Director, Physician Contracting and Compensation - FT - Days - Legal Services @ MV
About The Position
El Camino Health is hiring a Director, Physician Contracting and Compensation for its Legal Services department. Reporting to the Associate Chief Legal Officer and working in conjunction with the Chief Medical Officer, this role advises on provider agreements, healthcare transactions, and regulatory compliance. It leads the Provider Contracting Services process, provider payments and contract budgeting, provider contract evaluations, fair market value analysis, quality incentives, and healthcare transactions for El Camino Health, including the El Camino Health Medical Network, Silicon Valley Medical Development, and El Camino Hospital. The position works with internal stakeholders to keep them informed about contracting and transactional activity, improve contracting processes, and supervise contracting staff. The role drafts and negotiates provider contracts and compensation terms, provides legal guidance on provider arrangements, and ensures compliance with applicable policies and healthcare laws. It also supports healthcare transactions and advises on legal risks, corporate structure, and governance related to providers and healthcare organizations. The director collaborates with the CMO on budgeting, physician quality goals and performance metrics, service evaluations, and credentialing guidance. The position manages provider compensation approvals and contract administration processes, and may work at El Camino Health locations in Los Gatos and Mountain View based on business needs.
Requirements
- At least 8 years of legal experience; experience in provider arrangements and healthcare transactions is ideal, preferably in a law firm or in-house counsel role.
- Juris Doctor or equivalent from a law school accredited by the American Bar Association.
- Current active membership in the California State Bar in good standing.
- Excellent executive-level verbal and written communication skills and ability to provide practical, business-oriented legal advice.
- Knowledge and understanding of the healthcare industry and legal and regulatory requirements, including Stark, Anti-Kickback, False Claims Act, and HIPAA.
- Excellent contract drafting and negotiation skills.
- Excellent organization, analytical, and problem-solving skills.
- High degree of credibility, integrity, and confidentiality.
- Ability to work independently, self-motivation, and a proven record of collaborative teamwork.
- Ability to multitask, pay close attention to detail, and remain flexible in a fast-paced, growing organization.
- Demonstrated strength in computer software and contract management systems.
- Ability to work at multiple locations in Los Gatos and Mountain View based on business needs.
Responsibilities
- Draft and negotiate provider contracts and compensation terms; act as the primary point of contact for provider contracts and arrangements.
- Oversee and supervise contracting staff in drafting provider contracts.
- Serve as a subject matter expert on provider transactions and compensation, and ensure compliance with the Physician Financial Arrangements Policy and applicable healthcare regulations.
- Support mergers, acquisitions, joint ventures, and other healthcare-provider and facility transactions.
- Identify and address legal risks involving provider compensation models, value-based care arrangements, and reimbursement structures.
- Advise on corporate structure and governance issues related to provider practices, medical groups, hospitals, and health system affiliations.
- Collaborate with the CMO to develop provider contracting budgets and provide annual summaries to leadership.
- Facilitate annual physician quality goals and performance metrics processes.
- Evaluate physician services to ensure their scope meets operational needs.
- Provide guidance to the Medical Staff Office on credentialing to meet operational needs.
- Manage approval of provider compensation by executive leadership, the Compliance Committee, the Finance Committee, and the Board of Directors.
- Build and maintain relationships with business owners, recommend contract development strategies, and facilitate resolution of complex contract issues.
- Communicate with executives, managers, and other stakeholders to obtain feedback and approvals during contract negotiations and ensure contracts support financial, operational, and strategic goals.
- Manage timely notifications of critical contract events, including renewals, terminations, and agreement due dates.
- Develop and maintain a clause library and contract playbook, and keep contract templates current.
- Evaluate and implement improvements to contract templates, language, and processes.
- Ensure accurate entry of contract specifications and terms into the contract management database and completion of contracting processes.
- Identify process improvements, share best practices, and improve organizational workflows, processes, structure, systems, and technologies.
- Promote knowledge-management best practices and track regulatory developments.
- Assist with contracting administration and projects as needed.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Ph.D. or professional degree
