Los Angeles, CA
Richard Chambers is an experienced healthcare executive with vast expertise in Medicaid, Medicare Advantage, Program for All-Inclusive Care for the Elderly (PACE), and Marketplace managed care, who knows how to navigate the changing landscape and nurture federal and state government relations.
His public agency senior positions and health plan executive leadership roles have provided him with unique skills to work with a wide variety of clients including health plans, government agencies, foundations, and associations on strategic planning around publicly financed healthcare programs and innovations for coordinated and integrated care.
Prior to joining HMA, Richard led corporate policy direction as senior vice president for Policy and Government Affairs at Molina Healthcare, Inc., a multi-state healthcare organization providing managed care for Medicaid, Medicare, Duals demonstrations, and Affordable Care Act (ACA) Marketplaces. Prior to that role, he spent four years as president of the Molina California managed care plan, which grew to serve 700,000 low-income families, children, seniors, and persons with disabilities in Medicaid and Medicare, and Covered California. His strategic vision and ability to foster strong relationships ensured access to quality healthcare services for members, including implementation of the Coordinated Care Initiative Duals Demonstration for dual eligible health plan members.
Previously, Richard was the CEO at CalOptima, a public managed care system delivering healthcare to more than 300,000 Medicaid and Medicare members in Orange County, California. He worked hand-in-hand with the board of directors during his eight years as CEO to develop the strategy that would determine the entity’s budget and operational course. His strategic leadership resulted in start-up of a Duals Special Needs Plan (DSNP) and development of the first PACE program in Orange County. During his tenure as the COO, he was responsible for day-to-day operations including CalOptima’s contract compliance with the State Department of Health Care Services and oversight of the integrated healthcare delivery networks.
Richard served in a number of roles during his more than two decades with the Centers for Medicare & Medicaid Services (CMS). He provided national policy and operation direction for the Medicaid and State Children’s Health Insurance Program (CHIP), leadership for Medicare beneficiary-related issues within the Center for Beneficiary Services, and he headed up Medicaid and CHIP operations in CMS’ San Francisco regional office.
Throughout his career Richard has provided guidance for a number of commissions and committees, including being one of the inaugural appointees to the Medicaid and CHIP Payment and Access Commission (MACPAC), the Congressional Budget Office Health Advisers Panel, the California Insure the Uninsured Project, and the California Association of Health Plans.
Richard received his bachelor’s degree in psychology from the University of Virginia.