Senior Director of Contracts and Licensing

Mission Healthcare

$130K — $140K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Healthcare Administration, Business Administration, Legal Studies, or related field
  • 8+ years in home health contracting, licensing, or healthcare regulatory administration
  • Knowledge of CMS CoPs, Medicare enrollment, and state home health licensing
  • Experience managing projects across multiple states or markets simultaneously
  • Strong skills in contract review and negotiation
  • Excellent organizational and project management skills

Responsibilities

  • Oversee the contract lifecycle from initiation through execution
  • Negotiate and finalize vendor, service, client, and licensing agreements
  • Collaborate with legal and finance teams to address contract risks
  • Maintain contract databases and tracking systems
  • Ensure compliance with contract terms and service levels
  • Manage Medical Director agreements in compliance with regulations
  • Manage and track home health and hospice agency licensure across states

Benefits

  • 401(k) retirement savings plan
  • Mileage reimbursement
  • Employee Assistance Program (EAP)
  • Paid vacation, sick leave, and holidays
  • Tuition Reimbursement
  • Medical, dental, and vision insurance for employees working 30+ hours/week
  • Flexible Spending & Health Savings Accounts
  • Disability, life, and AD&D insurance
  • Pet insurance
Full Job Description


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
    • 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
    • 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
    • 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
    • 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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