Contra Costa College
Director of Patient Accounting
Contra Costa College, Martinez, California, United States, 94553
Join to apply for the
Director of Patient Accounting
role at
Contra Costa College
The Position
Why Join Contra Costa County Health Services?
Contra Costa Health is offering an excellent opportunity for one (1) Director of Patient Accounting within Contra Costa Health Plan (CCHP). 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 Patient Accounting will serve as the Director of CCHP Claims Department. The Director will provide leadership and strategic oversight of claims operations, ensuring accurate and timely processing, compliance with Medi-Cal, Medicare, and commercial payer requirements, and strong alignment with the plan’s mission of supporting both members and providers.
Contra Costa Health Services (CCHS), the broader health system in which CCHP is housed, is the largest department in Contra Costa County with more than 4,000 employees, providing integrated healthcare services and serving as the safety net for low-income and uninsured residents.
We Are Looking For Someone Who Is
Experienced in Managed Care: senior-level experience leading health plan claims operations within a managed care environment
Extensive Knowledge in Medicaid and Medicare: knowledge of Medi-Cal and Medicare program requirements and regulations, including billing, payment, and compliance; HIPAA and EDI transaction processing experience
Experience with health information systems: computerized claims processing system; Epic Tapestry knowledge a plus
Data Driven Leader: ability to gather, read, analyze, and interpret complex data for reporting and decision support; understands claims processes and financial impacts
Quality Assurance and Compliance: experience in QA audits and initiatives focused on payment accuracy and streamlined processes
Strategic Leader: able to set direction, drive innovation, and ensure operational excellence
Strong Communicator: clearly explains complex billing and claims issues to staff, providers, and leadership
Solution-Oriented: approaches challenges with a positive attitude and continuous improvement mindset
Professional and Collaborative: builds cross-functional partnerships across finance, compliance, IT, and clinical operations
Discreet and Judicious: handles confidential matters with sound judgment
Supportive: invests in training, coaching, and development of staff
What You Will Typically Be Responsible For
Directing and overseeing all claims operations for CCHP, including claims processing, adjustments, and payment integrity
Leading a team of managers, supervisors, and staff to ensure claims are processed timely, accurately, and in compliance with regulatory requirements
Developing strategic initiatives to improve claims efficiency, reduce errors, and enhance provider and member satisfaction
Serving as a key liaison with providers, health system partners, and external stakeholders to resolve claims-related issues
Ensuring compliance with federal, state, and local regulations, including Medi-Cal, CMS, and DMHC requirements
Monitoring performance metrics, identifying trends, and implementing corrective actions
Reporting key claims performance indicators and opportunities for improvement to executive leadership
Collaborating with Finance, Utilization Management, IT, and Compliance to align claims operations with organizational goals and best practices
Overseeing vendor relationships and technology platforms that support claims administration
A few reasons you might love this job:
Central role in ensuring providers are reimbursed accurately and members’ claims are handled efficiently and fairly
Part of a mission-driven organization committed to advancing equity in healthcare
Opportunity to modernize claims processes and systems for one of California’s most respected county-sponsored health plans
Collaborative leadership team dedicated to operational excellence and continuous improvement
Generous benefits and a competitive retirement package
A Few Challenges You Might Face
Adapting to evolving federal, state, Medi-Cal, and Medicare regulations
Balancing competing priorities in a high-volume, fast-paced claims environment
Addressing complex provider, system, and regulatory issues requiring thoughtful and timely resolution
Maintaining knowledge of claims payment requirements across multiple payer types while ensuring system integrity
Competencies Required
Analyzing & Interpreting Data
Critical Thinking
Decision Making
Delivering Results
Industry Monitoring
Legal & Regulatory Navigation
Attention to Detail
Owership and Accountability
Handling Stress
Oral Communication
Interpersonal Savvy
Coaching & Developing Others
Visionary Leadership
Allocating Resources
Business Process Analysis
Leveraging Technology
Organizational Systems Thinking
Strategic Thinking & Perspective
Minimum Qualifications
Education:
Possession of a Bachelor degree from an accredited college or university with a major in business administration, finance, accounting or a closely related field.
Experience:
Five (5) years of full-time or equivalent experience as an administrator or manager in a health care organization, at least three (3) years in patient financial services, patient business services, patient accounting, or insurance billing and collections.
Substitution for Education:
Certifications (CHFP, CPAM, CCAM, CPAT, or CCAT) with additional qualifying experience may substitute for the degree.
Selection Process
Application Filing and Evaluation: Supplemental questionnaire at application; evaluations determine candidates advancing to the next phase.
Virtual Oral Interview: Online video assessment; passing scores required on competencies (minimum 70%).
Important Notes
Read the complete job description on the website: https://www.ccounty.us/hr.
Disaster Service Worker and Equal Employment Opportunity statements apply as required by law.
For recruitment questions, please contact Health Services Personnel, Recruitment Team. For technical issues, contact the GovernmentJobs support team.
CONVICTION HISTORY, DISASTER SERVICE WORKER, and EQUAL EMPLOYMENT OPPORTUNITY statements are included per policy.
#J-18808-Ljbffr
Director of Patient Accounting
role at
Contra Costa College
The Position
Why Join Contra Costa County Health Services?
Contra Costa Health is offering an excellent opportunity for one (1) Director of Patient Accounting within Contra Costa Health Plan (CCHP). 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 Patient Accounting will serve as the Director of CCHP Claims Department. The Director will provide leadership and strategic oversight of claims operations, ensuring accurate and timely processing, compliance with Medi-Cal, Medicare, and commercial payer requirements, and strong alignment with the plan’s mission of supporting both members and providers.
Contra Costa Health Services (CCHS), the broader health system in which CCHP is housed, is the largest department in Contra Costa County with more than 4,000 employees, providing integrated healthcare services and serving as the safety net for low-income and uninsured residents.
We Are Looking For Someone Who Is
Experienced in Managed Care: senior-level experience leading health plan claims operations within a managed care environment
Extensive Knowledge in Medicaid and Medicare: knowledge of Medi-Cal and Medicare program requirements and regulations, including billing, payment, and compliance; HIPAA and EDI transaction processing experience
Experience with health information systems: computerized claims processing system; Epic Tapestry knowledge a plus
Data Driven Leader: ability to gather, read, analyze, and interpret complex data for reporting and decision support; understands claims processes and financial impacts
Quality Assurance and Compliance: experience in QA audits and initiatives focused on payment accuracy and streamlined processes
Strategic Leader: able to set direction, drive innovation, and ensure operational excellence
Strong Communicator: clearly explains complex billing and claims issues to staff, providers, and leadership
Solution-Oriented: approaches challenges with a positive attitude and continuous improvement mindset
Professional and Collaborative: builds cross-functional partnerships across finance, compliance, IT, and clinical operations
Discreet and Judicious: handles confidential matters with sound judgment
Supportive: invests in training, coaching, and development of staff
What You Will Typically Be Responsible For
Directing and overseeing all claims operations for CCHP, including claims processing, adjustments, and payment integrity
Leading a team of managers, supervisors, and staff to ensure claims are processed timely, accurately, and in compliance with regulatory requirements
Developing strategic initiatives to improve claims efficiency, reduce errors, and enhance provider and member satisfaction
Serving as a key liaison with providers, health system partners, and external stakeholders to resolve claims-related issues
Ensuring compliance with federal, state, and local regulations, including Medi-Cal, CMS, and DMHC requirements
Monitoring performance metrics, identifying trends, and implementing corrective actions
Reporting key claims performance indicators and opportunities for improvement to executive leadership
Collaborating with Finance, Utilization Management, IT, and Compliance to align claims operations with organizational goals and best practices
Overseeing vendor relationships and technology platforms that support claims administration
A few reasons you might love this job:
Central role in ensuring providers are reimbursed accurately and members’ claims are handled efficiently and fairly
Part of a mission-driven organization committed to advancing equity in healthcare
Opportunity to modernize claims processes and systems for one of California’s most respected county-sponsored health plans
Collaborative leadership team dedicated to operational excellence and continuous improvement
Generous benefits and a competitive retirement package
A Few Challenges You Might Face
Adapting to evolving federal, state, Medi-Cal, and Medicare regulations
Balancing competing priorities in a high-volume, fast-paced claims environment
Addressing complex provider, system, and regulatory issues requiring thoughtful and timely resolution
Maintaining knowledge of claims payment requirements across multiple payer types while ensuring system integrity
Competencies Required
Analyzing & Interpreting Data
Critical Thinking
Decision Making
Delivering Results
Industry Monitoring
Legal & Regulatory Navigation
Attention to Detail
Owership and Accountability
Handling Stress
Oral Communication
Interpersonal Savvy
Coaching & Developing Others
Visionary Leadership
Allocating Resources
Business Process Analysis
Leveraging Technology
Organizational Systems Thinking
Strategic Thinking & Perspective
Minimum Qualifications
Education:
Possession of a Bachelor degree from an accredited college or university with a major in business administration, finance, accounting or a closely related field.
Experience:
Five (5) years of full-time or equivalent experience as an administrator or manager in a health care organization, at least three (3) years in patient financial services, patient business services, patient accounting, or insurance billing and collections.
Substitution for Education:
Certifications (CHFP, CPAM, CCAM, CPAT, or CCAT) with additional qualifying experience may substitute for the degree.
Selection Process
Application Filing and Evaluation: Supplemental questionnaire at application; evaluations determine candidates advancing to the next phase.
Virtual Oral Interview: Online video assessment; passing scores required on competencies (minimum 70%).
Important Notes
Read the complete job description on the website: https://www.ccounty.us/hr.
Disaster Service Worker and Equal Employment Opportunity statements apply as required by law.
For recruitment questions, please contact Health Services Personnel, Recruitment Team. For technical issues, contact the GovernmentJobs support team.
CONVICTION HISTORY, DISASTER SERVICE WORKER, and EQUAL EMPLOYMENT OPPORTUNITY statements are included per policy.
#J-18808-Ljbffr