Director, Department of Managed Health Care
Shelley Rouillard is the Director of the California Department of Managed Health Care, the state entity that oversees health plans that provide health care services to more than 21 million Californians. As Director, Rouillard is responsible for ensuring that health plan enrollees receive high quality health care services in accordance with federal and state rules. Prior to her appointment as director, Rouillard served as DMHC Chief Deputy Director for two years, overseeing the day-to-day operations of the department.
Rouillard came to the DMHC with more than 20 years of experience as a health care consumer advocate. She has an extensive background in government and health care including, health care policy, provider contracting, network development, health care quality and health plan performance. Prior to joining the DMHC, she served as the Deputy Director for Benefits and Quality Monitoring at the California Managed Risk Medical Insurance Board, where she oversaw the contractual and clinical quality performance of 33 health, dental, and vision plans serving children in the Healthy Families Program. While at MRMIB, Rouillard also directed the development of the benefits and plan operations of the Pre-Existing Condition Insurance Plan (PCIP), the first expansion of health care coverage under the Affordable Care Act for people with pre-existing conditions.
She previously was a founder and director of the Health Rights Hotline, the first-of-its-kind independent consumer advocacy program designed to assist consumers who have problems with the health care system. Through data collected from consumers, the Hotline identified and addressed system problems in order to improve the health care system. The Hotline, established in 1997, became the model for the DMHC Help Center and Rouillard advised the DMHC on its data collection and consumer assistance policies and practices.
She has also served as chief of health policy at the California Public Employees Retirement System, director of network development for a national preferred provider organization, and legislative advocate working on health and long term care issues affecting low income seniors and persons with disabilities.
Rouillard received the Patient Advocacy Achievement Award from the Office of the Patient Advocate and in 2005 and in 1990 she received the Client Advocacy Award from the California Foundation for Independent Living Centers.
She is the author of numerous publications focusing on the health care delivery system including Sacramento Geographic Managed Care: Eight Years Later and The Impact of the Health Rights Hotline – Making a Difference for Health Care Consumers through Direct Service, Advocacy and Systemic Change.
During her career, Rouillard has served on the Boards of Directors of various non-profit organizations including the Integrated Health Care Association, Center for Health Care Decisions, the California Law Center on Long Term Care and the Legal Center for the Elderly and Disabled.
Rouillard holds a bachelor of arts degree in social work from Rutgers University and is Fellow of the University of Southern California/Sierra Health Foundation Leadership Program.