Medical Director

The PositionWhy join the Contra Costa Health Plan (CCHP)? The Contra Costa Health Plan (CCHP) is seeking a seasoned, mission-driven Medical Director (Chief Medical Officer, CMO) to serve as a key member of the Executive Leadership Team and provide clinical leadership for one of California's most distinctive public managed care organizations. Contra Costa Health Plan (CCHP) is recruiting to fill one (1) vacancy for this classification. CCHP provides high-quality health care access to some of Contra Costa County's most vulnerable communities. As a County-owned managed care health plan in California, CCHP operates within a unique governance model that enables close alignment with County health and social service systems, allowing for coordinated, community-centered approaches to care delivery.CCHP is fully embedded within Contra Costa Health. As part of the Health Services Department, the Plan works in direct partnership with County leadership across Public Health, Behavioral Health, Homeless Programs, Emergency Medical Services, Environmental Health, and other key service areas—creating a rare opportunity for a CMO to influence care delivery across a broad, integrated system.CCHP recently launched a Medicare-Medi-Cal Dual Eligible Special Needs Plan (D-SNP), expanding its role in serving dually eligible members and deepening integration across Medicare and Medi-Cal. This new line of business adds meaningful scope and complexity to the CMO role, with opportunities to shape clinical integration, quality strategy, and care models for high-need populations.We are looking for someone who: Brings executive-level clinical leadership experience within managed care, integrated delivery systems, or safety-net environments; Is comfortable navigating complex regulatory, operational, and political environments; Demonstrates strong systems thinking and the ability to translate strategy into execution; Leads collaboratively and builds trust with physicians, providers, County partners, and community stakeholders; Communicates clearly and credibly with internal leadership, governing bodies, and external partners; Is deeply committed to improving care for Medicaid and other vulnerable populations.What you will typically be responsible for: Serving as the senior clinical executive for CCHP, with enterprise oversight of, but not limited to, clinical quality, utilization management, care management, population health strategy; Leading clinical strategy and integration for CalAIM and the D-SNP, ensuring high-quality, coordinated care across lines of business; Ensuring the delivery of high-quality, cost-effective, and equitable care across the provider network; Providing executive oversight of utilization management, including clinical policy, decision-making, and system improvement efforts; Leading and supporting quality improvement initiatives, performance measurement, and outcomes-based evaluation; Overseeing clinical aspects of grievances, appeals, and regulatory inquiries, ensuring timely and compliant responses; Overseeing NCQA accreditation activities, including ongoing readiness, performance improvement, documentation, and alignment with quality and equity standards; Ensuring adherence to all applicable federal and state regulatory requirements (DHCS, CMS, DMHC, NCQA), including audit readiness and corrective action planning; Partnering with executive leadership to advance organizational priorities, clinical transformation, and physician leadership development; Representing CCHP in clinical matters with County leadership, providers, community partners, and external agencies; Performing other duties as assigned by the Executive Director.A few reasons you might love this job: You will have the opportunity to shape clinical strategy at the executive level in a publicly accountable, mission-driven health plan; You will have direct influence over quality, utilization, equity, and care delivery in a County-integrated system; You will do meaningful work that impacts the health of underserved and complex populations; You will work in a leadership environment that values collaboration, thoughtful decision-making, and continuous improvement; Provided the opportunity to build and mentor clinical leaders while driving system-level change.A few challenges you might face in this job: Leading transformation in a highly regulated and operationally complex environment; Balancing clinical excellence, regulatory compliance, and fiscal stewardship; Navigating competing priorities and stakeholder perspectives; Driving change while maintaining strong relationships across diverse partners; Supporting teams through ongoing transformation and growth.Competencies Required: Delivering Results: Meeting organizational goals and customer expectations and making decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks; Displaying Ownership and Accountability: Holding self and others accountable for measurable high-quality, timely, and cost-effective results; Visionary Leadership: Taking a long-term view and building a shared vision with others; acting as a catalyst for organizational change; Driving Results: Demonstrating concern for achieving or surpassing results against an internal standard of excellence; Leading Cross-Divisional Collaboration: Demonstrating cooperation and teamwork while working within and across divisions and teams; Leading the Organizational Culture: Driving the organization's culture through establishing and enforcing norms and/or behaviors in addition to processes; Leveraging Technology: Applying technology for improvements in organizational efficiency and effectiveness; Managing & Facilitating Change: Addressing key factors that influence successful organizational change; Managing Organizational Complexity: Maneuvering through complex political situations and functions within the organization; Organization Design & Structure: Establishing organizational structure and clarifying roles and responsibilities; 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; 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.Minimum QualificationsLicense Required: Possession of a valid physician license issued by the Medical Board of California and a Board Certification in the specialty applicable for the assignment. Experience: Five (5) years of experience, or its equivalent, in the practice of medicine, preferably including two (2) years in a responsible administrative capacity applicable for the assignment. Desirable Qualifications:Proven executive leadership in clinical program implementation and improvementDemonstrated expertise in systems thinking and health care delivery designExperience leading across inpatient, outpatient, and managed care settingsExperience advancing health equity and addressing social drivers of healthExperience working with Medicare, Medi-Cal and other vulnerable populationsStrong background partnering with providers, community organizations, and public agenciesKnowledge of safety-net health systems and managed care organizationsSelection ProcessApplication 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 exempt 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. For any technical issues, please contact the GovernmentJobs' applicant support team for assistance at View phone number on click.appcast.io.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.