Corporate Counsel – Payor Contracting and Payor Disputes
Company: Providence Health & Services
Location: East Irvine
Posted on: January 29, 2026
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Job Description:
This position will be based in Renton/Seattle, WA, Irvine, CA or
Portland, OR. The Corporate Counsel position is responsible, under
the guidance of Department of Legal Affairs (DLA) Leadership, for
supporting Providence’s integrated delivery system by providing
legal advice and strategic guidance on providing legal advice and
strategic guidance on payor relationships, reimbursement disputes,
and providing legal advice to the Providence Clinical Network. This
role partners closely with Revenue Cycle, Managed Care, Finance,
and Clinical leadership to address complex legal, regulatory, and
contractual issues impacting reimbursement, access, and care
delivery. This attorney will play a critical role in supporting
Providence’s payor contracting strategy, managing payor disputes
and litigation, and advising on legal issues affecting Providence’s
clinical network. Key Position Responsibilities: Payor Contracting
& Reimbursement Support: Provide legal advice on payor contracting
matters, including interpretation, negotiation, and dispute
resolution related to commercial, Medicare Advantage, and Medicaid
managed care agreements. Advise on reimbursement methodologies,
payment terms, audit rights, dispute resolution provisions,
limitations of liability, and risk allocation in payor agreements.
Partner with Revenue Cycle and Finance teams to support payor
strategy and escalation of contract performance issues. Payor
Dispute and Litigation Support: Lead or support payor disputes
involving underpayment, nonpayment, recoupments, audits, and
reimbursement methodology challenges. Manage and coordinate outside
counsel in payor-related litigation, arbitration, and regulatory
proceedings. Develop litigation and settlement strategies in
collaboration with internal stakeholders, including executive
leadership. Translate complex legal and reimbursement issues into
clear, decision-ready guidance for senior leaders. Providence
Clinical Network: Provide legal support to Providences employed and
affiliated clinical networks, including issues related to network
participation, alignment structures, and care delivery models.
Advise on regulatory and contractual issues affecting physician
groups, clinically integrated networks, and value-based
arrangements. Regulatory & Compliance Advisory: Advise on
healthcare regulatory requirements impacting payor relationships
and reimbursement, including state and federal healthcare laws and
regulations. Cross-Functional Partnership & Leadership: Serve as a
trusted legal advisor to operational, financial, and clinical
leaders across the organization. Work collaboratively with other
attorneys and legal professionals within DLA. Support development
of internal processes, playbooks, and escalation pathways related
to payor disputes and contracting issues. Qualifications Juris
Doctor degree from an accredited law school. Active admission and
license to practice law in either California or Washington. At
least 7-10 years of relevant legal experience, with a focus on
healthcare, payor contracting, reimbursement, or complex healthcare
disputes. Experience advising healthcare systems, hospitals,
physician groups, or managed care organizations strongly preferred.
Demonstrated experience handling complex reimbursement disputes,
litigation, or arbitration matters. Strong understanding of
healthcare reimbursement structures, payor-provider relationships,
and clinical operations. Ability to synthesize complex legal,
financial, and operational issues and provide practical,
business-oriented advice. Excellent written and verbal
communication skills, with experience advising senior executives.
Proven ability to work independently while managing multiple
priorities in a fast-paced, matrixed environment. Ability to work
collaboratively with attorneys and staff within DLA and Providence.
About Providence At Providence, our strength lies in Our Promise of
“Know me, care for me, ease my way.” Working at our family of
organizations means that regardless of your role, we’ll walk
alongside you in your career, supporting you so you can support
others. We provide best-in-class benefits and we foster an
inclusive workplace where diversity is valued, and everyone is
essential, heard and respected. Together, our 120,000 caregivers
(all employees) serve in over 50 hospitals, over 1,000 clinics and
a full range of health and social services across Alaska,
California, Montana, New Mexico, Oregon, Texas and Washington. As a
comprehensive health care organization, we are serving more people,
advancing best practices and continuing our more than 100-year
tradition of serving the poor and vulnerable. Posted are the
minimum and the maximum wage rates on the wage range for this
position. The successful candidates placement on the wage range for
this position will be determined based upon relevant job experience
and other applicable factors. These amounts are the base pay range;
additional compensation may be available for this role, such as
shift differentials, standby/on-call, overtime, premiums, extra
shift incentives, or bonus opportunities. Providence offers a
comprehensive benefits package including a retirement 401(k)
Savings Plan with employer matching, health care benefits (medical,
dental, vision), life insurance, disability insurance, time off
benefits (paid parental leave, vacations, holidays, health issues),
voluntary benefits, well-being resources and much more. Applicants
in the Unincorporated County of Los Angeles: Qualified applications
with arrest or conviction records will be considered for employment
in accordance with the Unincorporated Los Angeles County Fair
Chance Ordinance for Employers and the California Fair Chance Act.
Pay Range: $ 78.33 - $ 138.50 The amounts listed are the base pay
range; additional compensation may be available for this role, such
as shift differentials, standby/on-call, overtime, premiums, extra
shift incentives, or bonus opportunities.
Keywords: Providence Health & Services, Corona , Corporate Counsel – Payor Contracting and Payor Disputes, Legal , East Irvine, California