Director of Safety and Performance Improvement (Compliance Director)

The PositionREANNOUNCEMENT***Bargaining Unit: Local 21 - Supervisory ManagementThe 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. Why join the Contra Costa Health Services Department, Contra Costa Health Plan (CCHP) 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 250,000 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 organization’s 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.We Are Looking For Someone Who HasDeep Regulatory Expertise - can interpret complex rules and translate them into operational practicesStrong Strategic & Enterprise Leadership - able to operate at a leadership level and balance regulatory requirements with business realitiesProven Audit & Risk Management Expertise – with experience in audit readiness, root cause analysis, and corrective action planningOperational & Cross-Functional Collaboration Skills- translating compliance into workflows and ensuring accountability across stakeholdersIntegrity & Culture-Building Leadership - demonstrates strong ethical judgment and fostering a culture of compliance, transparency, and accountabilityTeam Building Strength - leading, mentoring, and developing teams while promoting organization-wide awareness and accountability for complianceStrong Oversight in FWA and HIPAA Oversight - overseeing investigations, reporting, and prevention programs with integrity and credibilityWhat You Will Typically Be Responsible ForLeading CCHP’s compliance program to make sure it follows all Medicare, Medi-Cal, and other regulatory requirementsAdvising executives and leadership on compliance risks and developing proactive plans to prevent issuesOverseeing HIPAA privacy and security efforts to protect patient information and respond to any breachesRunning 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-termImplementing an internal audit program, developing annual internal audit work plans and conducting internal audits on key business functions or business unitsMonitoring vendors, providers, and delegated partners to ensure they are meeting compliance and contractual requirements and issues corrective action plans as neededManaging compliance policies, training, and monitoring activities while leading and developing the compliance team and fostering a strong culture of ethicsA Few Reasons Why You Might Love This JobHigh Impact Leadership Role - the position offers a real opportunity to drive strategy, not just enforce rulesMeaningful Mission - Working across Medi-Cal and D-SNP means supporting vulnerable populationsBroad Scope & Variety - The role spans compliance, HIPAA, FWA, audits, and vendor oversight—providing diverse, non-repetitive workRegulatory & Strategic Challenge - this role offers continuous intellectual challenges and the opportunity to build sophisticated, best-in-class programsCulture-Building Opportunity - This role shapes CCHP’s culture of integrity and accountability, mentors teams, and leaves a lasting impact by embedding compliance into daily operationsA Few Challenges You Might Face In This JobNavigating 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 controlCompetencies required:Innovative Problem Solving: Identifying and analyzing problems to propose new approachesLegal & Regulatory Navigation: Interpreting and ensuring compliance with laws, regulations, and accreditation standardsProfessional & Technical Expertise: Applying knowledge of NCQA, HEDIS, MCAS, quality methodologies, and equity frameworksVisionary Leadership: Building a shared vision for quality and equity and acting as a catalyst for changeLeveraging Technology: Using technology and analytics to drive performance improvementStrategic Thinking & Perspective: Evaluating immediate actions in the context of achieving long-term objectives To read the complete job description, please visit the website: https://www.cccounty.us/hrThe eligible list may remain in effect for six (6) months .Other divisions in Health Services may use the eligible list from this recruitment to fill future vacancies.Minimum QualificationsEducation: Bachelor's 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 Master's 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 QualificationsMaster’s 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 planDirect experience leading or supporting audits with regulators such as CMS, DHCS, DMHC, or OIGExperience managing compliance for first-tier, downstream, and related entities (FDRs) and delegated vendors/providersProficiency with data tools (e.g., Excel, SQL, dashboards) to identify compliance risks, FWA trends, and support investigationsDemonstrated success building or transforming compliance, HIPAA, or FWA programsSelection ProcessApplication Filing and Evaluation: All applicants must apply online at www.cccounty.us/hr 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.Structured Interview: Qualified candidates will be invited to a structured interview. The Structured Interview will measure candidates' competencies as they relate to the job. In 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%) The online interview assessment is tentatively scheduled to take place via computer (remotely) June 10 -14, 2026. The examination steps noted above may be changed in accordance with the County’s Personnel Management Regulations and accepted selection practices.For recruitment questions, please contact Health Services Personnel, Recruitment Team at Exams@cchealth.org . For any technical issues, please contact the Government Jobs’ applicant support team for assistance at +1 855-524-5627.CONVICTION HISTORYAfter 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 WORKERAll 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 OPPORTUNITYIt 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 identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.