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Mission-Driven Legal Ops: What Legal Teams Can Learn from St. Jude

BDO's Legal Tech Talk · Season 4, Episode 8 · June 9, 2026 · 3,929-word transcript
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Host: Daniel Gold, BDO
Co-host: Eric Derk, BDO
Guest: Larissa Young, St. Jude Children's Research Hospital

About this episode

Recorded live at CLOC in Chicago, Daniel Gold and Eric Derk talk with Larissa Young, Senior Director of Legal Operations at St. Jude Children's Research Hospital. Larissa explains why process has to come before technology, how she makes vendors show their work during selection, and how St. Jude's seven core values and donor-funded mission shape every legal operations decision.

Key takeaways

Full transcript

Transcript from BDO's published episode, edited for transcription errors. Speaker labels added by Gold Standard Leadership.

Show open

Welcome to BDO's Legal Tech Talk podcast. We're joined by judges and legal professionals to discuss emerging trends, regulatory updates, and the latest headlines. We'll provide tips to help your law firms and legal departments make the most out of legal technology.

Daniel Gold

I'm Daniel Gold, BDO principal and eDiscovery managed services leader.

Eric Derk

And I'm Eric Derk, BDO's managing director of legal operations. Let's get started with this episode's exciting discussion.

Daniel Gold

Welcome back to another episode of BDO Legal Tech Talk podcast. Eric and I are here still at CLOC Global Institute in Chicago. Very exciting. Got to speak with a lot of really great legal operations professionals while we've been here.

And we are with one of them right now, Larissa Young, senior director of legal operations from St. Jude Children's Research Hospital in Tennessee. Larissa, welcome to the program. We're happy to have you here.

Larissa Young

Thank you so much for having me.

Daniel Gold

Well, that's great. Now, you have an extensive background that I could tell you that I could probably read your bio for sure. But I feel like if you'd give us a little bit of background about yourself, it'll probably sound a lot better coming from you than it will from me, Larissa.

Larissa Young

Sure. So I have I'm going into my nineteenth year at St. Jude. I've always done operations. I started as a contract management specialist.

And when I started almost nineteen years ago, there were only four of us. I've been very intentional about the type of work I've done in the op space, learned, and how we develop operations at St. Jude. And so now there are three dedicated legal operations professionals, but we almost have thirty people on the legal team. So from four to almost thirty, we have an amazing chief legal officer in Robin Diaz, and she's been very supportive in how we build out functions.

Eric Derk

This is your first CLOC. Is that correct?

Larissa Young

Yes.

Eric Derk

How did you decide to come to CLOC?

Larissa Young

I'd applied to be on the CLOC board. Unfortunately, they picked other amazing people, so they have a great board this year. Then I was invited or got an email from Nicole asking me around becoming part of the education advisory council. And so I applied for that, had a discussion with Nicole, and I was invited to be part of the council.

Fast forward to developing the content for what you see happening here over the course of Monday through Thursday, and then, you know, they were like, oh, we need someone in to teach clock academy one hundred. And I was like, oh, that should be fun. Then it was, oh, we need someone to do speed mentoring. I'm like, oh, I'd do that and then tomorrow we are doing career development in nonprofits and so I guess I was like, oh, I could do that.

I'll be happy to do that. It was more of like, yeah, pick me. I'll do it. So it's my first CLOC and my busiest one.

Daniel Gold

You went from, you know, never going to a CLOC conference ever to now you are full court press.

Larissa Young

Yes.

Daniel Gold

And you are literally doing everything.

Larissa Young

Yes. Yes.

Eric Derk

So board, watch out. You're coming for them, right? Yeah. So what has been the most rewarding piece so far? You are so involved. I mean, literally, you are so involved. So what is so rewarding to you?

Larissa Young

I think with any kind of legal professional, you get to see the end result. So at St. Jude, you get to see the end result, and so that's what we kind of come to work for to see because sometimes you don't get to see it. And I think here seeing the end result, you know, we've been a part of a lot of the back end stuff, and so now you get to see what all the hard work was about.

Daniel Gold

Since this is your first conference and aside from your direct involvement in cultivating all this cool content, what strikes you most interesting about the technology? I mean, you're in a legal ops role. You work with a lot of different tech. What's the top of your mind about what's happening right now?

Larissa Young

I think a lot of people, the hype is the tech. And so one of the things that we trained yesterday, my colleagues and I that taught Clock Academy one hundred was before you buy the tech, make sure you have your processes in place.

Eric Derk

Right on.

Larissa Young

Because even if you buy the tech and you implement the tech, it's sort of like, okay. Now you're gonna what are you gonna do with it? Yeah. You know?

Do you have a process on how you're going to implement it? Do you have process in how you're gonna market it to the team, train the team, get adoption from the team? Have you looked to make sure that what the tech that you're buying is actually gonna do what you want it to do if you haven't developed the process? So we you know, a lesson learned for us is we did purchase a tech because, you know, it was a thing to do at the time, and we ended up not leveraging the tech the way we needed to leverage it, and so that was dollars wasted.

And so now we're kind of, you know, collecting ourselves and, like, okay. How do we now implement the same type of tech but get the technology adoption from the team?

And so, again, we didn't have a process. We just bought tech. So we tell people all the time, develop your processes first and then get the tech. And so, you know, it's very you know, it's almost like going to a carnival.

It's like, I wanna ride that ride. I wanna ride that ride. I wanna play that game, and that's what's happening. It's like, come in come in, try this new shiny tech.

Daniel Gold

Well, it's funny. It's like when you go to the carnival, you only have a pocket full of change. You can't ride all the rides.

Larissa Young

Can't ride all the So you gotta pick and choose wisely.

Eric Derk

So you really that's a good analogy for, like, what you're up to. It's like, what do I have? What do I need?

And how do I make it all happen?

Daniel Gold

You are in a very highly regulated industry. And we have hospital clients. We have health care clients. Eric and I do. And when you have highly regulated clients, when we talk about the world of AI and upstairs and the vendor hall, it's basically all AI. How do you come up with a process to implement, well, to procure, to implement technology and legal operations inside the legal department of a hospital when it's so highly regulated? Is it more challenging for you?

Larissa Young

Yes but one of the things that we do when we go out to bid is once we pick our top as part of the bidding process the scoping document has here are all the regulatory requirements that we could come up against and please make sure you know what that, you know, you are familiar with those things. You don't have to know them verbatim but you're familiar with them and then the other thing is once we pick our top three vendors to actually pitch, we give them the guidance document. Like, you know, we don't do NDA, so as a contract CLM vendor, I don't want that to be what you show me because then, you know, it's useless to me.

That's not what we do. So we tell you, our current vendor, we literally listed out the top three vendors. Here are the types of contracts that we do. Here's where our volume is.

Tell me how you build this out for us. Here are all the guardrails around these types of agreements in which they have to stop here. Here's our contract management policy. How would you build it around that such that our end users aren't having to ask a being asked a ton of questions around certain things or if it's a health care contract, what questions do we need to make sure is in the workflow versus if it's research?

Do they have to answer these health care questions? They shouldn't. So we kind of give them the guidance and we look at who actually listens to us around that.

Eric Derk

It's interesting that you guys kind of go forward like that because a lot of times, we will look at technology. Like, if I work for a client, they'll look at tech, and they'll just kinda go window shopping. And they'll, like you were saying, they'll see the blingy stuff. They say, I might like that.

I might like but you guys are really kind of putting the vendors kind of on the line. Say, hey. Here here's what we need you to have an ability to answer. Do you give them a preread, or you just kinda show up and start asking them questions?

Or how much, like, partnership do you do in, like, the presales process?

Larissa Young

Sure. So one of the things that I've done so when we started looking for a contract management system, any conference that I went to that's who I targeted. So I just had quick fifteen, twenty minute meetings saying, hey, I'm going out to bid, Here's what we do.

Daniel Gold

I love the accountability that you are putting them through.

Larissa Young

Oh, absolutely. They had you know, it's like I have to be a good steward. That's a value. You know, that's value seven in our values, and so I have to show that I'm being a good steward of our donor dollars because eighty five percent or roughly eighty five percent of how we run the hospital is based on people donating.

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Eric Derk

I wasn't gonna ask you this question, but you just brought it up. I'm gonna digress. You talk about value number seven, and I love that you said that. It wasn't just these are my values, but you specifically said value number seven. And Eric knows I bleed core purpose, core values. Talk to us about what the core values are at the hospital and what that means to you as a legal operations professional.

Larissa Young

Yeah, so it's seven core values. And when we're looking at vendors and so it's not only how you navigate your way through the St. Jude mission and say, oh, I'm I'm implementing value five which is, you know, being a collaborative partner across the institution. It's sort of like, okay, if I engage a vendor, what value, what Saint Jude value do I see with them, you know, is it value for the urgency of making sure that you know the patients have what they need, is it making sure that our patients are safe and that's the first value.

Are we being good stewards? Value seven. So those are the things that we're looking at and then we just implemented cultural principles which are sort of like an extension of the value. So it's like how am I delivering on impact?

Okay. Well, I'm making sure that I'm bringing in a vendor who is going to uphold at least three of these values. So as part of the RFP, we ask like what values do you see in collaborating with this vendor? So we're looking at that.

And when we decline you as a vendor and, you know, we've had some vendors that are like, well, apparently, you don't want the best and, you know, kind of snarky. And so we say, well, obviously, they're not That value. So and we use that. We stand on that because that's what we live by there.

You know, it's been embedded in the mission since nineteen sixty two.

Eric Derk

Yeah. It sounds like you guys choose to engage in partners who just happen to be vendors. Right. You know? And that's he and I talk about OKRs and metrics all the time and living by values, and it's easy to talk about. Right?

It's just not easy to execute on.

We're going through the self reviews and performance reviews, so it's top of top of mind.

Daniel Gold

To Eric's point, there's one thing of being top of mind. But when you go out and you intentionally go about your day to day and you execute and you think about your performance review and you think about what are my OKRs gonna be, what are my KPIs gonna be, and how do I align those with specifically with core values? We do a lot of that at BDO. But in my mind, there's performative, and then there's authentic. And that's a real joy to hear somebody speak like that. We had that occasion once last year at another conference where we had someone also speak to us really truly about the values that their organization may live at day to day.

Larissa Young

It's just not a customary thing, though. So when someone starts talking about it, it's somewhat like, oh, wow. This person really is living and breathing the beautiful thing. It's really cool.

Yeah. Being responsible in how you continuing to grow and, you know, making sure that you're not just staying stagnant.

Even with the cultural principles, like, we're looking to advancing the St. Jude community. How are you being innovative? And so we're even looking at what processes are we doing where maybe we can innovate or maybe we can revamp it and talk about and start, you know, getting it embedded in our processes and our day to day to be like, okay, here's how we deliver on impact today. Here's how we grew the Saint Jude or participated in growing the Saint Jude community. And it's basically around just being collaborative and supporting any initiative or any, you know, development across organization.

Imagine a world where your performance is reviewed on the impact that you're making.

Daniel Gold

Wow.

Larissa Young

You know? And it's not always quantifiable. It's not always money. Sometimes it's actually I'm building better relationships. I'm helping a cause. We often live in this world where it's just money, and it's just about how much revenue. But when you actually counter that or couple that with this value based reality It sounds like you could actually be a very happy employee.

Eric Derk

Right.

Larissa Young

You you can, especially if you can say, hey. You know, legal saw a thousand contracts. Of those thousand contracts, we turned fifty percent of those around in less than, you know, ten days. We turned the more complex ones around in less than thirty days.

And so now people are seeing, like, oh, I did. I am impactful because, you know, in turning those contracts around or getting it finalized, you are able to get a piece of equipment on-site timely. You were able to get a specialty provider on-site quicker and credentialed quicker, stuff like that. So I think when you talk about dollars, we're talking about the end result.

Our end result is making sure that our kiddos have what they need and they have it timely and we're not the person that's holding it up. We never want to be that.

Daniel Gold

And that's the thing with what you're doing. Mean, at a hospital system, the impact really, I mean, at the end the day is you're saving lives. You're making the lives of people who walk in that they walk out better.

And so the impact that you're making is instrumentally different than someone who is producing a widget. And I'm not to say that that's not as important.

But the vendors that you are bringing on board and I love how you positioned, Eric, their partners that just happen to be vendors what you're really doing is you're bringing on, you're selecting people that can ultimately downstream make a really big difference.

Someone used to say to me something about sales in general just being a very not a great profession. I think sales is a great profession, especially when they sell into the medical profession, they could save somebody's life.

Larissa Young

And one of the things that we do is if we bring you on as a vendor, one of the things that we do is your first kind of implementation or kickoff, if you will, we want it to be on-site because we want you to see, like, this is what the partnership means, and this is why we've brought you on to be the partner. So when we implemented our contract management system, we brought them on-site for four days and we wanted you to see our day in and day out. This is why we want this workflow to do this. This is why this needs to happen this way, this is why the contract process has to stop if they haven't done this piece and we showed you the hospital like here's where if this piece of equipment isn't reviewed right, here's the impact that it will have. And so I think having them see it, they're not implementing a contract management system. They are implementing a process to help us with our mission, and I think that's how we've tried to frame things.

Eric Derk

So here's the curveball question. So how did it go?

Larissa Young

It went well. We had some hiccups. Of course, with anything, you've had hiccups because, you know, in sales, they'll try to promise you the moon. Your salesperson will promise you the moon, but then you get a whole new team of implementation people. So one of the things in legal that we've partnered with our IT team to do is, okay, show me the implementation team too. So before we engage you or before we give you this, we wanna talk to the implementation team. So we can say, well, this is what your sales team told us.

What do you know to be true?

Daniel Gold

So I love that.

Eric Derk

Yeah. And I worked for a company once where the sales did a great job of opening the door. But you had a sales engineer who knew the technical pieces. And we had an entire implementation team that was focused in on, wait, what did sales just sell you on? It's interesting how you put that. Let me ask you one last question.

You have come into this CLOC conference just like an absolute dynamo with everything you've done to be able to help out. I look at when people go to a conference, they accumulate a level of education that I think is just so important that I feel like it's almost selfish to contain it within. And I feel like when you come to a conference, the greatest gift that you can give your colleagues is the gift of education that you learned here. How are you going to give that gift to your colleagues when you head back to Tennessee?

Larissa Young

It's so funny because before while I was in between sessions, I started crafting the email.

Daniel Gold

Of course, you did.

Larissa Young

Like, here's day one. This is what I did on day one. Here's the takeaway.

This is what I did on day two. Here's the takeaway. Here's what I did on day three. Here's the takeaway.

And, of course, on the last day, I'm probably gonna be traveling, so I won't get the last day. And so, like, you know, I'll give the summaries, like, something for us to think about. So I don't say, I think we need to do this. It's like, something for us to think about.

So we have developed an internship program for legal operations, and so we embed the intern into our practices. They're not just kind of sitting and reading documents or shuffling paper. They actually do our day in and day out. And so one of the things is as we were teaching clock one hundred, I'm like, maybe we should do a smaller version of clock one hundred, not the four hours, but maybe we should like, hey.

Here's what business intelligence is. Here's what these different components of the clock core twelve does, and this is what this means to you as an intern and how you're gonna help us navigate this. And so that's one thing. And then from today, it's more around navigating how we do change.

So it's more around how we do change. How do we develop change in such a way where you've already acknowledged that, you know, a lot of attorneys are very kind of anxious about using AI? How do we now start moving from recruiting entry level people to do what AI we know that AI is going to take over. So now how do we start developing them such that they are doing more assessments and more common sense analysis to say, the AI already did this red line, now I need to look at it and make sure that the red line, the logic was right, what they added makes sense, and it's not just gibberish, How are we now training and moving towards a more, like, we know AI is gonna take this over?

How are now training and developing people? And do we need to look at how, you know, updating?

Daniel Gold

You're the you're the first person that we've talked to ever that has really made a statement about the stewardship of kind of legal operations.

We've talked to a lot of people, but you are one who said, listen. We know that it's gonna change the way people work, but it's not necessarily gonna take away a job. We need to actually bring people up, upskill them, and show them how to think differently and more critically with using AI. So we talk about as thought partner.

Eric Derk

I gotta give you, like, mad creds here because we do not hear people talk like you talk. We've heard people say, yeah. It's gonna take jobs. You know, you better rush.

It's kind of a Paris is burning and sky is falling. But you're saying, maybe not. Maybe we can actually upscale these people and have them Right. Think and be more.

Larissa Young

Right. But you see it's not going anywhere. It's how many people here over the course of four days? So it's the profession is not going anywhere. Now how do you kind of move them in a direction to be ahead of pace of what the tech is going to do?

Eric Derk

Right. So when can we come work for you? I know. No. Yeah. We will work for you.

Daniel Gold

Larissa, it was such a pleasure having you here on the show. Thank you so much for joining us today.

Larissa Young

And thank you for thinking of me to ask me.

Daniel Gold

Thank you.

Eric Derk

Appreciate it.

Larissa Young

So much.

Show close

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Daniel Gold
About your host

Daniel Gold is an attorney and a Principal at BDO USA, where he leads eDiscovery managed services. He hosts BDO's Legal Tech Talk, co-hosts the NeLI Pod and founded Gold Standard Leadership.

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