Overview
Legal Services Director Jobs in St. Peters, USA at Central California Alliance for Health (Remote)
Location: St. Peters
Remote, California;
Pacific and Mountain Time Zones
OUR COMMITMENT TO A HUMAN HIRING PROCESS
We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team, ensuring a thorough and respectful process.
SERVICE AREA PREFERENCE
While we encourage all interested applicants to apply, we prioritize those who live in or near our service counties:
Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Living locally strengthens our ability to deliver on our commitment to accessible, quality health care guided by local innovation.
We have an opportunity for a Legal Services Director who will oversee the Legal Services Department. This role may be performed remotely from Pacific or Mountain time zones and requires an active, in‑good‑standing license to practice law in California.
WHAT YOU’LL BE RESPONSIBLE FOR
- Provide strategic management oversight in implementing, directing, and monitoring the Alliance’s Legal Services Department, including enterprise risk management.
- Direct the Legal Services Department, act as a leader and subject‑matter expert, and provide guidance on legal and administrative contracting issues and overall business operations.
- Manage and coordinate litigation and disputes related to Alliance operations.
- Direct health plan administrative contracting, including maintenance of agreements and negotiation or re‑negotiation of contracts in coordination with staff and external counsel.
- Direct, manage, and supervise Legal Services Department staff.
ABOUT THE TEAM
The Legal Services Department plays a central role in the Alliance’s legal and contractual operations. Our team oversees the full contract lifecycle from initial drafting through execution, amendment, and close‑out, and provides legal counsel to leadership and staff on operational matters, strategic initiatives, and regulatory compliance.
THE IDEAL CANDIDATE
- A leader who mentors and empowers staff, cultivates subject‑matter expertise, and supports autonomy while maintaining professional standards and accountability.
- Transactional and advisory‑focused attorney skilled in contracting best practices, negotiation, and risk assessment, with solid healthcare experience and a working understanding of litigation posture and procedures.
- Strategic operator who can define the department’s vision, assess gaps, design structures and workflows, and implement effective processes and tools.
- Practical process improver who takes a measured approach to change, brings structure to legal work, and supports streamlined, well‑coordinated contracting and advisory work.
- Collaborative influencer who builds strong cross‑department relationships, leads change management, and fosters a service‑oriented, stakeholder‑focused culture.
- Sound decision‑maker with strong judgment, able to balance big‑picture strategy with detail awareness, adapt to business needs, and articulate risk tolerance.
- Knowledgeable in public‑entity and healthcare regulations, including Medi‑Cal/Medicare requirements, California public entity laws, and regulatory alignment expectations.
WHAT YOU’LL NEED TO BE SUCCESSFUL
- Knowledge of:
- Knox‑Keene Health Care Service Plan Act and Regulations, Affordable Care Act, HIPAA, Stark Law, and False Claims Act
- Medi‑Cal, Medicaid, and Medicare rules, requirements, and regulations
- State regulatory agencies such as DHCS, CMS, and DMHC
- Principles and practices of operational oversight and project management
- Principles and practices of contract negotiation and review
- Ability to:
- Provide prudent legal recommendations and counsel to executive team members and Board members
- Develop legal strategies based on analysis of relevant information, resources, and regulations, and make recommendations
- Perform risk assessment, anticipate and respond to risks, and support mitigation efforts
- Provide leadership, facilitate meetings, and partner with managers and employees to resolve issues
- Act as a technical resource and explain complex laws, regulations, processes, and programs related to areas of responsibility
- Review and assess overall department function, core…
Title: Legal Services Director
Company: Central California Alliance for Health (Remote)
Location: St. Peters, USA
Category:
