About the Department

Why Join the Contra Costa Health Plan (CCHP)?

The Director of Regulatory Affairs and Communication (RAC) at Contract Costa Health Plan (CCHP or “Plan”) is a senior leadership role responsible for leading regulatory oversight, agency communications, Policy Management Program, regulatory audit support, and enterprise regulatory strategy. This role serves as the primary liaison with state and federal regulators, including the California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), and Centers for Medicare & Medicaid Services (CMS).

The Director oversees regulatory submissions, readiness activities, policy governance, and regulatory communications to ensure compliance with Medi-Cal, Medicare, Knox-Keene, and contractual requirements. The position partners closely with Compliance, Operations, Medical Management and Executive Leadership to support organizational compliance and operational excellence.

We are looking for someone who has:

Strong knowledge of Medi-Cal and/or Medicare managed care regulatory affairs
Experience in policy management program
Experience managing regulatory agency communications, e.g., DHCS, DMHC, and/or CMS
Excellent written, verbal, analytical, and presentation skills
Strong project management and organizational skills with the ability to manage multiple priorities and deadlines
Certification in Healthcare Compliance (CHC) or similar certification preferred
Experience supporting integrated Medicare-Medicaid programs and delegated oversight models preferred

What you will typically be responsible for:

Leading and overseeing regulatory interactions with DHCS, DMHC, CMS, and other applicable agencies
Leading the enterprise Policy Management Program to ensure organizational policies and procedures are current, compliant, and operationally effective
Serving as the Chair Policy Management Committee
Partnering with Compliance leadership to support enterprise compliance program effectiveness
Identifying regulatory risks and escalation needs and providing recommendations to executive leadership
Serving as the primary point of contact for formal regulatory correspondence and communications
Leading and mentoring regulatory affairs staff and supporting a culture of accountability and continuous improvement
Collaborating with operational units to ensure regulatory compliance across delegated and internal functions
Drafting, reviewing, and coordinating responses to regulatory inquiries, notices, interrogatories, deficiencies, and enforcement actions

A few reasons you might love this job:

You will work with a team of staff who are committed to improving our business processes and have a desire to learn
You will work with a committed leadership team focused on improving plan performance and fostering collaboration across functional units
You will have the opportunity to support a health plan that administers Medi-Cal, Medicare and Commercial LOB

A few challenges you might face in this job:

Navigating a County administrative structure that differs from industry environments
Mentoring and developing a growing team of enthusiastic staff to strengthen their regulatory and compliance expertise
Building compliance programs while driving the adoption of standardized practices across the organization

Competencies Required:

Delegating- Ability to inspire and create new leaders by developmental opportunities
Coaching and Developing Others- Ability to mentor and have staff grow professionally
Managing Performance- Leader in finding creative ways to recognize staff in a governmental environment
Visionary Leadership- Influence a team to believe in working in a high performing environment and not accept the bureaucratic myth – or a mentality for doing minimum work
Teamwork- Collaborating with others is critical in this role
Leading Cross-Divisional Collaboration- Patient and empathetic leaders will be successful in understanding the sensitivities of clinical teams
Managing and Facilitating Change- Commitment to be being a Change Agent due to the heavy demands on policies with governmental programs
Professional Impact- May be called upon to be a Public Relations guru in helping the CEO with external issues in the community and the Safety Net providers
Fact Finding- Research and obtain reliable data and facts for projects

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

Minimum Qualifications

Education: Possession of a master’s degree from an accredited college or university with a major in Business Administration, Health Care Administration, Public Administration, Public Health, or a closely related field.

Experience: Five (5) years of progressively responsible professional experience in health care administration, health plan operations, or a closely related field, including at least two (2) years in a management or supervisory capacity.

Substitution for Education: Possession of a Bachelor’s degree from an accredited college or university and two (2) additional years of qualifying experience may be substituted for the Master’s degree. Two (2) additional years of qualifying experience may be substituted for academic major concentration.

Desirable Qualifications:

- Medi-Cal and Medicare D-SNP regulatory affairs experience
- Regulatory Point of Contact with DHCS, DMHC and CMS contract managers
- Certified in Healthcare Compliance (CHC)
- Project Management or Lean 6 Sigma experience
- Great presentation and facilitation skills
- Strong analytical skills and ability to translate data into information

Other Qualifications

This position is exempt from the merit system and will not follow regular County recruitment and selection procedures. Only the most qualified candidates will be invited to interview.

Application Filing and Evaluation: Interested individuals should submit an online application and provide all required documentation to be considered.

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 identify, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

Benefits

: To find more information on Benefits offered by Contra Costa County, please go to https://www.contracosta.ca.gov/1343/Employee-Benefits

Agency Information

Employer: County of Contra Costa
Phone: 925-957-5240