Chief Operations Officer - Exempt

Contra Costa County (CA)•Contra Costa County, CA

36d

About The Position

Contra Costa is a large and diverse county. Serving the health needs of such a big, complex place demands a health department that is experienced, skilled, flexible and integrated. That's what Contra Costa Health delivers. Contra Costa Health (CCH) is excited to recruit for Chief Operations Officers (COO) in two (2) different divisions: the Contra Costa Regional Medical Center (CCRMC) and the Contra Costa Health Plan (CCHP) in Martinez, CA. The CCRMC COO is responsible for the development and implementation of policies, management, and oversight of clinical and operational measures that will improve and maintain the excellence of health care provided within CCRMC and Health Centers. The CCHP COO is responsible for the development and implementation of policies, objectives, and initiatives for the Health Plan that will attain short- and long-term operational goals. At the core of everything we do is delivering health, which means providing access to affordable, convenient and high-quality care-while removing the barriers to embracing healthier behaviors. Contra Costa Health makes good health more attainable for all residents and we maintain a strong focus on equity and eliminating health disparities in our communities. Our mission is to care for and improve the health of all people in Contra Costa County with special attention to those who are most vulnerable to health problems. Contra Costa Health Plan (CCHP) was the first federally-qualified, state-licensed, county-sponsored HMO that currently provides managed care for more than 200,000 people in the county. CCHP is the primary managed-care provider for Medi-Cal beneficiaries in Contra Costa that also manages smaller plans for county employees and In-Home Support Services (IHSS) homecare workers. CCHP is accredited by the National Committee for Quality Assurance (NCQA), an independent body that conducts rigorous assessments of health plans' structures and processes, clinical quality and patient satisfaction. CCHP is only one of six Medicaid managed-care plans in California to receive a four-star rating from NCQA. CCHP's strategy is centered around three priorities: Supporting providers by aligning quality initiatives with what is happening in the provider's office-where quality truly occurs. Investing in data integration to ensure we could identify true care gaps and move toward Electronic Clinical Data Systems (ECDS) reporting. Addressing community health priorities, particularly maternal health, behavioral health and preventive care. These priorities allow us to focus on measures that matter most to our members, such as perinatal care, immunizations and patient experience. Conta Costa Regional Medical Center (CCRMC) is a full-service county hospital and offers a complete array of patient-centered healthcare services delivered in a beautiful facility in Martinez, California, a suburb of San Francisco. For more than a century, Contra Costa's public hospital has been providing quality healthcare services to the entire community. CCRMC is the largest division of Contra Costa Health Services, the County's health department, whose mission is to care for and improve the health of all people in Contra Costa County, with special attention to those who are most vulnerable to health problems. Public hospitals like CCRMC play a critical role in providing health care, and we are proud of our role as the health care safety net for vulnerable populations. Contra Costa's state-of-the-art 167-bed medical center is fully equipped with the most up-to-date seismic-safety features and high-tech medical apparatus, including a sophisticated and energy-efficient climate control system designed to maximize the comfort of patients and staff. After dozens of evaluative studies, and extensive consultation related to the future of the county's public hospital, it was determined that CCRMC plays a unique role as an essential community provider that could not be replaced by any other single hospital or combination of hospitals in the region. Publicly owned by Contra Costa County, CCRMC and its 10 outpatient health centers bring an enhanced level of expertise and a new vision of integrated health care governed with not-for-profit transparency and accountability.

Requirements

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.
Four (4) years of full-time experience, or its equivalent, in an executive management or operations management capacity.
Depending on the position 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.
A strong leader. You will develop and maintain effective working relationships with your team and lead by example.
A strong relationship builder. You will need to establish relationships across operational areas, departments and with external agencies.
An effective communicator. You will need exemplary communication skills to effectively convey complex policies and procedures across all levels of the organization and foster an environment of open dialogue and feedback while respecting confidentiality and discretion in sensitive matters.
A strong motivator and supporter. You will need to encourage and support your line supervisors who are responsible for providing day-to-day supervision of Personnel/Payroll staff.
Organized, data- and results-driven. You will need to balance multiple priorities and know when it is appropriate to delegate. You should utilize data analytics to inform decisions, improve workforce planning, and measure the effectiveness of initiatives in meeting departmental objectives.
Able to adapt to constant change. You will need to be flexible and able to shift priorities quickly as needs change.
Innovative and solutions focused. You will need to take a fresh look at current internal practices, encourage innovation and identify opportunities to modernize and streamline operations. You will need to be a champion for change in establishing an environment of continuous improvement.
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

Responsibilities

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

Benefits

Retirement - The County pays the employer contribution to CCCERA, a 1937 Act defined benefit retirement plan, which has reciprocity with other 1937 Act County retirement systems, CalPERS, and systems with CalPERS reciprocity. Employee contributions are based on a percentage of pensionable compensation. The County also participates in Social Security and Medicare.
Health Insurance - A variety of subsidized medical, dental, and vision plans are offered.
Long Term Disability - County-paid program.
Vacation Leave - Initial monthly accrual rate is 10 hours, up to maximum accumulation of 240 hours.
Sick Leave - Monthly accrual is 8 hours.
Annual Management Administrative Leave - 94 non-accruable leave hours are credited each January 1st (prorated for those hired after January 1st).
Personal Holiday Credit
Holidays - 11 paid holidays per year.
Professional Development Reimbursement - Eligible for reimbursement of $625 each two-year period for qualifying expenses, including the purchase of job-related technology devices or software. An additional $750 per fiscal year is available through Career Development Training, which requires some cost sharing.
Deferred Compensation Plan - County contributes $85, plus an additional $150 per month upon qualifying employee contributions to a 457 plan.
Management Life Insurance Program
Management Longevity Pay