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Integrated Clinical Services Executive Director
Multnomah County. Lead Oregon’s largest federally qualified health center and serve as its executive director under Health Resources and Services Administration requirements .
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Training and experience typically equivalent to a bachelor’s degree and three to six years of executive or clinical leadership experience
- Equivalent combination generally consisting of seven to ten years of qualifying training and experience
- Valid driver’s license required
- Must satisfy applicable background, credential, and other position requirements
- Executive leadership of a large, multi-site federally qualified health center, community health center, public health system, safety-net provider, or comparable health care organization
- Knowledge of HRSA Health Center Program requirements, Section 330 grant compliance, consumer-majority co-applicant board governance, and public-sector accountability
- Experience supervising through senior leaders, directors, managers, or supervisors and leading a large, diverse, union-represented workforce
- Responsibility for a complex operating budget, patient service revenue, Medicaid and Medicare reimbursement, grants, contracts, and long-range financial planning
- Leadership of clinical quality, accreditation, performance improvement, and regulatory compliance across multiple care settings
- Experience building relationships with elected officials, governing boards, labor partners, community leaders, health systems, coordinated care organizations, and government agencies
- Experience leading organizational transformation, integrated care models, technology adoption, and data-informed operational improvement
- Advanced understanding of racial equity and institutional inequity, with evidence of improving workforce practices and health outcomes for diverse communities
- Completed online application
- Resume explaining relevant paid or unpaid experience and training
- Cover letter explaining qualifications, interest in the role, and application of an equity lens as the FQHC leader
Benefits
Comp & perks- Employer-funded retirement savings
- Health and dental insurance at low cost to full-time employees and their dependents
- Paid parental leave
- Wellness programs
- Paid time off
- Additional benefits that support work-life balance
- Hybrid telework designation