Senior Director of Contracts and Licensing

Mission Healthcare•San Diego, CA

2d•$130,000 - $140,000•Remote

About The Position

Mission Healthcare, a leading home health and hospice company, is seeking a Senior Director of Contracts and Licensing. This role is crucial for overseeing the contract lifecycle, managing medical director and professional service agreements, and leading the licensing and regulatory compliance team. The position involves ensuring compliance with various healthcare regulations, maintaining documentation, and collaborating with internal teams and external agencies. The company emphasizes a culture of compassion, accountability, respect, excellence, and service (CARES), and is committed to diversity, inclusion, and employee growth.

Requirements

Bachelor’s degree in Healthcare Administration, Business Administration, Legal Studies, or related field
8+ years of experience in home health contracting, licensing, or healthcare regulatory administration
Working knowledge of CMS Conditions of Participation (CoPs)
Working knowledge of Medicare enrollment and revalidation
Working knowledge of State home health licensing requirements
Working knowledge of Payor contracting frameworks
Experience managing multiple states or markets simultaneously
Strong contract review and negotiation experience
Excellent organizational and project management skills

Nice To Haves

Master’s degree (MHA, MBA, or JD)
Familiarity with value-based care contracting
Experience with CHOWs, de novos, and acquisitions
Accreditation experience (CHAP, ACHC, Joint Commission)

Responsibilities

Provide oversight of the contract lifecycle from initiation through execution.
Review, negotiate, and finalize vendor, service, client, and licensing agreements.
Partner with legal and finance teams to identify and mitigate contract risks.
Maintain contract databases and tracking systems.
Monitor contract compliance, service levels, payment terms, and deliverables.
Develop and improve contract management processes to increase efficiency and effectiveness.
Coordinate and manage Medical Director agreements in compliance including overseeing Anti-Kickback Statute, Stark Law, and Fair Market Value (FMV) requirements.
Oversee contracting for Medical Directors and other clinical professional services.
Track contract terms, renewals, compensation limits, and regulatory compliance documentation.
Manage all home health and hospice agency licensure across applicable states, including initial licensure, renewals, changes of ownership (CHOW), location changes, and scope-of-service modifications.
Act as primary contact with state health departments and licensing agencies.
Maintain licensing documentation and ensure timely submissions.
Support CMS certification processes and filings, including Medicare enrollment (CMS‑855A) and revalidation activities.
Coordinate accreditation activities with agencies such as CHAP, ACHC, and Joint Commission.
Prepare and maintain survey readiness documentation related to contracts and licensing.
Develop and maintain policies and procedures related to contracting, licensing, and regulatory compliance.
Create and oversee centralized contract and licensing repositories.
Support internal and external audits, surveys, and due diligence requests.
Provide compliance support during mergers, acquisitions, and market expansions.
Provide KPIs on success in contract management and timing on licensure.
Partner with Legal Counsel on contract language and regulatory interpretation.
Partner with Compliance on regulatory risk mitigation.
Partner with Finance on reimbursement analysis and contract modeling.
Partner with Operations on market expansion and readiness.
Partner with HR on physician contracting coordination (as applicable).
Provide leadership with regular reporting on contract status, risks, and licensing timelines.