Integrated Clinical Services Executive Director

Current employees: Please apply through the employee portal to be considered for this opportunity. Pay Range: $190,760.02 - $305,215.24 Annual Department: Health Department Job Type: Regular Non-Represented Exemption Status: United States of America (Exempt) Closing Date (Open Until Filled if No Date Specified): October 28, 2026 The Opportunity: Please submit applications through the UHC Solutions website: Click Here to Apply THIS WORK MATTERS 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,…