To: Joint Conference Committee (JCC) Members
From: Irene Lo, MD FACS; Chief Executive Officer (Interim)
Date: October 3, 2025
Subject: Organizational Structure Analysis and Salary Survey
1. Organizational Structure Analysis
The purpose of this report is to provide an update on the organizational structure analysis conducted at Contra Costa Health Plan (CCHP). The analysis was performed at the direction of the JCC and initiated to review CCHP's current organizational structure and identify opportunities for enhancement in leadership, departmental alignment, and operational efficiencies. The goal is to ensure that the organizational model supports best practices in managed care, prepares CCHP for future growth, and strengthens our ability to deliver high-quality, coordinated services.
Background
At the direction of the JCC, CCHP engaged the external consulting firm Alvarez & Marsal (A&M) to
partner with leadership in reviewing our organizational structure. The review assessed the current state of leadership roles, departmental design, and lines of accountability. The analysis also considered industry best practices and the evolving requirements of managed care, including CCHP's preparation for new initiatives such as the Medicare-Medi-Cal Dual Special Needs Plan (D-SNP) launch.
Key Findings
* Organizational structure misalignment
* Inconsistent spans of control
* Unclear leadership title framework
* Staffing decisions not based on benchmarks
* County job classification system issues
A&M Recommendations
A&M provided several recommendations to strengthen CCHP's organizational structure, including:
* Reorganization of leadership
* Adjustment of spans of control
* Title framework improvements
Next Steps
* Leadership will review and prioritize recommendations from A&M's analysis.
* A phased implementation plan will be developed to address key enhancements in leadership roles and departmental alignment.
* Staff and stakeholders will be engaged throughout the proc...
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