Chief Executive Officer

Company: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Location: Vista
Posted on: April 14, 2025

Job Description:

COMMUNITY HEALTH GROUP
Chief Executive OfficerPOSITION SUMMARY
The Chief Executive Officer (CEO) reports to the Governing Board, and is responsible for the fiscal, operational, legislative, regulatory, and human resources operations of the Plan. The CEO also serves as an internal sounding board to the senior management team, is visible and engaging with employees, listens to members and their needs, and maintains outstanding provider relations skills and abilities. The CEO leads the executive team and provides leadership, direction, and administration of the Health Plan.In cooperation with the Governing Board, the CEO develops, recommends and implements the organization's strategic goals and objectives by managing, leading, and directing executive-level staff to achieve the organization's mission, vision, philosophy, culture, strategy, and annual goals, objectives, and financial targets; directs and oversees the development of financial and other metrics to measure organizational performance; and interacts frequently with the public, governmental organizations, affiliated organizations, providers, employers and other stakeholders. The CEO is the spokesperson for the Plan.
KEY LEADERSHIP QUALITIES
The CEO must possess and demonstrate, through their everyday actions, the following key leadership qualities.

• Loyalty to the Plan and its Mission and Vision ("Members Come First").
• Dedicated professional.
• Excellent oral and written communication skills; a good listener.
• Business and politically savvy (diplomatic, engaging, global perspective).
• Commitment to growth and the Plan's vision for the future.
• Build and strengthen stakeholder relationships.DUTIES AND RESPONSIBILITIES
  Governing Board and Related
  • Maintain a strong working relationship with the Governing Board and its committees.
  • Actively participate in the Governing Board's annual and strategic planning processes.
  • Provide complete, accurate and timely reports to the Governing Board on a monthly, quarterly, and annual basis. The form of presentation to be at the discretion of the Governing Board.
  • Function as the Governing Board's duly authorized representative, including the execution of legal documents on behalf of the Plan.
  • Financial and Administrative
  • Develop and implement an annual business plan and budget.
  • Establish, maintain, and monitor all corporate policies, procedures, and processes to ensure ongoing compliance with all applicable rules and regulations.
  • Be an advocate for the development of new policies, programs and strategies that advance the Plan's mission and core values and meet the needs of the underserved.Stakeholder Engagement
    • Provide legislative advocacy and leadership, strategy development, and policy analysis related to the maintenance of the health care safety net and advances access to care for all residents of San Diego County.
    • Participate in, and interpret for staff and Board members, the status of federal, state, and local health care political environments to help optimize the Plan's strategic and operational decisions.
    • Actively engage with federal, state, and local leaders, colleagues, and professional and industry associations, and affiliated organizations in matters related to Medi-Cal and Medicare, such as the California Association of Health Plans (CAHP), Local Health Plans of California (LHPC), and the Association for Community Affiliated Plans (ACAP).
    • Develop and maintain good relationships with varied sectors of the community.
    • Initiate outreach events and messaging and function as a liaison with community groups and public agencies to promote the mission of the organization and to gain support for organizational initiatives. Ensure the Plan always maintains a positive public image.Staff Engagement and Related
      • Develop and maintain a positive working relationship with all senior management staff. Continually evaluate the leadership team and the Plan's operations to always maintain organizational stability. Exercise authority to hire and fire all staff.
      • Provide leadership, coaching, mentoring, guidance, and support to both direct and indirect reports. Has the ability to delegate effectively and hold the senior team accountable.
      • Establish and maintain internal communications to promote the mission and provide a work environment with high ethical standards, where staff can be effective, engaged and provide quality service to all customers, internal and external.Other Duties and Responsibilities
        • Develop, promote, and direct activities that promote the Plan's commitment and adherence to the core principals of the Triple Aim - which includes improving the overall health of the Plan's population, improving each individual's health care experience, and reducing costs through increased operational efficiency and effectiveness.
        • Closely monitor all systems and processes to ensure compliance with regulatory rules and regulations.
        • Monitor developments in healthcare reform and financing at the federal, state and county levels and ensure that the Plan's policies, programs, and strategies are in compliance.
        • Ensure that the Plan meets or exceeds the requirements of the State Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) regulations.
        • Ensure the privacy and security of PHI (Protected Health Information) as outlined in the Plan's policies and procedures relating to HIPAA compliance.EDUCATION
          Master's degree - Field of study: healthcare, business, public administration, or a related field, and related leadership certification is highly desirable.EXPERIENCE/SKILLS
          Must have at least 10 years of progressive leadership experience within the healthcare field, and at least five years senior level management experience in a complex managed care organization, large health system, or health plan. C-Suite experience is highly preferred (i.e., Chief Executive Officer, Chief Operating Officer, or Chief Medical Officer level) in a similar type of organization.SPECIALIZED KNOWLEDGE/SKILLS
          Experience working with safety net providers and the healthcare issues of vulnerable (at risk and disadvantaged) populations, and some exposure to working with a public agency to ensure the Plan remains a recognized leader and advocate for improvements in public programs and public policy.OTHER ABILITIES
          • Is a flexible and collaborative leader with a record of building successful partnerships with other organizations.
          • Possesses well developed conflict resolution skills and is an accomplished negotiator and facilitator.
          • Must be a dynamic and politically astute leader who can engender the trust and confidence of employees, customers, regulators, providers, and all stakeholders, and is able to relate effectively with people at all levels.
          • Comfortable as the spokesperson for the organization and being actively involved in the community.COMMITMENT TO TEAM CULTURE
            The CEO is the Plan's "Team Leader," and they must continue to support and maintain a strong Team Culture. A Team Leader demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members, Providers, and external associates.PHYSICAL REQUIREMENTS
            • Prolonged periods of sitting
            • Driving within County
            • Working evenings, weekends, and holidays, when needed
            • Travel via land or air within and outside of CaliforniaOTHER DUTIES AS REQUIRED
              The Plan is an equal opportunity employer. We prohibit discrimination and harassment based on any protected characteristic as outlined by federal, state, or local laws.
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Keywords: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS, Riverside , Chief Executive Officer, Executive , Vista, California