Chief Operating Officer

First Nations Health Authority; British Columbia; Hybrid; CAD 220,000 - 276,000; Full time

Job summary

An established industry player is seeking a dynamic Chief Operating Officer (COO) to lead its operations and enhance health outcomes for First Nations in British Columbia. This role involves strategic oversight, operational management, and fostering partnerships within the health system. The ideal candidate will possess significant executive experience, particularly in health care, and a deep understanding of First Nations perspectives. Join a pioneering organization committed to cultural safety and wellness, and help drive impactful change in health services across the region.

Benefits

Municipal Pension Plan

5 Weeks Vacation

Health Care Spending Account

Personal Days

Volunteer Day

Public Holidays

Qualifications

• 10-15 years of executive leadership experience in health care.
• Experience with First Nations organizations and leadership.

Responsibilities

• Oversee and optimize FNHA’s daily operations.
• Develop strategies to advance FNHA goals and improve services.

Skills

Executive Leadership

Operational Management

Health Care Knowledge

Process Improvement

Cultural Competency

Education

University Degree

Master's Degree

Job description

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Salary Comment The Pay Range is the minimum and maximum annual base salary based on full time equivalent hours.

Incumbents are typically hired, transferred or promoted between the minimum and midpoint of the pay range based on their knowledge, skills, abilities and experience in relation to the role requirements.

The top 10% of the pay range is for incumbents who are industry experts in the job with the combination of exceptional experience and competencies needed to perform all duties and responsibilities at a superior capability level.

About Us
The First Nations Health Authority is a diverse and transformational health organization of professional, innovative, and dedicated team members and leaders.

The first of its kind in Canada, FNHA works as a health-and-wellness partner with BC First Nations to support self-determination and decision-making to improve health outcomes.

FNHA is proud to have been named one of BC’s Top Employers for 2025. Learn more about why we were selected here .

FNHA is excited to announce a compelling opportunity to become part of the Senior Executive leadership, as Chief Operating Officer, of a unique First Nations organization. We are looking for a dynamic and visionary leader who is skilled in managing complex operations across multiple departments and driving process and service improvements.

Title: Chief Operating Officer (COO)
Salary: $220,588 - $248,176 - $275,763 per year (pay range explained below)
Contract: Permanent
Hours: 8:30am – 4:30pm (core hours 9am-3pm Monday-Friday)
Location: Park Royal office, West Vancouver. Hybrid working is an option in line with FNHA’s flex work policy. Please note, this role will be relocating to our new office building in North Vancouver on Tsleil-Waututh Nation (TWN) land, south of Mount Seymour Parkway in Spring 2027.

About the Role
As Chief Operating Officer (COO), you will provide strategic executive level supports and be responsible for overseeing and optimizing the FNHA’s daily operations. Reporting to the Chief Executive Officer, the COO will work closely with the Senior Executive team to develop and implement strategies to advance FNHA goals and interests to the benefit of First Nations in BC, while ensuring quality and operational efficiency.

As COO, you will play a key role in establishing and strengthening relationships with health system partners and provide leadership in the process of strategic regionalization of programs and decision-making to improve the quality of services, closer to home for First Nations in BC.

As COO, you will also provide leadership, oversight and direction to the following portfolios:

• Regional Operations of the Vancouver Coastal, Fraser Salish, Interior, Vancouver Island and Northern regions;
• Health Infrastructure and Development, including Corporate Services; and
• Other portfolios, as required.

The FNHA champions First Nations perspective of wellness and is committed to grounding its work in BC First Nations traditional teachings and values. Cultural Safety and Humility and Lateral Kindness are foundational to how FNHA employees approach their role as health and wellness partners. Employees are committed to a proactive wholistic approach to health and wellness, and to the delivery of services which are sustainable and honour the customs and traditions of First Nations communities, advance a BC First Nations worldview, and promote personal best.

About You
To be successful in this role you will have / be:

• A university degree in a relevant field or an equivalent combination of education, training and relevant executive leadership experience;
• A Master’s degree is preferred or an equivalent combination of education, training and relevant executive leadership experience;
• Significant, recent and relevant experience including progressively responsible senior and/or executive leadership duties in a similar sized organization, or an equivalent combination of education and experience (usually acquired over a period of 10-15 years);
• Experience working with First Nations organizations and leadership;
• Experience leading operational programs, services and activities in health care;
• Experience providing executive leadership to large, diverse and geographically dispersed teams;
• A strong track record in process development, improvement and delivery model optimization initiatives;
• Knowledge of health care developments, health care transformation and First Nations perspectives on culturally safe health care; and
• Knowledge of the First Nations Health Governance Structure in BC.

Please refer to Principal Duties and Responsibilities, and the Job Specification section of the Job Description for more details.

Working at FNHA
As a member of the team, you will have access to a wide range of employee benefits, including:

• Municipal Pension plan with an employer contribution of 9.31% (upon hire);
• 5 weeks’ vacation, which increases with service up to 8 weeks, plus 5 personal days, 1 volunteer day, and 14 public holidays including National Indigenous People’s Day, National Day of Truth and Reconciliation, Easter Monday and Boxing Day;
• Access to group health benefits, a Health Care Spending Account and other allowances on day 1 of employment;
• And more!

The First Nations Health Authority is committed to respecting diversity within our workforce; preference will be given to qualified individuals who identify as First Nations, Inuit, or Métis.

Leading with culture, all FNHA employees complete San’yas Indigenous Cultural Safety Training. We support our family to be leaders in wellness and all staff members develop a yearly wellness plan as part of their performance partnership and goal-setting.

The Pay Range is the minimum and maximum annual salary based on full time equivalent hours.
Incumbents are typically hired, transferred or promoted between the minimum and midpoint of the range based on their knowledge, skills, abilities and experience in relation to the role requirements.

The top 10% of the pay range is for the incumbents who are industry experts in the job with the combination of exceptional experience and competencies needed to perform all duties and responsibilities at a superior capability level.

How to apply
If this sound likes the opportunity for you, please click on the 'Apply for Job' button.