving environment and in a small, collaborative legal department.

Preferred

• Experience at a DSO, MSO, physician practice management company, or multi-site provider group, or advising those organizations at a law firm.
• Experience with healthcare M&A, including diligence and integration in an acquisition-driven or private equity-backed platform.
• Working knowledge of corporate practice of dentistry or medicine doctrines, fee-splitting rules, and state dental board regulation across multiple states.
• Experience drafting and enforcing clinician employment agreements and restrictive covenants in multiple states.
• Experience negotiating commercial healthcare real estate leases.

Benefits

• Comprehensive medical, dental, and vision coverage, plus a 401(k) plan
• Company-paid life, short-term disability, and long-term disability insurance
• Annual bar dues and CLE reimbursement
• Paid time off and paid holidays

US Oral Surgery Management is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.