Legal Services Director

Central California Alliance for Health (Remote)

3d•Remote

About The Position

We have an opportunity to join the Alliance as the Legal Services Director overseeing 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.

Requirements

Juris Doctor degree from an accredited law school, admitted to and in good standing with the State Bar of California, and possession of an active license to practice law in California
A minimum of seven years of experience as a practicing health care attorney performing research and analysis of legal, statutory, and regulatory information, which included a minimum of five years of management level experience and a minimum of three years of experience related to health plan operations; or an equivalent combination of education and experience may be qualifying
Knowledge of health care laws
Knox-Keene Health Care Service Plan Act and Regulations, Affordable Care Act, Health Insurance Portability and Accountability Act (HIPAA), Stark Law, and False Claims Act
Medi-Cal, Medicaid, and Medicare rules, requirements, and regulations
State regulatory agencies, such as DHCS, Centers for Medicare and Medicaid Services (CMS), and Department of Managed Health Care (DMHC)
Principles and practices of operational oversight and program 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 and objectives based upon analysis of relevant information and resources, and make recommendations
Perform risk assessment, anticipate and respond to risks, and provide risk mitigation support
Provide leadership, facilitate meetings, and partner with and guide managers and employees in the resolution of 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 work, goals, and structure, develop and implement short- and long-term planning to achieve strategic plans, and complete an annual department assessment
Direct, manage, supervise, mentor, train and evaluate the work of staff

Nice To Haves

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 advice and counsel 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.

Responsibilities

Provides strategic management oversight in implementing, directing, and monitoring the Alliance’s Legal Services Department, which provides advice and counsel and performs enterprise risk management for Alliance operations
Directs the Legal Services Department, acts as a leader and subject matter expert and provides direction and advice on legal and administrative contracting issues and overall business operations
Manages and coordinates litigation and disputes related to Alliance operations
Directs health plan administrative contracting, including maintenance of agreements and negotiation and re-negotiation of contracts in coordination with Alliance staff and external counsel
Directs, manages, and supervises Legal Services Department staff