Description
ASSOCIATE GENERAL COUNSEL
Acuity Eye Group | Southern California | Full-Time, Exempt
About Acuity Eye Group
Acuity Eye Group is one of the largest ophthalmology platforms in the Western United States, operating 50+ clinic locations and multiple ambulatory surgery centers (ASCs) across Southern California. Our subspecialty footprint spans general ophthalmology, retina, glaucoma, oculoplastics, and cataract/anterior segment. We combine physician-led clinical excellence with a platform-scale operations model, and we are in an active growth phase - new locations, new physician partnerships, and continued investment in compliance infrastructure.
Acuity is seeking an Associate General Counsel to serve as embedded in-house legal counsel. This is a high-impact, high-visibility role reporting directly to the General Counsel and partnering closely with the COO and executive team. You will handle a broad scope of legal matters, with particular depth in healthcare regulatory compliance, physician contracts, employment law, and ASC governance.
Position Summary
The AGC is the day-to-day legal resource for Acuity's operations, compliance, and business teams. You will be expected to work fast and work practically - drafting and reviewing contracts, advising on California employment matters, supporting incident response and risk mitigation, and staying ahead of regulatory developments that affect multi-site ophthalmology and ASC operations. This is not a purely advisory role; you will own work-streams and drive them to resolution.
Key Responsibilities
Healthcare Regulatory & Compliance
Advise on HIPAA, Stark Law, Anti-Kickback Statute, and California-specific healthcare regulations
Support AAAHC/CMS ASC compliance, including governing body structure, policy review, and incident response
Manage OMIC and professional liability notifications; coordinate with external counsel on adverse events and claims
Monitor regulatory changes affecting ophthalmology, ASC operations, and multi-site group practices
Support development and maintenance of compliance policies across clinical and operational functions
Contracts & Transactions
Draft, review, and negotiate physician employment agreements, independent contractor agreements, and PSAs
Handle vendor contracts, real estate leases, equipment financing, and managed care agreements
Support M&A diligence and integration activity as the platform continues to grow
Maintain contract tracking system and manage execution workflows
Employment & HR Legal Support
Advise HR and operations on California employment law - wage and hour, FEHA, FMLA/CFRA, retaliation, and separation
Review and update offer letters, employment agreements, policies, and handbooks
Support investigation of employee complaints and EEOC/DFEH responses
Partner with COO and HR on performance management and termination risk assessment
Risk Management & Litigation
Manage external counsel relationships; coordinate litigation strategy and monitor spend
Conduct or oversee root cause analyses in response to adverse clinical or operational events
Maintain litigation hold protocols and support discovery obligations
Provide legal input on insurance coverage, renewals, and claims
Corporate Governance & General Counsel Support
Assist GC in building and maintaining the legal function's infrastructure - templates, playbooks, tracking tools
Support board and governing body documentation requirements for ASCs
Handle state licensing, corporate filings, and regulatory registrations
Serve as a trusted, practical advisor to business leaders who need answers, not just analysis
Qualifications
Required
J.D. from an accredited law school; active California State Bar membership in good standing
5-10 years of legal experience, with meaningful time in healthcare - in-house, law firm, or both
Demonstrated fluency in healthcare regulatory law (Stark, AKS, HIPAA, California DMHC/CDPH)
Experience with ASC or multi-site clinical operations is strongly preferred
Solid California employment law background - this comes up constantly
Proven ability to work independently, manage competing priorities, and give clear, direct advice
Preferred
Prior in-house experience in a physician group practice, DSO, or ASC platform
Experience with AAAHC accreditation, CMS Conditions of Participation, or ambulatory surgery governance
Comfort with physician recruiting, compensation, and equity structures in multi-specialty group practices
Familiarity with Nextech, CareCloud, or similar EHR platforms from a compliance/contracting perspective
Compensation & Benefits
Compensation is designed to attract an experienced healthcare attorney who wants to build something - not just advise from the sideline. Total package is competitive with Southern California in-house counsel benchmarks for multi-site healthcare platforms.
Component
Details
Base Salary
$175,000 - $220,000 annually
Annual Incentive
Up to 15% of base salary; tied to company performance and individual objectives
Total Cash Target
$201,250 - $253,000 at target incentive
Health Benefits
Medical, dental, and vision - employee and dependents
Retirement
401(k) with employer match
PTO
Four weeks annually plus paid holidays
Bar Dues & CLE
Fully covered
Professional Development
Budget for conferences, memberships, and continuing legal education
Location
Southern California - hybrid-flexible with travel to clinic/ASC sites as needed
Base salary placement within range is commensurate with experience, depth of healthcare regulatory expertise, and prior in-house versus law firm background.
Benchmarking Context
The range above reflects current market data for in-house healthcare counsel at California-based multi-site platforms in the $100M-$500M revenue tier. Key reference points:
NALP/Bloomberg Law 2024 in-house survey: Southern California healthcare counsel (5-10 YOE) median base of $185,000-$205,000
Radford/Aon benchmarks for multi-site specialty health: AGC/Senior Counsel roles at $170,000-$225,000 base depending on scope
Premium applies for candidates with AAAHC, ASC, or ophthalmology-specific experience - scarcity commands a range ceiling approach
Annual incentive at 10-15% is consistent with director/senior counsel peers in similarly sized healthcare platforms
Reporting Structure & Team
Reports to: General Counsel
Key working relationships: Chief Operating Officer, Regional Directors, VP HR, ASC Directors, Practice Managers, and external counsel partners.
This is currently a standalone AGC role. Acuity expects the legal function to grow with the platform; the AGC will help shape that growth, including future team structure, outside counsel strategy, and legal operations infrastructure.
Acuity Eye Group | Confidential | Job Profile v1.0