Senior Counsel, Denials & Payor Litigation (Healthcare)

Community Hospital; Grand Junction (CO); On-site; USD 103,000 - 119,000; Full time

Benefits offered by this job

Comprehensive benefits

On-site role

Job summary

Community Hospital in Grand Junction, Colorado, is seeking a Senior Counsel – Denials & Payor Litigation to lead strategic healthcare reimbursement efforts. The role focuses on high-value payer disputes, denials, underpayments, and contract enforcement, partnering with Revenue Cycle, Finance, and Compliance.

The ideal candidate will have a JD and Colorado license with 5+ years of healthcare contracting experience, and will operate on-site in Grand Junction.

Qualifications

• J.D. from an accredited law school.
• Active Colorado license or eligibility with Colorado admission within six months of hire.
• Five or more years of legal experience, preferably including healthcare contracting.
• Experience negotiating complex commercial or healthcare agreements.
• Strong understanding of healthcare regulatory requirements.

Responsibilities

• Provide legal counsel regarding complex payer denials and disputes.
• Review payer contracts, reimbursement methodologies, applicable laws and regulations.
• Develop strategies to recover unpaid or underpaid claims.
• Partner with Revenue Cycle and Finance to prioritize high-dollar disputes.
• Analyze denial and underpayment trends to identify systemic payer practices.
• Advise executive leadership regarding financial exposure and legal risk.

Skills

Healthcare law

Regulatory compliance

Negotiation

Litigation strategy

Contract analysis

Education

Juris Doctor (J.D.)

Active Colorado license or eligibility

Job description

Community Hospital in Grand Junction, Colorado, is seeking a Senior Counsel – Denials & Payor Litigation to lead strategic healthcare reimbursement efforts. The role focuses on high-value payer disputes, denials, underpayments, and contract enforcement, partnering with Revenue Cycle, Finance, and Compliance.

The ideal candidate will have a JD and Colorado license with 5+ years of healthcare contracting experience, and will operate on-site in Grand Junction.