Chief Operations Officer - Exempt (CCHP)

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: 

• Managing a team of Directors with diverse Managed Care expertise. 
• Balancing the needs of Managed Care operations
• Implementing patient care related projects, including supervision, management, and direction of staff
• Designing and implementing policies, and processes that will be effective and efficient in the provision of health care to the patient population, while ensuring business needs, compliance and regulatory requirements are met
• Coordinating with the Chief Quality Officer to ensure ongoing compliance with Joint Commission on Accreditation of Health Care Organization (JCAHO) requirements and other applicable law and regulations

A few reasons you might love this job:

• You will have a supportive team with shared goals that are aligned with the organization’s commitment to serving the community. 
• We offer generous benefits and a great retirement package!
• You will gain experience in a broad range of healthcare obstacles.

A few challenges you might face in this job:

• You must know how to apply County policies, as well as State and Federal laws to execute decisions.
• You must have patience while waiting for processes to move forward.
• You must reprioritize assignments based on the ongoing needs of the organization.

Competencies Required:

• Analyzing & Interpreting Data: Drawing meaning and conclusions from quantitative or qualitative data
• Innovative Problem Solving: Identifying and analyzing problems in order to propose new ways to do business
• Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
• Attention to Detail: Focusing on the details of work content, work steps, and final work products
• Displaying Ownership and Accountability: Holding self and others accountable for measurable high-quality, timely, and cost-effective results
• OralCommunication: Engaging effectively in dialogue
• Building & Maintaining Relationships: Establishing rapport and maintaining mutually productive relationships
• Business Process Analysis: Defining, assessing, and improving operational processes and workflow
• Leveraging Technology: Applying technology for improvements in organizational efficiency and effectiveness
• Organizational Systems Thinking: Comprehending the organization as a system of integrated and interdependent functions
• Political & Organizational Savvy: Working skillfully with politics, procedures, and protocols across organizational levels and boundaries
• Project Management: Ensuring that projects are on-time, on-budget, and achieve their objectives
• Strategic Thinking & Perspective: Evaluating immediate actions in context of achieving long range objective
• Thinking & Acting Systematically: Formulating objectives and priorities, and implementing plans consistent with the long-term interests of the organization in a global environment

To read the complete job description, please visit the website: www.cccounty.us/hr

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.

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.

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.

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.

Salary : $225,620