Full-Time

Legal Services Director

Central California Alliance for Health

Central California Alliance for Health

Compensation Overview

$250k - $300k/yr

No H1B Sponsorship

California, USA

Hybrid

Hybrid role; in-office presence may be required for some positions, with quarterly company-wide events.

Category
Legal & Compliance (2)
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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
  • Active license to practice law in California
  • Knowledge of health care laws, Knox-Keene Health Care Service Plan Act and Regulations, Affordable Care Act, Health Insurance Portability and Accountability Act, Stark Law, False Claims Act, Medi-Cal, Medicaid, Medicare rules, and related regulations
  • Ability to provide prudent legal recommendations to executive team and board, develop legal strategies and objectives, perform risk assessment and mitigation, provide leadership and manage staff
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
Desired Qualifications
  • 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
Central California Alliance for Health

Central California Alliance for Health

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Simplify Jobs

Simplify's Take

What believers are saying

  • $44.9 million invested in 2025 expands care access and strengthens local health infrastructure.
  • Value-based care incentive programs position Alliance to capture outcome-based reimbursement as payers shift models.
  • Geographic diversification into Monterey County opens new revenue streams and member acquisition opportunities.

What critics are saying

  • California Medi-Cal redetermination unwinds 10-20% member base within 6-12 months post-pandemic.
  • L.A. Care's aggressive expansion into Monterey and Santa Cruz counties directly poaches primary networks.
  • State budget deficit triggers 15% capitation rate cuts, eroding $800M revenue base by mid-2026.

What makes Central California Alliance for Health unique

  • Regional scale of 430,000+ Medi-Cal members across five-county service area enables provider negotiation leverage.
  • Housing Fund and Community Health Worker programs address social determinants beyond traditional managed care.
  • 30-year operational history as regional Medi-Cal plan demonstrates sustained execution in complex market.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Ample Paid Time Off

12 Paid Holidays per year

401(a) Retirement Plan

457 Deferred Compensation Plan

Robust Health and Wellness Program

Onsite EV Charging Stations