Director of Safety and Performance Improvement (Compliance Director)

The Contra Costa County Health Services Department is seeking a qualified individual for one (1) vacant Director of Safety and Performance Improvement (Compliance Director) position at Contra Costa Health Plan (CCHP) located in Martinez California.

Contra Costa Health Plan (CCHP) is offering an excellent opportunity for one Director of Safety and Performance Improvement (Compliance Director).

CCHP is a federally qualified state-licensed and county-sponsored Health Maintenance Organization (HMO) serving Contra Costa County in the East Bay of the San Francisco Bay Area. Established in 1973 CCHP was the first county-sponsored HMO in the United States and today serves as the largest managed care health plan in Contra Costa County covering more than 250000 residents. CCHP is committed to providing equitable accessible and high-quality healthcare to our culturally and linguistically diverse members.

The Director of Safety and Performance Improvement (Compliance Director) will provide executive leadership over the organizations compliance framework ensuring adherence to Medicare Advantage (42 CFR Parts 422 and 423) Medi-Cal Managed Care requirements and CMS Compliance Program Guidelines. Responsibilities include maintaining the effectiveness of compliance operations across Medi-Cal D-SNP and Commercial lines of business guiding executive leadership on risk mitigation and leading key committees. The position also oversees HIPAA Privacy Security and Breach Notification programs ensuring strong safeguards timely investigations and collaboration with IT Legal and Operations to maintain compliance with federal and California privacy laws.

In addition the role directs the Fraud Waste & Abuse (FWA) program overseeing prevention detection investigations reporting and training for employees and delegated entities. It leads audit readiness and engagement with CMS DHCS OIG and other regulators managing corrective action plans and sustainable remediation efforts. The position further ensures oversight of delegated entities and FDRs maintaining monitoring auditing and contractual compliance.

The leader is also responsible for managing compliance policies training programs monitoring activities and developing a high-performing compliance team. Collaboration across departments such as Legal IT Finance Operations Quality and Medical Management is essential to foster an ethical culture and ensure alignment of compliance activities throughout the organization.

• Deep Regulatory Expertise - can interpret complex rules and translate them into operational practices
• Strong Strategic & Enterprise Leadership - able to operate at a leadership level and balance regulatory requirements with business realities
• Proven Audit & Risk Management Expertise with experience in audit readiness root cause analysis and corrective action planning
• Operational & Cross-Functional Collaboration Skills- translating compliance into workflows and ensuring accountability across stakeholders
• Integrity & Culture-Building Leadership - demonstrates strong ethical judgment and fostering a culture of compliance transparency and accountability
• Team Building Strength - leading mentoring and developing teams while promoting organization-wide awareness and accountability for compliance
• Strong Oversight in FWA and HIPAA Oversight - overseeing investigations reporting and prevention programs with integrity and credibility

• Leading CCHPs compliance program to make sure it follows all Medicare Medi-Cal and other regulatory requirements
• Advising executives and leadership on compliance risks and developing proactive plans to prevent issues
• Overseeing HIPAA privacy and security efforts to protect patient information and respond to any breaches
• Running the fraud waste and abuse (FWA) program including detecting issues investigating concerns and reporting to regulators when required.
• Preparing the organization for audits and working directly with regulators ensuring any findings are corrected and fixed long-term
• Implementing an internal audit program developing annual internal audit work plans and conducting internal audits on key business functions or business units
• Monitoring vendors providers and delegated partners to ensure they are meeting compliance and contractual requirements and issues corrective action plans as needed
• Managing compliance policies training and monitoring activities while leading and developing the compliance team and fostering a strong culture of ethics

• High Impact Leadership Role - the position offers a real opportunity to drive strategy not just enforce rules
• Meaningful Mission - Working across Medi-Cal and D-SNP means supporting vulnerable populations
• Broad Scope & Variety - The role spans compliance HIPAA FWA audits and vendor oversightproviding diverse non-repetitive work
• Regulatory & Strategic Challenge - this role offers continuous intellectual challenges and the opportunity to build sophisticated best-in-class programs
• Culture-Building Opportunity - This role shapes CCHPs culture of integrity and accountability mentors teams and leaves a lasting impact by embedding compliance into daily operations

• Navigating Complex Regulations Managing Medicare Medi-Cal and commercial requirements while keeping up with frequent regulatory changes
• Driving Organizational Accountability Influencing teams to adopt compliance priorities amid competing demands
• Audit & Regulatory Pressure Handling CMS state and external audits with tight timelines and high stakes
• Balancing Risk and Business Needs Guiding decisions that align compliance with operational goals
• Oversight of Vendors & Delegates Ensuring external partners meet standards despite limited direct control

• Innovative Problem Solving: Identifying and analyzing problems to propose new approaches
• Legal & Regulatory Navigation: Interpreting and ensuring compliance with laws regulations and accreditation standards
• Professional & Technical Expertise: Applying knowledge of NCQA HEDIS MCAS quality methodologies and equity frameworks
• Visionary Leadership: Building a shared vision for quality and equity and acting as a catalyst for change
• Leveraging Technology: Using technology and analytics to drive performance improvement
• Strategic Thinking & Perspective: Evaluating immediate actions in the context of achieving long-term objectives

Education: Bachelors degree in nursing business administration or other healthcare related field.

Experience: Five (5) years of full-time (or its equivalent) experience performing duties related to continuous quality improvement and at least one (1) year must been at a supervisory or lead level.

Substitution: A Masters degree in one of the above noted fields may be substituted for two (2) years of qualifying experience. No substitution is permitted for the required supervisory or lead level experience.

Desirable Qualifications:

• Masters degree in Healthcare Administration (MHA) Public Health (MPH) Business Administration (MBA) or Law (JD)
• Certified in Healthcare Compliance (CHC) Healthcare Privacy Compliance (CHPC) Certified Fraud Examiner (CFE) Certified Information Privacy Professional (CIPP/US)
• Leadership experience within a Medicare Advantage D-SNP or Medi-Cal managed care plan
• Direct experience leading or supporting audits with regulators such as CMS DHCS DMHC or OIG
• Experience managing compliance for first-tier downstream and related entities (FDRs) and delegated vendors/providers
• Proficiency with data tools (e.g. Excel SQL dashboards) to identify compliance risks FWA trends and support investigations
• Demonstrated success building or transforming compliance HIPAA or FWA programs

1. Application Filing and Evaluation: All applicants must apply online at and submit the information as indicated on the job announcement by the final filing date. Applicants will be required to complete a supplemental questionnaire at the time of application. Applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.
2. Structured Interview: Qualified candidates will be invited to a structured interview. The Structured Interview will measure candidates competencies as they relate to the the Structured Interview candidates must achieve an average passing score of 70% or higher on each of the Structured Interview competencies as well as an overall passing score of 70% or higher. These may include but are not limited to: Innovative Problem Solving Analyzing & Interpreting Data Visionary Leadership Strategic Thinking & Perspective. (Weighted 100%)