Providence · 1 month ago
Corporate Counsel – Payor Contracting and Payor Disputes (Renton, WA, Portland, OR or Irvine, CA)
Irvine, CA
Contract
Hybrid
Senior Level
$78.33/hr - $138.50/hr
7+ years expProvidence is a comprehensive healthcare organization serving a wide range of health and social services. The Corporate Counsel will provide legal advice and strategic guidance on payor relationships and reimbursement disputes while partnering with various departments to address complex legal issues affecting care delivery.
Hospital & Health Care
Responsibilities
Provide legal advice on payor contracting matters, including interpretation, negotiation, and dispute resolution related to commercial, Medicare Advantage, and Medicaid managed care agreements
Advise on reimbursement methodologies, payment terms, audit rights, dispute resolution provisions, limitations of liability, and risk allocation in payor agreements
Partner with Revenue Cycle and Finance teams to support payor strategy and escalation of contract performance issues
Lead or support payor disputes involving underpayment, nonpayment, recoupments, audits, and reimbursement methodology challenges
Manage and coordinate outside counsel in payor-related litigation, arbitration, and regulatory proceedings
Develop litigation and settlement strategies in collaboration with internal stakeholders, including executive leadership
Translate complex legal and reimbursement issues into clear, decision-ready guidance for senior leaders
Provide legal support to Providence's employed and affiliated clinical networks, including issues related to network participation, alignment structures, and care delivery models
Advise on regulatory and contractual issues affecting physician groups, clinically integrated networks, and value-based arrangements
Advise on healthcare regulatory requirements impacting payor relationships and reimbursement, including state and federal healthcare laws and regulations
Serve as a trusted legal advisor to operational, financial, and clinical leaders across the organization
Work collaboratively with other attorneys and legal professionals within DLA
Support development of internal processes, playbooks, and escalation pathways related to payor disputes and contracting issues
Qualification
Required
Juris Doctor degree from an accredited law school
Active admission and license to practice law in either California or Washington
At least 7-10 years of relevant legal experience, with a focus on healthcare, payor contracting, reimbursement, or complex healthcare disputes
Demonstrated experience handling complex reimbursement disputes, litigation, or arbitration matters
Strong understanding of healthcare reimbursement structures, payor-provider relationships, and clinical operations
Ability to synthesize complex legal, financial, and operational issues and provide practical, business-oriented advice
Excellent written and verbal communication skills, with experience advising senior executives
Proven ability to work independently while managing multiple priorities in a fast-paced, matrixed environment
Ability to work collaboratively with attorneys and staff within DLA and Providence
Preferred
Experience advising healthcare systems, hospitals, physician groups, or managed care organizations strongly preferred
Benefits
Retirement 401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources
Company
Providence
Every day, 119,000 compassionate caregivers serve patients and communities through Providence St.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Brad Henry
Chief Executive Officer at Providence Willamette Falls Medical Center
Ranjit S. Hundal, MD, MBA, CPE, FACP, SFHM
Interim Chief Executive Officer
Recent News
2025-09-23
2025-09-13
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