Job Details

Morgan Consulting Resources, Inc. has been retained to conduct the search for the Chief Executive Officer for Gold Coast Health Plan. This is a unique opportunity to lead with purpose and make a transformative impact on the health and well-being of Ventura County residents. The ideal leader will bring a combination of expertise, empathy, and vision to guide the organization through challenges and into a future of innovation and excellence. The position is located in Camarillo, CA.

About the organization:

Gold Coast Health Plan proudly serves Medi-Cal beneficiaries living in Ventura County, California. We are an independent public entity governed by the Ventura County Medi-Cal Managed Care Commission and are dedicated to serving our members. Our member-first focus centers on the delivery of exceptional service to our beneficiaries by enhancing the quality of health care, providing greater access and improving member choice.

Gold Coast Health Plan is committed to making a difference in the communities we serve. Through grants, sponsorships and the fundraising efforts of our employees, we support the organizations that are making a difference in the lives of Ventura County's Medi-Cal members. Our goal is to fulfill our vision of compassionate care, accessible to all, for a healthy community. Gold Coast Health Plan delivers healthcare services with a member-first focus that reflects a commitment to our members and our providers.

Mission: To improve the health of our members, through the provision of high quality care and services.

About the position:

The CEO is a pivotal leadership role dedicated to improving health outcomes for Medi-Cal beneficiaries in Ventura County. In addition, the CEO will play a key role in launching Gold Coast's D-SNP plan, offering a unique opportunity to transform healthcare for individuals eligible for both Medicare and Medicaid in the county. This role requires a leader who can align strategic objectives with practical execution, ensuring both operational efficiency and the equitable delivery of healthcare services to vulnerable populations.

The CEO will drive the organization's strategic vision to improve health outcomes, address health disparities, and enhance member satisfaction. The CEO will oversee operational functions, including enrollment, provider network management, claims processing, quality improvement, and the integration of the D-SNP plan. Financial stewardship will also be central to the role, as the CEO ensures fiscal sustainability through strategic budgeting, revenue management, and cost-effective partnerships with healthcare providers.

As the primary liaison to the Ventura County Medi-Cal Managed Care Commission, the CEO will maintain transparent communication and ensure the organization adheres to state and federal Medicaid regulations. Moreover, the CEO will cultivate a high-performing executive team, prioritize diversity and equity, and foster a mission-driven culture that aligns with the organization's goals of addressing health inequities and improving care for underserved communities.

What success looks like:

Success in this role means leading Gold Coast Health Plan to achieve measurable improvements in access to care, member satisfaction, and health equity. The CEO will be recognized as a trusted advocate in the community for Medi-Cal beneficiaries and a transformative leader who inspires management and team members across the organization.

Essential Functions

Strategic Leadership

• Develop and implement the organization's strategic vision and long-term goals in alignment with California's Medicaid program (Medi-Cal) priorities.
• Drive strategy and innovation for D-SNP programs, ensuring they meet the unique needs of dual-eligible (Medicare and Medicaid) beneficiaries.
• Build and maintain strong relationships with stakeholders, including state regulators, CMS, healthcare providers, advocacy groups, and community organizations.

Operational Oversight

• Provide executive leadership for all operational functions, including enrollment, provider network management, claims administration, utilization management, quality improvement, and member services.
• Oversee the successful operation and integration of D-SNP plan.
• Ensure the organization meets key performance indicators (KPIs) related to access, quality, cost, and member experience.
• Develop and manage the organization's annual operating budget.
• Monitor financial performance, including revenue cycle management and risk adjustment.
• Negotiate and oversee contracts with healthcare providers, vendors, and other key partners.
• Pursue innovative payment models and value-based care arrangements.

Regulatory Compliance and Governance

• Ensure compliance with all federal and state Medicaid regulations.
• Collaborate with Commissioners to maintain effective governance practices.
• Oversee the preparation of required reports, audits, and certifications for regulatory bodies.

Team Leadership and Organizational Development

• Recruit, develop, and retain a high-performing executive leadership team.
• Champion diversity, equity, and inclusion (DEI) initiatives within the organization.
• Promote employee engagement and a member-focused organizational culture.

Leadership Style and Mission-Driven Approach

• Demonstrate a servant leadership style, prioritizing the needs of members, employees, and community stakeholders.
• Lead with authenticity, compassion, and transparency.
• Advocate for health equity, addressing social determinants of health.

Commission Relationship & Responsibilities

• Formulate and present policy recommendations for Commission review.
• Support Commission operations and administration.
• Maintain regular communication with the Commission.

Skills & Abilities

Education

• Bachelor's degree in healthcare administration, business, public health, or a related field required. Master's degree (e.g., MBA, MHA, MPH) strongly preferred.

Required Experience

• Minimum of 10 years of senior leadership experience in Medicaid managed care, healthcare administration, or a related field.
• Extensive experience in healthcare, with a particular focus on Medicaid managed care.
• Proven track record of managing large budgets and leading multidisciplinary teams.
• Demonstrated ability to build relationships and negotiate effectively with key stakeholders.

Salary Range: $393,750.00 to $656,250.00 annually.

Next Steps:

If you or someone you know has the qualifications we seek, I'd love to set up a time to talk.

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodations, each essential function satisfactorily.