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VIROMISSILE INC

Chief Business Officer

La Jolla, CA · On-site

Position Overview Reporting directly to the CEO, the Chief Business Officer (CBO) will be a key ... The CBO will play a pivotal role in maximizing the value of our oncolytic virus platform, building ...

Vanderbilt University

Business Officer

Nashville, TN · On-site

The CBO interfaces with a wide constituency of partners across the institution in the financial management of, and planning for, the strategic use of funds. This individual leads a team of ...

E Logic

Program Manager (BPA Level)

Washington, DC · On-site

You will act as the primary liaison between CBO leadership, the Contracting Officer's Representative (COR), and the contractor team, ensuring seamless execution across multiple Subject Matter Areas ...

Beta Academy

Chief Financial Officer

Houston, TX · On-site

Partner with the Superintendent, Chief Business Officer (CBO) and Board of Directors to develop long-term financial sustainability strategies. * Develop multi-year financial forecasts and long-range ...

Beta Academy

Chief Financial Officer

Houston, TX · On-site

Partner with the Superintendent, Chief Business Officer (CBO) and Board of Directors to develop long-term financial sustainability strategies. * Develop multi-year financial forecasts and long-range ...

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Fractional Healthcare Attorney - CBO/RCM

Corona, CA • On-site

KPC GLOBAL MEDICAL CENTERS INC.
Health Care and Social Assistance • 201 - 500 employees
Learn more about KPC GLOBAL MEDICAL CENTERS INC.external

$150 - $200/hr

Other

Re-posted 14 days ago

Key responsibilities

  • Provide legal counsel to executive leadership on healthcare operations, revenue cycle management, reimbursement, billing, collections, and related operational matters.

  • Review and analyze revenue cycle processes to identify legal, regulatory, and operational risks, and recommend practical solutions.

  • Draft, review, negotiate, and interpret managed care agreements, vendor contracts, and other legal documents supporting hospital operations.

Job description

Fractional Healthcare Attorney – Central Business Office (CBO) / Revenue Cycle Management (RCM)


Department: Legal
Reports To: CEO
Worker’s Category: Per Diem
FLSA Status: Non-Exempt

SUMMARY

KPC HQ, LLC is seeking an experienced Fractional Healthcare Attorney to provide strategic legal counsel and regulatory guidance supporting the Central Business Office (CBO), Revenue Cycle Management (RCM), and related operational functions across KPC's seven affiliated acute care hospitals.

This position serves as a trusted advisor to executive leadership by providing legal guidance on healthcare operations, reimbursement, revenue cycle management, managed care contracting, regulatory compliance, and operational risk. The attorney will work collaboratively with Finance, Compliance, Patient Financial Services, Health Information Management (HIM), Case Management, and hospital leadership to develop practical, legally sound solutions that support organizational objectives while minimizing legal and regulatory risk.

REQUIREMENTS

REQUIRED SKILLS / ABILITIES

  • Thorough knowledge of federal and California healthcare laws and regulations affecting hospitals and healthcare organizations.
  • Strong understanding of hospital revenue cycle operations, reimbursement methodologies, patient financial services, billing, collections, denials management, and payer contracting.
  • Knowledge of healthcare compliance requirements, including HIPAA, Medicare, Medi-Cal, the Stark Law, the Anti-Kickback Statute, EMTALA, and the False Claims Act.
  • Excellent legal research, analytical, negotiation, and problem-solving skills.
  • Ability to communicate complex legal and regulatory concepts in a practical, business-focused manner.
  • Strong written, verbal, interpersonal, and presentation skills.
  • Excellent organizational skills with the ability to manage multiple priorities and deadlines.
  • Ability to exercise sound legal judgment while maintaining strict confidentiality.
  • Proficiency in Microsoft Office applications and legal research resources.

EDUCATION & EXPERIENCE

  • Juris Doctor (J.D.) from an accredited law school.
  • Active license to practice law in the State of California in good standing.
  • Minimum of seven (7) years of progressively responsible healthcare legal experience.
  • Experience advising healthcare organizations on healthcare operations, regulatory compliance, reimbursement, revenue cycle management, or managed care matters.
  • Experience drafting, reviewing, and negotiating healthcare-related contracts and business agreements.

DUTIES AND RESPONSIBILITIES

  • Provide legal counsel to executive leadership regarding healthcare operations, revenue cycle management, reimbursement, billing, collections, patient financial services, and related operational matters.
  • Advise leadership on compliance with applicable federal and California healthcare laws and regulations, including reimbursement requirements, healthcare privacy, fraud and abuse laws, and hospital operational requirements.
  • Review and analyze revenue cycle processes to identify legal, regulatory, and operational risks, and recommend practical solutions.
  • Draft, review, negotiate, and interpret managed care agreements, vendor contracts, business associate agreements, and other legal documents supporting hospital operations.
  • Provide legal guidance regarding reimbursement matters, payer disputes, denials, payment recovery, audits, overpayments, appeals, and related revenue cycle initiatives.
  • Assist executive leadership in responding to regulatory inquiries, governmental audits, investigations, and compliance matters involving reimbursement or healthcare operations.
  • Monitor changes in healthcare laws, regulations, and reimbursement requirements, and advise leadership regarding operational impacts and compliance strategies.
  • Collaborate with executive leadership, Finance, Compliance, Patient Financial Services, HIM, Case Management, and hospital leadership on legal issues affecting healthcare operations and revenue cycle performance.
  • Provide legal support for organizational policies, operational initiatives, business strategies, and process improvement efforts.
  • Conduct legal risk assessments and provide recommendations to support informed business decisions.
  • Coordinate with outside legal counsel on specialized legal matters, litigation, or regulatory issues when appropriate.
  • Attend leadership meetings and provide legal guidance on strategic initiatives and operational projects, as requested.
  • Perform other duties as assigned.
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About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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