CenCal Health

Associate Counsel

CenCal Health  •  $121k - $181k/yr  •  Santa Barbara, CA (Onsite)  •  2 hours ago
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Job Description

Job Location: Main Office - Santa Barbara, CA 93110
Position Type: Full Time
Salary Range: $120,970.00 - $181,455.00 Salary/year
Job Category: LegalCalifornia
Salary Range: $120,970 - $181,455
Job

Summary
The Associate Counsel serves as a member of CenCal Health’s In-House Legal Team and provides legal guidance on matters affecting the organization’s operations, contracts, regulatory compliance, and public agency responsibilities. This position supports compliance with applicable state and federal laws, Medi-Cal and Medicare requirements, contractual obligations, and public agency regulations. The Associate Counsel advises management, staff, committees, and the Board of Directors; supports provider and vendor contracting, procurement, appeals, disputes, and litigation matters; and helps assess and mitigate legal risk in alignment with CenCal Health’s mission and operational priorities.
Key areas of responsibility include:
- Regulatory Compliance & Contract Management
- Risk Management & Dispute Resolution
- Corporate Governance
- Other Assigned Duties
Duties & Responsibilities
1.  Regulatory Compliance & Contract Management
- Conducts legal research and provides analysis and advice regarding applicable state and federal laws, regulations, contracts, and operational matters.
- Supports legal staff with Medi-Cal and Medicare benefit denial appeals, administrative hearings, and related statements of position.
- Assists with legal disputes and regulatory matters, including bankruptcies, IRS inquiries, recoupments and overpayments, government claims, Public Records Act requests, filings, and subpoenas.
- Advises on provider, vendor, procurement, and contracting matters, including drafting, review, negotiation, legal sufficiency, compliance, and risk mitigation.
2.  Risk Management & Dispute Resolution
- Provides legal guidance, leadership, and risk assessment support to the Legal Division under the general supervision of the Legal Officer.
- Supports litigation matters by coordinating with outside counsel, conducting research, reviewing internal records, assisting with discovery, drafting or reviewing filings, and participating in hearings, mediations, and settlement activities
3.  Corporate Governance
- Advises management, staff, committees, and the Board of Directors on legal and regulatory compliance, including Medi-Cal, Medicare, public agency requirements, the Ralph M. Brown Act, and confidentiality matters.
- Oversees Legal Division administrative functions, including budgets, department assessments, policies and procedures, outside counsel engagement, invoice approvals, and planning documents.
4. Other Assigned Duties
- Performs special projects and other legal functions assigned by the Legal Officer.

QualificationsKnowledge/Skills/Abilities
- Extensive knowledge of Medi-Cal and related legal issues, including administrative hearings, contractual requirements, and operational obligations.
- Extensive experience with vendor and provider contracting, including legal sufficiency review and risk mitigation.
- Working knowledge of federal and state laws and regulations governing Medicaid, Medicare, public agencies, and public health programs.
- Ability to work effectively with outside counsel and monitor performance on general and specialized legal matters.
- Strong oral and written communication skills, with the ability to convey legal guidance clearly and build trust with internal leaders and external partners.
- Ability to exercise sound judgment, assume responsibility, and make decisions within the scope of assigned authority.
- Ability to prioritize multiple assignments, meet deadlines, and complete work accurately within established timeframes.
- Ability to maintain confidentiality and handle sensitive information with discretion.
- Demonstrated leadership skills that support a culture of excellence, accountability, collaboration, and continuous improvement.
- Ability to help staff understand legal reasoning and apply guidance to the development of written agreements and related work products.
- Understanding of organizational risk and the ability to evaluate legal considerations in relation to operational and community impact.
Education & Experience
- -
- Juris Doctorate from an ABA-accredited law school and current membership in good standing with the California Bar.
- Minimum of five (5) years of progressively responsible legal experience in comparable roles.
- Management or supervisory experience preferred.
- Contracting experience involving legal sufficiency review and risk mitigation required.
- Experience in Medi-Cal/Medicaid managed care and/or Medicare strongly preferred.
CenCal Health

About CenCal Health

Serving the community since 1983, CenCal Health provides comprehensive health coverage to 1 in 3 residents of Santa Barbara County and 1 in 4 residents of San Luis Obispo County, enrolled in Medi-Cal. This regional health plan partners with over 1,500 local physicians and other providers to deliver quality patient care. CenCal Health also collaborates with community-based organizations to address social determinants of health while increasing members’ access to medical care and reducing costs. The oldest Medicaid managed care plan of its kind, CenCal Health is a not-for-profit agency that employs nearly 400 people at offices in both Santa Barbara and San Luis Obispo. For more information, visit cencalhealth.org.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Santa Barbara, CA
Year Founded
1983
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