Multnomah County

Operations

• Champion racial justice and equity within early childhood programs and systems at Multnomah County and in the community
• Provide support and oversight to the Budgets & Contracts and Application & Enrollment teams
• Develop, implement, and improve operational systems for budgets, contracts, and the preschool application process
• Support development of the Division budget
• Support and oversee launch of major operational IT solutions
• Provide leadership to ensure families have a positive application experience
• Collaborate with the Leadership Team to align efforts and respond to evolving issues
• Build and maintain systems, policies, and procedures supporting racial justice and equity
• Lead strategic planning, set operational goals, and monitor compliance for Preschool for All
• Develop solutions prioritizing Black, Brown, Indigenous, and other families of color
• Develop policies, procedures, business practices, and change-management systems informed by community and provider feedback
• Coordinate partnerships and projects with the State to align programs and funding
• Directly supervise the Budget & Contracting Supervisor and Application & Enrollment Supervisor
• Manage schedules, assignments, performance evaluations, coaching, discipline, recruitment, hiring, and onboarding
• Promote a culturally responsive, trauma-informed workplace culture
• Advise on complex concerns, prioritize work, and provide professional development opportunities
• Oversee Division budget development, forecasting, resource allocation, grants, partner funding, and contract management
• Author Program Offers during annual budget cycles and monitor expenditures for County, State, and Federal compliance

Senior Operations Manager

Data Analyst

• Analyze data from varied sources to answer policy questions concerning adults supervised by the Department of Community Justice
• Maintain awareness of departmental data sources, information needs, and effective reporting formats
• Collaborate with County analysts and stakeholders in a deadline-driven environment
• Communicate statistical analysis results to technical and non-technical audiences
• Design and develop dashboards and other data visualizations for internal and external stakeholders
• Explore and link administrative databases using SQL to extract relevant data for policymakers and staff
• Engage with data inquiries from executive-level managers, staff, and community partners
• Collaborate with team members throughout the data analysis and reporting process
• Create and follow quality assurance practices in data analysis and visualization
• Identify and research data sources and perform validity and reliability checks
• Contribute to dissemination and communication planning for analysis results and visualizations
• Work under the direction of and in collaboration with the Research & Planning Manager

Senior Data Analyst

Director

• Lead Oregon’s largest federally qualified health center and serve as its executive director under Health Resources and Services Administration requirements
• Provide executive leadership for an administrative, technical, fiscal, and clinically complex system of approximately 20 sites, 650 full-time equivalent positions, and a $193 million budget
• Set strategy, safeguard clinical quality and regulatory compliance, and integrate primary care, dental care, behavioral health, school-based health centers, mobile services, and community-based care
• Set strategic direction and translate priorities into measurable goals, policies, and operating plans
• Lead the division through regulatory, financial, political, and organizational change
• Serve under the shared governance structure established by the Community Health Center Board, County Chair or designee, and co-applicant agreement
• Serve on the Health Department senior leadership team and County Department Directors Leadership Council
• Monitor federal, state, and local policy changes and ensure organizational response
• Build relationships with County departments, elected officials, HRSA, state and local agencies, coordinated care organizations, health systems, community partners, and safety-net providers
• Keep governing bodies and Health Department leadership informed about performance, risks, major events, and regulatory obligations
• Support board governance, agenda development, communication, candidate identification, and oversight of 19 HRSA Health Center Program requirements
• Represent the health center and Health Department in public forums
• Establish clinical quality goals, direct the quality program, and monitor performance against quality plans and federal grant requirements
• Ensure compliance with applicable laws, HRSA and Bureau of Primary Health Care requirements, County policies, and governing board direction
• Lead accreditation readiness and organizational surveys
• Allocate resources to improve service effectiveness, efficiency, and access
• Direct budget development, approval, implementation, monitoring, and reporting
• Oversee revenue projections and performance involving Medicaid, Medicare, commercial insurance, federal and private grants, and other funding sources
• Recommend FQHC and division budgets to governing bodies and leadership
• Set priorities among competing resource requests and present financial information to stakeholders
• Develop and protect sustainable funding sources
• Create a culture of trust, accountability, inclusion, transparency, psychological safety, and employee engagement
• Strengthen workforce stability through succession planning, leadership development, recruitment, retention, employee well-being, and communication
• Coach senior leaders and empower operational decision-making
• Ensure employees receive safety and health training and follow County policies
• Lead long-range planning and initiatives improving access, efficiency, quality, and sustainability
• Guide technology use, data-informed decision-making, care delivery transformation, and emerging community health practices
• Strengthen coordination across clinical programs and care settings
• Improve patient access, engagement, enrollment, operational performance, and workforce development
• Assess emerging trends and regulatory changes and prepare the organization for long-term success

Integrated Clinical Services Executive Director

Business Analyst

• Serve as a trusted bridge between business partners and IT
• Manage service requests and assigned projects
• Analyze business processes and align with strategic goals
• Lead data analytics initiatives to continuously improve systems
• Meet with business partners to clarify needs, navigate IT intake, identify technical solutions, and champion priorities
• Facilitate requirements gathering, process analysis, product evaluations, UAT, and end-user training
• Create user stories, system diagrams, technical documentation, test automation, and developer specifications using AI tools
• Lead small IT project plans, schedules, and resources
• Guide Agile development teams through implementation
• Evaluate business value, risks, and total cost of ownership for new requests
• Manage account portfolios
• Collaborate with the Department of County Human Services

Senior Business Systems Analyst

Bilingual

• Liaise between PEL program development staff and DCHS accounts payable and contracts unit
• Coordinate and process new contracts, amendments, change notifications, budget approvals and invoices
• Develop and maintain budget and invoice tracking systems using complex spreadsheet formulas
• Prepare operational and technical reports on contract budgets, spending and invoicing
• Train and consult program development staff on contracts, renewals, budget review and approvals
• Represent the program with service providers, vendors, County staff, community organizations and the public
• Advance racial equity through relationships with funded partners and process improvements
• Collaborate with subject matter experts and DCHS Business Services to approve contracted-agency budgets

Contract Liaison, Bilingual Spanish

Strategy

• Support Multnomah County's strategic priorities within the Office of the Chief Operating Officer
• Provide advice and support to the COO, Deputy COOs, Director of Strategic Initiatives and other County leaders
• Manage disparate, complex and confidential countywide, cross-departmental and multi-jurisdictional projects
• Lead project planning and implementation, defining scope, goals, milestones and deliverables
• Manage budgets, resources, timelines, risks and documentation
• Develop and administer Department of County Management budgets, including presentations and forecasting
• Troubleshoot urgent requests for the COO's office, including emergencies and requests from the Chair and Board of Commissioners
• Provide expert guidance, represent the county publicly and to other agencies, and resolve confidential inquiries
• Serve as Department of County Management legislative coordinator
• Provide thought-partnership and project support to Central HR workforce development initiatives
• Provide operations policy analysis and strategic communications
• Support policy and procedure implementation, compliance and best practices
• Collaborate with departments and agencies and assist executive leadership in policy development
• Recommend and oversee programs, policies and regulations; prepare reports and lead complex projects, organizational studies and countywide initiatives
• Support department directors with organizational change and participate in the annual budget process
• Administer contracts, oversee RFPs and liaise with agencies, boards and committees
• Communicate with elected officials, directors and staff
• Prepare talking points, presentations and other communications for the COO and Deputy COOs

Strategic Initiatives Manager

Clinical Supervisor

• Oversee clinical supervision for Preschool For All interns
• Lead early childhood mental health consultation initiatives, contractor oversight, and clinical supervision
• Manage projects from inception through completion, including planning, procurement, execution, and resource management
• Develop project plans, milestones, deliverables, schedules, and clinical workflows for student intern placements
• Provide day-to-day supervision, mentorship, clinical consultation, reflective supervision, and performance management
• Conduct on-site field observations at Preschool For All sites and provide coaching, clinical guidance, and goal setting
• Evaluate program operations and recommend structural improvements and policy modifications
• Design and revise work processes, service delivery strategies, and training frameworks grounded in evidence-based practices
• Identify project and placement risks and implement contingency plans
• Analyze regulations and prepare operational reports and data-driven analyses
• Represent the division on committees, interagency task forces, and community outreach initiatives
• Manage sensitive inquiries, investigate complaints, and resolve operational challenges
• Oversee early childhood mental health service contracts and partner performance meetings
• Track, analyze, and forecast project budgets and operating expenses
• Monitor cross-functional service delivery and audit service agreements for fidelity and quality improvement
• Evaluate implementation against early childhood mental health and PBIS frameworks
• Synthesize KPIs to optimize contracts, operational efficiency, and programs
• Facilitate strategic planning with the PEL Inclusion Team and external stakeholders
• Refine referral tracking systems and care-coordination workflows

Nurse

• Provide focused community and clinic health services within the healthcare team
• Administer MSR medications, including Suboxone and Subutex, to incarcerated patients under supervision
• Review MSR referrals and refer patients to nurses or providers as appropriate
• Assess prevention-screening needs using electronic reports and provider schedules
• Perform pre-visit activities, prepare patients for exams and procedures, set up equipment, and collect specimens
• Monitor chronic disease and prevention reports and initiate follow-up or referrals
• Follow up on specialty referrals, clinical treatments, prescriptions, and medication cancellations
• Document patient encounters using SOAP methodology and EPIC dot-phrases and smart phrases
• Support clinic flow through provider support, patient rooming, and ordering directed labs
• Provide after-visit instructions and arrange follow-up appointments
• Administer treatments including wound care, ear irrigation, suture removal, catheterization, and fluoride treatments
• Perform diagnostic testing including laboratory tests, phlebotomy, and EKGs
• Collaborate with RNs and PCPs on plans of care
• Complete required documentation and charting
• Troubleshoot equipment issues and report repairs
• Complete assigned quality control and assurance activities