Senior Director of Contracts and Licensing

Missionhealthcare; San Diego (CA); Hybrid; USD 130,000 - 140,000; Full time

Benefits offered by this job

401(k) retirement savings plan

Mileage reimbursement

Employee Assistance Program (EAP)

Paid vacation, sick leave, and hotels

Tuition Reimbursement

Medical, dental, and vision insurance

Flexible Spending & Health Savings

Disability, life, and AD&D insurance

Pet insurance

Job summary

Mission Healthcare, a leading home health and hospice provider, seeks a Senior Contract & Regulatory Lead to oversee contract lifecycle, licensing, and regulatory compliance across multi-state operations.

Responsibilities include negotiating vendor and clinical agreements, managing CMS CoPs enrollment and revalidation, state licensure processes, and ensuring compliant documentation and audits.

Qualifications

• Bachelor’s degree in healthcare administration, business, legal studies, or related field.
• 8+ years in home health contracting, licensing, or healthcare regulatory administration.
• Experience with CMS CoPs, Medicare enrollment, and state licensing requirements.
• Ability to manage multiple states/markets simultaneously.
• Strong contract review and negotiation experience.

Responsibilities

• Oversee the contract lifecycle from initiation through execution.
• Review, negotiate, and finalize vendor, service, client, and licensing agreements.
• Partner with legal and finance to mitigate contract risks.
• Maintain contract databases and tracking systems.
• Monitor service levels, payment terms, and deliverables; improve processes.
• Coordinate Medical Director agreements and regulatory compliance documentation.

Skills

Contract management

Regulatory compliance

Leadership

Cross-functional collaboration

Project management

Education

Bachelor’s degree in Healthcare Administration or related field

Master’s degree (MHA, MBA, or JD)

Tools

CMS enrollment systems

State licensing platforms

Job description

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered withCompassion,Accountability,Respect,Excellence andService(CARES), Mission Healthcare’s core values. By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!

Mission Healthcare offers competitive benefit packages designed to support the well‑being of our team.

Benefits Available to All Benefit‑Eligible Employees

• 401(k) retirement savings plan
• Mileage reimbursement
• Employee Assistance Program (EAP)
• Paid vacation, sick leave, and holidays
• Tuition Reimbursement

Additional Benefits for Employees Regularly Scheduled 30+ Hours per Week:

• Medical, dental, and vision insurance
• Flexible Spending & Health Savings Accounts
• Disability, life, and AD&D insurance
• Pet insurance

Pay range (depending on experience):

$130,000 - 140,000/yr + additional bonus earnings potential

Responsibilities:

Contract management:

• Provide oversight of the contract lifecycle from initiation through execution.
• Review, negotiate, and finalize vendor, service, client, and licensing agreements.
• Partner with legal and finance teams to identify and mitigate contract risks.
• Maintain contract databases and tracking systems.
• Monitor contract compliance, service levels, payment terms, and deliverables.
• Develop and improve contract management processes to increase efficiency and effectiveness.

Medical Director & Professional Service Agreements

• Coordinate and manage Medical Director agreements in compliance including overseeing Anti‑Kickback Statute, Stark Law, and Fair Market Value (FMV) requirements.
• Oversee contracting for Medical Directors and other clinical professional services.
• Track contract terms, renewals, compensation limits, and regulatory compliance documentation.

Licensing & Regulatory Compliance (Overseeing the team)

State Licensing

• Manage all home health and hospice agency licensure across applicable states, including initial licensure, renewals, changes of ownership (CHOW), location changes, and scope‑of‑service modifications.
• Act as primary contact with state health departments and licensing agencies.
• Maintain licensing documentation and ensure timely submissions.

Federal Certification & Accreditation

• Support CMS certification processes and filings, including Medicare enrollment (CMS‑855A), revalidation activities, and change notifications.
• Coordinate accreditation activities with agencies such as CHAP, ACHC, and Joint Commission.
• Prepare and maintain survey readiness documentation related to contracts and licensing.

Governance, Documentation & Audit Readiness

• Develop and maintain policies and procedures related to contracting, licensing, and regulatory compliance.
• Create and oversee centralized contract and licensing repositories.
• Support internal and external audits, surveys, and due diligence requests.
• Provide compliance support during mergers, acquisitions, and market expansions.
• Provide KPIs on success in contract management and timing on licensure.

Cross-Functional Collaboration

• Partner with legal counsel on contract language and regulatory interpretation, compliance on regulatory risk mitigation, finance on reimbursement analysis and contract modeling, operations on market expansion and readiness, HR on physician contracting coordination (as applicable).
• Provide leadership with regular reporting on contract status, risks, and licensing timelines.

Qualifications:

Required

• Bachelor’s degree in Healthcare Administration, Business Administration, Legal Studies, or related field
• 8+ years of experience in home health contracting, licensing, or healthcare regulatory administration
• Working knowledge of CMS Conditions of Participation (CoPs), Medicare enrollment and revalidation, State home health licensing requirements, Payor contracting frameworks
• Experience managing multiple states or markets simultaneously
• Strong contract review and negotiation experience
• Excellent organizational and project management skills

Preferred

• Master’s degree (MHA, MBA, or JD)
• Familiarity with value‑based care contracting
• Experience with CHOWs, de novos, and acquisitions
• Accreditation experience (CHAP, ACHC, Joint Commission)

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See what Mission has to offer!

At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging.

Equal Opportunity & Veteran‑Friendly Employer:

We are proud to be an equal‑opportunity employer committed to building inclusive, compassionate healthcare teams. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristic. All employment decisions are based on qualifications, merit, and business need.

Veterans and military spouses are encouraged to apply. As a veteran‑friendly employer and proud participant in the We Honor Veterans Association, we recognize and value the leadership, teamwork, adaptability, and service‑driven experience military‑connected individuals bring to patient‑centered care and healthcare environments.

Accessibility Commitment:

We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.

Inclusion Efforts:

We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive.

Your Voice Matters:

Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs.

Communication Consent:

By submitting an application, you acknowledge and consent to receive communications—including emails, phone calls, and text messages—from Mission Healthcare and its recruiters regarding your application and potential employment opportunities. You may opt out of text messages at any time by responding with "STOP".

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