Clinical Counsel - Hospitals/Healthcare Providers, Texas

We are seeking clinical operations attorneys with experience advising hospitals, large healthcare systems or large physician groups in Texas. 

Responsibilities:

• Serve as the primary legal advisor on clinical operations and healthcare licensing matters in the state of Texas, with a focus on practical, business-oriented counsel.
• Manage and support pharmacy and nursing licensing activities, including analyzing regulatory requirements, advising on licensing strategy, and partnering with internal teams and outside vendors as needed.
• Advise on day-to-day clinical operations issues, including scope of practice, delegation, supervision, and related regulatory constraints impacting care delivery models.
• Identify and assess legal and regulatory risks related to clinical operations, proposing clear, actionable solutions that balance risk with operational needs.
• Draft, review, and negotiate contracts and policies related to clinical operations and professional services, ensuring alignment with applicable licensing and practice-of-medicine requirements.
• Monitor and interpret changes in healthcare laws and regulations that affect clinical operations and licensing, and translate them into concise guidance for business stakeholders.
• Collaborate cross-functionally with clinical, operations, and product teams to support new initiatives, market expansions, and service changes from a legal and licensing perspective.
• Coordinate with, and effectively manage, external counsel on specialized licensing or clinical operations matters, ensuring advice is tailored to the client's risk profile and objectives.

Desired Qualifications:

• JD degree and active license to practice law in at least one U.S. jurisdiction; eligibility to practice in Texas (TX) or strong experience advising on Texas healthcare laws and regulations preferred.
• 5+ years of legal experience in healthcare, with a strong focus on clinical operations, professional practice issues, and/or healthcare licensing.
• Demonstrated experience advising on pharmacy and/or nursing licensing, including multi-state or national footprints, with specific exposure to Texas licensing requirements strongly preferred.
• Strong understanding of scope of practice, supervision, delegation, and other legal issues impacting clinical workflows and care delivery models, including in Texas.
• Proven ability to translate complex healthcare regulatory and licensing requirements into clear, practical guidance for business and clinical stakeholders.
• Experience drafting, reviewing, and negotiating agreements related to clinical services, professional services, or other healthcare operational arrangements.
• Track record of partnering closely with clinical, operations, and product teams to support new initiatives, market expansion (including Texas), and changes in service models.
• Comfort working in fast-paced, high-growth, or innovative healthcare environments (e.g., telehealth, digital health, value-based care, multisite providers).
• Strong judgment and risk-balancing skills, with a preference for pragmatic, business-oriented solutions over purely compliance-driven approaches.
• Excellent communication, collaboration, and stakeholder management skills, with the ability to influence and build trust across diverse teams.

Compensation: 

The estimated total compensation for full-time Axiom attorney roles is $104,500-325,000 per year and for non-attorney roles is $71,250-309,750 per year. Compensation decisions are based on various factors, including, but not limited to, experience, skills, certifications, location, and business needs.  Employees may be eligible for additional benefits, including health, dental, and vision insurance; paid holidays and PTO; flexible work arrangements; and professional development opportunities and tools. 

About Axiom: 

For over 25 years, Axiom has pioneered the alternative legal services industry, now serving more than 1,500 legal departments globally with our unique blend of world-class legal talent and advanced AI tools, delivering innovative solutions ranging from that combine top-tier talent with cutting-edge technology. We tackle complex legal matters across 12 practice areas for clients ranging from Fortune 100 to SMBs, empowering our legal professionals to engage in meaningful work that advances their careers. Our Talent NPS score of +71% and our Client NPS score of +64% highlight our commitment to excellence (Reported scores were Axiom’s average for 2025 – the legal industry average NPS score is +35%). Join our forward-thinking community where you’ll keep your career dynamic and multi-faceted, be part of a company that values agility, collaboration, and excellence, and love both the law and your life. 

Learn more about life at Axiom.  

Axiom is the global leader in high-caliber, on-demand legal talent. Covering North America, the UK, Europe, and APAC, we enable legal departments to drive efficiency and growth and meet the demands of today’s business landscape with best in class alterative legal services.   

Diversity is core to our values and we are proud to be an equal opportunity employer. Axiom ensures equal employment opportunity in recruitment and employment, without discrimination or harassment on the basis of race, color, nationality, national or ethnic origin, religious creed or belief, political opinion, sex, gender, gender identity, gender identity status, pregnancy or maternity, age, disability, alienage or citizenship status, marital (or civil or other partnership recognized by law) status, genetic predisposition or carrier status, sexual orientation, military service, or any other characteristic protected by applicable law. Axiom prohibits and will not tolerate any such discrimination or harassment. 

Upon request and consistent with applicable laws, Axiom will provide reasonable accommodations for individuals with disabilities who require accommodations to participate in each stage of the recruitment process. To request an accommodation, please contact [email protected]. 

Axiom respects your privacy. For an explanation of the kind of information we collect about you and how it is used, our full data privacy notice is available here.    

Employment with Axiom may be contingent upon successful completion of a background check, providing proof of identity, and possessing the necessary legal authorization to work. Pursuant to the San Francisco Fair Chance Ordinance, NY Fair Chance Act, and Los Angeles Fair Chance Initiative, we will consider for employment qualified applicants with arrest and conviction records.

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