Legal Services Director

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. Because we take the time to give each submission the attention it deserves, our review process may take a little longer—and we genuinely appreciate your patience as we work through applications carefully and respectfully.

While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties:
Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.

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

Reporting to the Chief Compliance Officer, this position:

• 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

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 closeout, and provides legal counsel to leadership and staff on operational matters, strategic initiatives, and issues involving legal and regulatory compliance.

• 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.

To read the full position description and list of requirements, .

• 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…