Director of Regulatory Affairs and Communication
About the role
The Director of Regulatory Affairs and Communication (RAC) at Contra Costa Health Plan (CCHP) 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).
Responsibilities
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.
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.
Competencies
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.