Chief Operations Officer - Exempt (CCHP)

Why Join Contra Costa Health Services?

The Contra Costa Health Department is seeking to fill one (1) Chief Operations Officer - Exempt position in Contra Costa Health Plan’s (CCHP) division, located in Martinez, CA.

Contra Costa County is home to more than one million residents and was one of the original 27 counties established in California in 1850. Comprised of 19 cities and many established communities in the unincorporated area, it is the ninth most populous county in the state. The county is famed for its mild Mediterranean climate, its wealth of sunny open spaces served by biking, hiking, and equestrian trails, and its easy access to San Francisco via the Bay Area Rapid Transit (BART) and Interstate Highways.

We are looking for someone who is :

• A seasoned professional with Managed Care operational experience
• A professional who understands the complexities of governmental contracts and deliverables both for CMS, Department of Health Care Services and Department of Managed Health Care
• Well versed in knowledge of Medi-Cal, Medicare, and commercial lines of business with a deep operational expertise how to implement and execute new programs with measurable outcomes
• A leader with a diverse background in Claims Administration, Provider Network both contracting and Network Management, Member Services Operations, Quality, Appeals and Grievances, and Project Management
• Experienced in managing clinical teams to establish the business model in all clinical operations with the Advice Nurse Unit, Case Management, Utilization Management, and a Clinical Auditing unit
• Experience in managing health plan operations both with clinical and non-clinical teams
• Knowledgeable of Compliance and internal audits
• Well versed in training teams when deficiencies are noted that impacts the health plan’s operation
• Able to lead an audit based on contracts and technical assistance guides from DHCS / DMHC
• An healthcare expert with an understanding of Health Equity and Quality Improvements Knowledgeable of CalAIM and Enhanced Care Management, Community Supports, Doula Program and the Community Health Workers Program
• Understanding of the challenges of a county run health plan and able to operate a plan in a governmental setting with layers of processes and rules outside of normal business operations
• Able to inspire people and manage complicated programs that are subjected to rule enforcement by the DHCS and DMHC
• A leader that is competent to assist in developing a Strategic Plan for the Duals and Special Needs Population and implementation of Value Based Payment Systems

What you may typically be responsible for :

A few reasons you might love this job :

A few challenges you might face in this job :

Competencies Required :

Drawing meaning and conclusions from quantitative or qualitative data

Identifying and analyzing problems in order to propose new ways to do business

Understanding, interpreting, and ensuring compliance with laws and regulations

Focusing on the details of work content, work steps, and final work products

Holding self and others accountable for measurable high-quality, timely, and cost-effective results

Engaging effectively in dialogue

Establishing rapport and maintaining mutually productive relationships

Defining, assessing, and improving operational processes and workflow

Applying technology for improvements in organizational efficiency and effectiveness

Comprehending the organization as a system of integrated and interdependent functions

Working skillfully with politics, procedures, and protocols across organizational levels and boundaries

Ensuring that projects are on-time, on-budget, and achieve their objectives

Evaluating immediate actions in context of achieving long range objective

Formulating objectives and priorities, and implementing plans consistent with the long-term interests of the organization in a global environment

Education :

Possession of a Master's Degree from an accredited college or university, with a major in Health Care Administration, Business Administration, Public Administration, or a health related field.

Experience :

Four (4) years of full-time experience, or its equivalent, in an executive management or operations management capacity.

Depending on the position(s) to be filled, qualifying experience may be limited to experience directly related to the assignment as specified on the job announcement. For example, experience in a managed health care organization, experience in a health care system, etc.

Substitution for Education :

Possession of a Bachelor's Degree and two (2) additional years of qualifying administrative management experience may be substituted for the required Master's Degree.

Application Filing :

Interested individuals should submit an online application and provide all required documentation to be considered. Those candidates deemed most qualified will be invited to interview.

This position is exempted from the merit system and will not follow regular County recruitment and selection procedures. Not all applicants will be invited to participate in the evaluation and interview process.

CONVICTION HISTORY

After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment.

DISASTER SERVICE WORKER

All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

EQUAL EMPLOYMENT OPPORTUNITY

It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

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