Director of Patient Accounting

Job Description:

Director of Patient Accounting

Description

The Position

Why Join Contra Costa County Health Services?
Contra Costa Health is offering an excellent opportunity for one (1) Director of Patient Accountingwithin 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: Brings senior-level experience leading health plan claims operations within a managed care environment

• Extensive Knowledgeable in Medicaid and Medicare: Extensive knowledge of Medi-Cal and Medicare program requirements and regulations, including billing, payment, and compliance. Experience with HIPAA and EDI transaction processing
• Experience: Using a computerized healthcare claims processing system; knowledge of Epic Tapestry a plus
• Data Driven Leader: Ability to gather, read, analyze, and interpret complex data and create accurate meaningful information for data reporting and decision support. Full understanding of claims processes and financial impacts to assist with reporting needs
• Quality Assurance and Compliance: Experience in quality assurance audits and initiatives focused on payment accuracy and streamlined processes including leading improvement efforts to improve auto-adjudication and reduce interest payments

• Strategic Leader: Capable of setting direction, driving innovation, and ensuring operational excellence
• A Strong Communicator: Able to clearly explain complex billing and claims issues to staff, providers, and leadership
• Solution-Oriented: Approaches challenges with a positive attitude and commitment to continuous improvement
• Professional and Collaborative: Excels at building cross-functional partnerships across finance, compliance, IT, and clinical operations
• Discreet and Judicious: Exercises sound judgment in handling confidential and sensitive matters
• Supportive: Invests in the training, coaching, and professional 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, as well as Medi-Cal, CMS (Centers for Medicare and Medicaid Services), and DMHC (Department of Managed Health Care) requirements
• Monitoring performance metrics, identifying trends, and implementing corrective actions where necessary
• Reporting key claims performance indicators, issues, and opportunities for improvement to executive leadership
• Collaborating closely with Finance, Utilization Management, IT, and Compliance to ensure claims operations align with organizational goals and industry best practices
• Overseeing vendor relationships and technology platforms that support claims administration

A few reasons you might love this job:

• You will play a central role in ensuring providers are reimbursed accurately and members’ claims are handled with efficiency and fairness
• You will be part of a mission-driven organization committed to advancing equity in healthcare
• You will have the opportunity to modernize claims processes and systems for one of California’s most respected county-sponsored health plans
• You will join a collaborative leadership team dedicated to operational excellence and continuous improvement
• We offer 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 in-depth knowledge of claims payment requirements across multiple payer types while ensuring system integrity

Competencies Required:

• Analyzing & Interpreting Data: Drawing meaning and conclusions from quantitative or qualitative data
• Critical Thinking: Analytically and logically evaluating information, propositions, and claims
• Decision Making: Choosing optimal courses of action in a timely manner
• Delivering Results: Meeting organizational goals and customer expectations and making decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks
• Industry Monitoring: Grasping the external political, economic, competitive, and social factors affecting the industry
• Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
• Attention to Detail: Focusing on the details of work content, work steps, and final work products
• Displaying Ownership and Accountability: Holding self and others accountable for measurable high-quality, timely, and cost-effective results
• Handling Stress: Maintaining emotional stability and self-control under pressure, challenge, or adversity
• Oral Communication: Engaging effectively in dialogue
• Interpersonal Savvy: Considering and responding appropriately to the needs and feelings of others in different situations
• Coaching & Developing Others: Supporting others in stretching and expanding their capabilities
• Visionary Leadership: Taking a long-term view and building a shared vision with others; acting as a catalyst for organizational change
• Allocating Resources: Prioritizing the use of fiscal and material resources to maximize organizational effectiveness
• Business Process Analysis: Defining, assessing, and improving operational processes and workflow
• Leveraging Technology: Applying technology for improvements in organizational efficiency and effectiveness
• Organizational Systems Thinking: Comprehending the organization as a system of integrated and interdependent functions
• Strategic Thinking & Perspective: Evaluating immediate actions in context of achieving long range objective
• Thinking & Acting Systematically: Formulating objectives and priorities, and implementing plans consistent with the long-term interests of the organization in a global environment

To read the complete job description, please visit the website: https://www.ccounty.us/hr .

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 its equivalent experience as an administrator or manager in a health care organization, at least three (3) years of which must have been in either a patient financial services, patient business services, patient accounting, or insurance billing and collections.

Substitution for Education: Possession and maintenance of one of the following professional certifications: Certified Healthcare Financial Professional (CHFP) issued by the Healthcare Finance Management Association (HFMA) or Certified Patient Account Manager (CPAM) or Certified Clinic Account Manager (CCAM) certifications issued by the American Association Of Healthcare Administrative Management (AAHAM); or Certified Patient Account Technician (CPAT) or Certified Clinic Account Technician (CCAT) combined with additional four (4) years of qualifying experience can be substituted for the required education.

Selection Process

Application Filing and Evaluation: All 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.Virtual Oral Interview: Candidates who possess the minimum qualifications will be invited to participate in an online video assessment. The assessment will measure candidates' competencies as they relate to the job. In the assessment, candidates must achieve an average passing score of 70% or higher on each of the competencies, as well as an overall passing score of 70% or higher. These may include but are not limited to: Oral Communication, Critical Thinking, Delivering Results, Business Process Analysis. (Weighted 100%).
Tentative Exam Dates

Online Oral Interview: November 5-9, 2025

The virtual oral interview will be administered remotely using a computer or mobile device such as a tablet or smartphone. You will need access to a reliable internet connection to take the assessment, as well as a computer or mobile device with a camera.

The Human Resources Department may change the examination steps noted above in accordance with the 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 GovernmentJobs’ applicant support team for assistance at +1-855-524-5627.

CONVICTION HISTORY

After 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 WORKER

All 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 OPPORTUNITY

It 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.

To find more information on Benefits offered by Contra Costa County, please go to https://www.contracosta.ca.gov/1343/Employee-Benefits

Closing Date/Time: 10/24/2025 11:59 PM Pacific

Salary:

$123,913.01 - $166,055.27 Annually