Senior Director of Contracts and Licensing
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 with C ompassion, A ccountability, R espect, E xcellence and S ervice (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
Relocation Assistance
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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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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