Integrated Clinical Services Executive Director

Multnomah County; Portland (OR); Hybrid; USD 191,000 - 305,000; Full time

Benefits offered by this job

Employer-funded retirement savings

Health and dental insurance at low or

Paid parental leave

Wellness programs

Paid time off

Other benefits supporting work-life

Job summary

Multnomah County Health Department seeks an Integrated Clinical Services Director to provide executive leadership for a large, multi-site FQHC system with extensive regulatory and funding obligations.

The role reports to the Health Department Director and drives strategy, quality, financial sustainability, and equity across primary care, dental, behavioral health, school-based clinics, mobile services, and community care, in a complex, high-visibility setting.

Qualifications

• Requires strategic direction for a large, multi-site FQHC leadership role
• Experience guiding governance bodies and senior leadership teams
• Proven ability to manage complex budgets and funding streams
• Demonstrated leadership of diverse, union-represented workforces

Responsibilities

• Set strategic direction for Integrated Clinical Services and translate priorities into measurable goals
• Serve as FQHC executive director under governing board agreements
• Ensure clinical quality, regulatory compliance, and financial sustainability
• Lead budget development, revenue projections, and funding strategies
• Coach senior leaders and maintain alignment with county priorities
• Guide transformation across clinical programs, technology, and care delivery

Skills

Strategic leadership

Governance

Financial stewardship

Workforce leadership

Education

Bachelor's degree

Executive leadership experience

Job description

Job Details

Pay Range: $190,760.02 - $305,215.24

Job Type: Regular

Exemption Status: United States of America (Exempt)

The Opportunity

We seek leaders, achievers, and doers who bring skill and commitment to a challenging and evolving environment. The Multnomah County Health Department works with communities to advance health equity, protect people who are most vulnerable, and promote health and wellness for everyone. Our values are Compassion and Care, Empowerment, Racial Equity, Creativity, and Integrity.

The Integrated Clinical Services Director leads Oregon’s largest federally qualified health center and serves as its executive director under Health Resources and Services Administration requirements. The director provides 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. Working with the Health Department Director, the consumer‑majority Community Health Center Board, and the County Chair or designee, the director sets strategy, safeguards clinical quality and regulatory compliance, and integrates services across primary care, dental care, behavioral health, school‑based health centers, mobile services, and community‑based care. The director must earn trust across a highly visible and politically complex environment while advancing access, financial sustainability, workforce stability, and equitable outcomes.

Primary Responsibilities

Strategic Leadership and Governance

Set the strategic direction for Integrated Clinical Services and translate priorities into measurable goals, policies, and operating plans.

Serve as the FQHC executive director and work under the shared governance structure established by the Community Health Center Board, the County Chair or designee, and the co‑applicant agreement.

Lead the division through regulatory, financial, political, and organizational change while maintaining accountability for service quality and mission results.

Serve on the Health Department senior leadership team and the County Department Directors Leadership Council.

Monitor federal, state, and local policy changes and ensure timely organizational response.

Board Community and Government Relations

Build effective relationships with County departments, elected officials, HRSA, the Bureau of Primary Health Care, state and local agencies, coordinated care organizations, health systems, community partners, and other safety‑net providers.

Keep the Community Health Center Board, County Chair or designee, and Health Department Director informed about performance, risks, major events, and regulatory obligations.

Support board governance, agenda development, communication, candidate identification, and oversight of the 19 HRSA Health Center Program requirements.

Represent the health center and Health Department in public forums and support clear, constructive communication about policies and community needs.

Clinical Quality and Compliance

Establish clinical quality goals, direct the quality program, and monitor performance against the quality plan and federal grant requirements.

Ensure compliance with applicable federal, state, and local laws; HRSA and Bureau of Primary Health Care requirements; County policies; and governing board direction.

Lead accreditation readiness and organizational surveys, and ensure the management team remains current on changes affecting care and operations.

Allocate resources to improve service effectiveness, efficiency, and access for changing and diverse patient populations.

Financial Stewardship

Direct budget development, approval, implementation, monitoring, and reporting for a complex health center system.

Oversee revenue projections and performance involving Medicaid, Medicare, commercial insurance, federal and private grants, and other funding sources.

Recommend the FQHC budget to the Community Health Center Board and the final division budget to the County Chair or designee and Health Department Director.

Set priorities among competing resource requests, monitor revenue and expenditure trends, and present clear financial information to governing bodies and stakeholders.

Develop and protect sustainable funding sources that support patient care and long‑term operations.

Workforce Leadership and Culture

Create a culture of trust, accountability, inclusion, transparency, psychological safety, and employee engagement.

Build visible and collaborative relationships with employees, labor partners, leaders, and stakeholders throughout the organization.

Strengthen workforce stability through succession planning, leadership development, recruitment, retention, employee well‑being, and clear communication.

Coach senior leaders, empower operational decision‑making, and maintain alignment with County values and strategic priorities.

Ensure employees receive appropriate safety and health training and follow County safety policies and procedures.

Operational Integration and Transformation

Lead long‑range planning and initiatives that improve access, efficiency, quality, and sustainability across the health center system.

Guide responsible use of technology, data‑informed decision‑making, care delivery transformation, and emerging community health practices.

Strengthen coordination across clinical programs, behavioral health, dental services, school‑based health centers, mobile services, and community‑based care.

Identify ways to improve patient access, engagement, enrollment, operational performance, and workforce development.

Assess emerging trends and regulatory changes and prepare the organization for long‑term success while preserving its safety‑net mission.

Benefits

• 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
• Benefits for Non‑Represented New Employees: https://multco.us/info/non-represented-elected-official-staff-new-employee-benefits

Minimum Qualifications

• Multnomah County will consider any combination of relevant work experience, volunteering, education, and transferable skills unless an item is labeled required.
• Training and experience are typically equivalent to a bachelor’s degree and three to six years of executive or clinical leadership experience demonstrating the ability to perform the duties of this advanced professional position.
• An equivalent combination is generally seven to ten years of qualifying training and experience.
• A valid driver’s license is required.
• Candidates must satisfy applicable background, credential, and other position requirements established for the recruitment.

Preferred Qualifications

• 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.
• Success 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.
• Sound judgment, integrity, transparency, and effectiveness in a complex and highly visible political environment.

Application Requirements

• Submit all requested materials.
• An incomplete application may not be considered.
• A completed online application.
• A resume that explains relevant paid or unpaid experience and training.
• A cover letter explaining how you qualify, why you are interested in the role, and how you would apply an equity lens as the FQHC leader.

Selection Process

• Initial review of minimum qualifications.
• Evaluation of application materials to identify the most qualified candidates.
• Interviews and consideration of top candidates.
• Background, reference, education, and other applicable checks.

Compensation

• The annual salary range is $190,760.02 to $305,215.24.
• Compensation will be determined under the Oregon Equal Pay Law based on relevant experience, education, and other lawful factors.
• Initial offers may not be at or near the top of the range.
• The listed pay range provides general guidance on earning potential.
• Actual compensation will be determined under the Oregon Equal Pay Law and will consider relevant experience, education, and other lawful factors.
• Initial offers may not be at or near the top of the range.

Additional Information

• This salaried, non‑represented executive position is exempt from overtime.
• The position is designated for hybrid telework, with work performed both remotely and at an onsite County location.
• The hybrid designation may change.
• Employees must reside in Oregon or Washington because the County cannot support ongoing telework from other locations.
• Every Multnomah County employee has a role in serving the public during inclement weather, natural disasters, and other community emergencies.
• Employees may be reassigned to support critical community needs during an emergency response.
• In accordance with Oregon law, Multnomah County does not collect school attendance dates during the initial application process.
• Do not include those dates in your resume, cover letter, or other application materials.

Equity and Inclusion

• Multnomah County is committed to inclusively leading with race and to identifying and removing structural and policy barriers that affect employees and communities.
• The County seeks leaders who understand how racism and other forms of oppression shape workforce experiences and health outcomes, and who can turn that understanding into accountable policies, practices, and results.
• Multnomah County is an Equal Opportunity Employer.
• Qualified applicants are evaluated without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information, or other legally protected characteristics.
• The County is a VEVRAA federal contractor and requests priority protected veteran referrals.
• Qualifying veterans may apply for veterans preference under Oregon law.
• Reasonable accommodation is available to anyone whose disability prevents completion of an application or participation in the recruitment process.
• Individuals with hearing or speech impairments may use the Telecommunications Relay Service by dialing 711.

Emergency Response Commitment

Serving the Public, Even During Disasters: Everyday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit the Disaster Service Worker Information page. In accordance with Oregon Law, Multnomah County is not collecting school attendance dates in the initial application process; please do not include these dates in your resume, cover letter and other application materials.