Director, Physician Contracting and Compensation - FT - Days - Legal Services @ MV

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

• FTE
• 1
• Scheduled Bi-Weekly Hours
• 80

Work Shift

Day: 8 hours

Job Description

Reporting to the Associate Chief Legal Officer and working in conjunction with the Chief Medical Officer (CMO), the Corporate Counsel, Provider Contracting and Transactions supports healthcare operations by advising on provider agreements, healthcare transactions, and regulatory compliance.

This role involves negotiating and drafting contracts, ensuring compliance with federal and state healthcare laws, and providing strategic legal guidance on provider arrangements.

The position 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 also works closely with internal stakeholders to ensure that stakeholders are informed and kept abreast of contracting and transactional activities, and to evaluate, recommend, and implement improvements to contracting processes, and supervise other contracting staff within the Legal Services department.

Job Description

Draft and negotiate provider contracts and compensation terms and act as primary point of contact for all types of provider contracts and arrangements.

Provide oversight and supervise contracting staff on the drafting of provider contracts.

Be the subject matter expert for provider transactions and compensation and ensure provider contracts and transactions comply with the Physician Financial Arrangements Policy, and Stark, Anti-Kickback, HIPAA and other healthcare regulations.

Support mergers, acquisitions, joint ventures, and other business transactions involving healthcare providers and facilities.

Identify and address legal risks associated with Provider compensation models, value-based care arrangements, and reimbursement structures.

Advise on corporate structure and governance issues related to provider practices, medical groups, hospital, and health system affiliations.

Collaborate with CMO To

Assist in developing provider contracting budget and provide annual summary to leadership

Facilitate the annual quality goals and performance metrics process for physicians

Evaluate physician services to ensure scope of services meets operational needs

Provide guidance to Medical Staff Office on credentialing to meet operational needs

Manage approval process of provider compensation for executive leadership, the Compliance Committee, the Finance Committee, and the Board of Directors.

Independently cultivate and maintain relationships with business owners, recommend contract development strategies, and facilitate resolution of complex contract issues.

Communicate with executives, managers, and other stakeholders; obtain feedback and approvals throughout the contract negotiation process to ensure the final contract supports financial, operational, and strategic goals.

Manage processes that provide timely notification of critical contract events (e. g., renewals, termination, and due dates contained within the agreements).

Develop and maintain a clause library and contract playbook and ensure contract templates are kept current.

Evaluate opportunities and implement improvement to contract templates, language, and processes.

Ensure accurate data entry of contract specifications and terms into contract management database and completion of all contracting processes.

Identify opportunities to improve processes, share best practices, and improve efficiency with organizational workflows, processes, structure, systems, and technologies.

Promote best practices for knowledge management and tracking regulatory developments.

Assist with all contracting administration and projects, as needed.

Other duties, as assigned.

Qualifications

Minimum of 8+ years of legal experience, ideally in provider arrangements and healthcare transactions, preferably in a law firm or in-house counsel role

Juris Doctor (or equivalent) from a law school accredited by the American Bar Association

Excellent executive level verbal and written communication skills; ability to provide practical, business-oriented legal advice Knowledge and understanding of healthcare industry, 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

Able to work independently, self-motivated, and proven track record in working collaboratively as part of a team

Can multi-task, pay close attention to detail, and be flexible in a fast-paced and growing organization

Demonstrated strength in computer software and contract management systems

Must be able to work at multiple locations in Los Gatos and Mountain View based on business needs

License/Certification/Registration Requirements

Current active member of the California State Bar in good standing

Ages of Patients Served

Salary Range

$103.76 - $155.63 USD Hour

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America)

An Equal Opportunity Employer

El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies.

El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law.

In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.