Leadership Team

Shelley Rouillard

Director, Department of Managed Health Care

Director - Shelley RouillardShelley 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 25 million Californians. As Director, Rouillard is responsible for protecting consumers’ right and ensuring a stable health care delivery system 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, and health care quality 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 (MRMIB), 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.

Previously, she 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, and which became the model for the DMHC Help Center.

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 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.


Chief Deputy Director, Department of Managed Health Care

Rachel Arrezola

Deputy Director, Communications and Planning

Deputy Director, Communications and Planning - Rachel ArrezolaRachel Arrezola currently serves as the Deputy Director for Communications and Planning for the California Department of Managed Health Care (DMHC), where she directs the Department’s comprehensive media and public affairs program.

Prior to her appointment to the DMHC, Rachel served as Deputy Director of Legislative and Public Affairs for the California Department of Community Services and Development (CSD). In this role, she spearheaded CSD’s communications strategy for media and stakeholder outreach, legislative affairs, social media, and website design and content. While at CSD, Rachel successfully led the implementation of a Department-wide rebranding effort and website redesign.

Rachel previously worked in the Press Office for Governor Arnold Schwarzenegger as Chief Deputy Press Secretary. She served as the primary spokesperson for the Governor on a number of issue areas including health and human services, energy and the environment, public safety, and labor. She also held several other positions in the Governor’s Press Office including Deputy Press Secretary.

Rachel graduated from the University of California, Davis with a Bachelor of Arts degree in Communications and concentration in Political Science. She is also a graduate of the University of California, Washington D.C. program.


Deputy Director, Office of Enforcement

Ralph Cesena Jr.

Deputy Director and Chief Information Officer, Office of Technology & Innovation

Deputy Director, Office of Technology & Innovation and Chief Information Officer, Ralph Cesena Jr.Ralph Cesena Jr. is the Deputy Director and Chief Information Officer at the Department of Managed Health Care (DMHC).  He is responsible for guiding enterprise IT Strategy to ensure alignment with the Department’s strategic plan and ensuring that a modern and flexible architecture will be in place to meet the current and future needs of DMHC.

Prior to joining DMHC, Ralph worked as an Application Development Manager where he led several key initiatives including establishment of an IT Service Management discipline and the introduction of new digital-transformation technologies. 

Ralph’s previous experience also includes managing a portfolio of projects for various California state agencies. This included the implementation of a Welfare Benefits Interactive voice response (IVR) system for CalWIN, multiple data warehousing and business intelligence projects for the Office of Statewide Health Planning and Development, a HIPAA NPI Remediation project and Electronic Health Record/Health Information Exchange analysis for the Department of Mental Health and a platform modernization assessment for California First 5 Commission, amongst others.

Ralph was also co-founder of a startup that focused on utilizing digital solutions to increase efficiencies in the auto repair industry and is one of several inventors named on the company’s US technology patent.

During his career, Ralph has also served as Director of Product Management, Director of Software Development, Senior Project Coordinator and as a software developer.

Ralph graduated from San Joaquin Delta College with a degree in Business Administration, and earned a second AA in Computer Science.  He completed his Project Management Capstone certification with Villanova University.

Pritika Dutt

Deputy Director, Office of Financial Review

Deputy Director, Office of Financial Review - Pritika DuttPritika Dutt is the Deputy Director of the Office of Financial Review. In this capacity, she oversees the office that ensures all California managed care health plans and their contracted risk-bearing organizations are in compliance with financial solvency requirements and standards. Her office is also responsible for identifying trends that may affect the continued financial viability of commercial, governmental and specialized health plans. She also advises the Director and Chief Deputy Director on financial solvency issues and their impact on California’s health care delivery system.

Formerly, Dutt served as a supervisor in the Office of Financial Review’s Division of Financial Oversight, where she was in charge of monitoring the financial solvency of all governmental and specialized health plans regulated by the Knox-Keene Act.

Prior to that, she worked in the Provider Solvency and Support Unit as an Examiner monitoring the financial solvency of risk-bearing organizations. Dutt joined the Department in 2003 as an auditor and has extensive experience assessing the financial and claims compliance of health plans and risk-bearing organizations through examinations and review of periodic financial statements and compliance reports.

Dutt received her bachelor’s degree in Accounting from California State University, Sacramento and is a Certified Public Accountant.

Teresa Gonzales

Deputy Director, Office of Administrative Services

Teresa Gonzales is the Deputy Director for the Office of Administrative Services and is responsible for human resources, labor relations, training, accounting, budgets, facilities management, business services, contracts, procurement, business continuity planning, strategic planning and the Department’s Equal Employment Opportunity Program. Prior to her appointment, Teresa performed the role of Acting Deputy Director on various occasions. She has over 20 years of experience in all facets of administrative work within state service.

Since joining the DMHC in November 2008, Teresa has significantly improved business services functions. Most recently, she led the Office of Administrative Services through the successful implementation of FI$Cal and construction of several projects. Prior to joining the DMHC, Teresa served at the Department of Corrections and Rehabilitation, the California Workforce investment Board and at the Employment Development Department performing all aspects of administrative work including budgeting, personnel, contracting, facilities management and policy development.

Teresa earned her bachelor’s degree in Business Administration from the California State University, Fresno.

Elizabeth Landsberg

Deputy Director, Help Center

Deputy Director, Help Center - Elizabeth LandsbergElizabeth Landsberg is the Deputy Director of the Help Center which assists consumers with health care issues and works to ensure that health plans are accountable to enrollees for providing timely access to required health care services and appropriately addressing enrollee complaints.

Before joining the Department, Elizabeth was an advocate for health care consumers for more than sixteen years. She was the Director of Policy Advocacy for the Western Center on Law & Poverty where she specialized in health care issues including health reform implementation, Medi-Cal, Covered California and other issues affecting poor Californians. Prior to joining Western Center, Elizabeth was the Supervising Attorney for the Health Rights Hotline at Legal Services of Northern California. In addition to supervising the Hotline staff fielding calls from health care consumers, Elizabeth analyzed call data, identified systemic policy issues and advocated for needed change. She was the Ruth Chance Law Fellow at Equal Rights Advocates and served as a law clerk to Federal District Court Judge Martha Vázquez.

Elizabeth received her law degree from Boalt Hall School of Law where she was the Editor-in-Chief of the Berkeley Women’s Law Journal. She holds a bachelor’s degree in History from Pomona College.


Deputy Director, Legislation


Deputy Director, General Counsel

Sarah Ream

Deputy Director, Office of Plan Licensing

Deputy Director, Office of Plan Licensing - Sarah ReamSarah Ream serves as Deputy Director of the Office of Plan Licensing (OPL). The OPL is responsible for the oversight of health care service plan licensing within the state of California. The OPL reviews amendments and material changes filed by health plans for compliance with state laws, as well as ensuring compliance with applicable federal law. One of OPL's chief purposes is to protect consumers, providers, and ensure market stability. The OPL reviews subscriber contracts and disclosures to confirm that health plan members are amply informed as to their rights and are in possession of accurate information.

Ream has been with the DMHC since 2007, most recently serving an Assistant Chief Counsel in the Office of Legal Services. Prior to joining the DMHC, Ream worked with the Washington State House of Representatives as a non-partisan legislative counsel.

Ream holds both a Bachelor's and Master's Degree in Psychology from the University of California, Davis and the California State University, Fullerton respectively, and a Juris Doctorate from the University of California, Hastings College of the Law.

Dan Southard

Deputy Director, Office of Plan Monitoring

Deputy Director, Office of Plan Monitoring - Dan Southard Dan Southard is the Deputy Director for the Office of Plan Monitoring where he is responsible for evaluating and promoting health plan regulatory compliance related to quality improvement, utilization management and member grievances and ensuring health plan networks have the right types of providers necessary to deliver health care services that meet time and geographic access requirements. 

Prior to his appointment, Southard served in a variety of roles at the DMHC including his most recent position as the Acting Assistant Deputy Director at the Help Center.  In this capacity, he led the Help Center through a large-scale re-organization to increase program efficiency.  Since joining the department, he has demonstrated an unwavering focus on California’s health care consumers, strong leadership skills and deep familiarity with the statutory and regulatory framework under which the DMHC operates.

On his personal time, he has developed and patented a medical device to prevent the formation and decrease the healing time of pressure ulcers.

Mary Watanabe

Deputy Director, Health Policy and Stakeholder Relations

Deputy Director, Health Policy and Stakeholder Relations - Mary Watanabe Mary Watanabe is the Deputy Director of Health Policy and Stakeholder Relations at the Department of Managed Health Care (DMHC), where she is responsible for fostering proactive and effective relations between the DMHC and its stakeholders, while serving as primary advisor to the Director on critical issues and providing strategic planning and policy direction on emerging issues and industry trends.

Prior to her appointment Watanabe served as Deputy Director for the Sales Division at Covered California, where she oversaw the implementation of the Navigator Grant Program, the Outreach and Education Grant Program and the engagement of community partners to educate consumers and small business owners about the health care options available through Covered California.

Prior to joining Covered California, Mary served for 12 years with the Managed Risk Medical Insurance Board (MRMIB) in the areas of contract development and monitoring, eligibility and enrollment, and benefits administration of several public health care programs, including the Healthy Families Program.  She also participated in the implementation of the Pre-Existing Condition Insurance Plan (PCIP), a federally funded high-risk pool that offered health coverage to medically uninsurable Californians. 

Watanabe holds a bachelor’s degree in Psychology from California State University, Sacramento.