Job Title: Chief Executive Officer Department: Executive Leadership Reports To: Board of Directors FLSA Status: Exempt Prepared/Revised Date: June 2026   Summary The Chief Executive Officer is responsible for the overall leadership, strategic direction, compliance, operations, and financial sustainability of Coos County Family Health Services. The CEO serves as the primary executive leader of the organization and is accountable to the Board of Directors for carrying out the mission, vision, values, policies, and strategic goals of CCFHS.   The CEO provides leadership over all CCFHS programs and services, including medical practices, dental practices, the RESPONSE Program, behavioral health, community health, administrative services, and support departments.   The CEO ensures that CCFHS operates in compliance with HRSA Health Center Program requirements, Section 330 grant requirements, FQHC standards, applicable federal and state laws, corporate bylaws, Board-approved policies, and generally accepted standards for nonprofit healthcare governance and operations.   Essential Duties and Responsibilities Leadership and Strategic Direction * Provides executive leadership, vision, and direction for CCFHS. * Develops and recommends strategic plans, policies, and organizational priorities to the Board of Directors. * Implements Board-approved plans, policies, budgets, and strategic initiatives. * Promotes the mission, values, culture, and long-term sustainability of CCFHS. * Ensures services are responsive to community needs and aligned with the organization’s mission. * Identifies opportunities for growth, service expansion, collaboration, and improved access to care.   Board Relations and Governance * Serves as the primary liaison between CCFHS leadership and the Board of Directors. * Supports the Board in fulfilling its governance responsibilities. * Provides timely, accurate, and complete information to the Board to support informed decision-making. * Works with the Board President to develop meaningful agendas for Board and Committee meetings. * Ensures implementation of Board-approved policies and corporate bylaws. * Supports Board education related to HRSA requirements, FQHC governance, compliance, quality, finance, and strategic planning.   HRSA and FQHC Compliance * Ensures organizational compliance with HRSA Health Center Program requirements. * Maintains readiness for HRSA Operational Site Visits and other regulatory reviews. * Ensures compliance with Section 330 grant requirements and Notice of Award conditions. * Oversees completion and submission of required HRSA reports, including UDS reporting. * Ensures compliance with sliding fee discount program requirements, scope of project requirements, and other FQHC obligations. * Supports FTCA deeming requirements and risk management activities. * Works with leadership to ensure policies, procedures, documentation, and operations align with HRSA expectations.   Operations * Provides executive oversight of CCFHS medical, dental, RESPONSE, behavioral health, community health, administrative, and support operations. * Ensures effective management of all sites, programs, and service lines. * Delegates operational responsibilities appropriately to senior leadership. * Ensures clear accountability, communication, and coordination across departments. * Monitors organizational performance and directs corrective action when needed. * Designates appropriate leadership coverage during CEO absences.   Financial Oversight * Ensures the development and implementation of sound financial plans, budgets, internal controls, and reporting systems. * Works with the CFO and Board to maintain financial stability and long-term sustainability. * Oversees grant funding, contracts, revenue cycle performance, and resource development. * Ensures financial practices comply with federal grant requirements, nonprofit standards, and Board-approved policies. * Identifies opportunities for increased resources, improved efficiency, and responsible growth.   Personnel and Organizational Culture * Provides executive oversight of personnel management in accordance with Board-approved policies and applicable law. * Directly supervises designated executive and senior leadership positions. * May delegate personnel responsibilities to appropriate leaders while maintaining overall accountability. * Promotes a positive, respectful, transparent, accountable, and mission-driven workplace culture. * Supports recruitment, retention, workforce development, succession planning, and leadership development. * Ensures employment practices support compliance, fairness, equity, and operational effectiveness.   Compliance, Risk Management, and Legal Oversight * Ensures compliance with applicable federal and state laws, regulations, licensing requirements, and contractual obligations. * Supports the Corporate Compliance Officer and Compliance Program. * Promotes a culture of ethical conduct, transparency, accountability, and non-retaliation. * Ensures appropriate oversight of HIPAA, privacy, security, fraud, waste and abuse prevention, OSHA, emergency preparedness, and risk management activities. * Ensures serious compliance, legal, financial, operational, or patient safety concerns are reported appropriately to the Board.   Quality, Patient Safety, and Performance Improvement * Provides leadership and support for quality improvement, patient safety, and performance improvement activities. * Ensures quality initiatives are aligned with organizational goals, HRSA requirements, and patient care standards. * Supports clinical leadership in monitoring quality outcomes, patient satisfaction, access, and health equity. * Ensures the Board receives appropriate quality and performance data for oversight.   Community and External Relations * Serves as a primary representative of CCFHS to the community, funders, partners, government agencies, and healthcare organizations. * Builds and maintains effective relationships with community partners, hospitals, schools, government entities, advocacy groups, and other stakeholders. * Represents CCFHS in matters related to public policy, community health, funding, partnerships, and access to care. * Promotes a positive public image of CCFHS and its programs.   Grants, Contracts, and Resource Development * Oversees the development, preparation, submission, and administration of grants, contracts, and required reports. * Ensures grant-funded programs are managed in accordance with funding requirements. * Works to secure resources that support the mission and sustainability of CCFHS. * Supports fundraising and development activities in accordance with Board-approved policies.   Other Duties * Maintains knowledge of healthcare trends, FQHC requirements, nonprofit governance, federal and state regulations, and healthcare policy. * Attends required meetings, trainings, and community events. * Ensures organizational assets and facilities are appropriately maintained. * Performs other duties as assigned by the Board of Directors.   Supervisory Responsibilities The Chief Executive Officer provides direct supervision to executive and senior leadership staff and indirect supervision to all Coos County Family Health Services employees.   The CEO is responsible for establishing organizational priorities, ensuring leadership accountability, supporting professional development, evaluating performance, and maintaining alignment with the mission, vision, values, and strategic goals of CCFHS.   Direct reports include:   * Chief Operating Officer (COO) * Chief Financial Officer (CFO) * Medical Directors (3) * Dental Operations Manager * Co-Director of Human Resources & Chief Compliance Officer * Co-Director of Human Resources & Executive Administrative Assistant to the CEO * RESPONSE Program Director * Chief Technology Officer (CTO) * Quality Assurance (QA) Director * Quality Improvement (QI) Director * Director of Behavioral Health   The Medical Directors function collaboratively to provide clinical leadership, medical oversight, quality improvement guidance, provider engagement, and support for organizational clinical initiatives across all CCFHS medical practices.   The CEO serves as the administrative supervisor of all leadership positions and works collaboratively with clinical leadership to ensure compliance with applicable clinical, quality, credentialing, patient safety, regulatory, and HRSA Health Center Program requirements. The CEO may modify reporting relationships as organizational needs evolve, subject to Board-approved organizational structure and policies.   The CEO is responsible for ensuring effective communication, collaboration, accountability, and coordination among all leadership team members to support high-quality patient care, operational excellence, workforce engagement, compliance, and organizational sustainability.   Desired Qualifications The ideal candidate will possess the leadership, operational, financial, and strategic skills necessary to successfully lead a mission driven Federally Qualified Health Center serving rural communities.   Education Required: Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Public Administration, Nursing, Human Services, or a related field.   Preferred: Master's degree in Healthcare Administration (MHA), Business Administration (MBA), Public Health (MPH), Public Administration (MPA), or a related field.   Experience Required: Minimum of five (5) years of progressively responsible leadership experience in healthcare, nonprofit management, community health, public health, human services, or a related field. Minimum of three (3) years of experience managing staff, budgets, programs, or organizational operations.   Demonstrated experience leading teams, managing organizational resources, and implementing strategic initiatives.   Preferred: * Experience in a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), Critical Access Hospital (CAH), healthcare organization, or nonprofit organization. * Experience working with a Board of Directors. * Experience managing grants, contracts, or government-funded programs. * Experience overseeing multiple departments, service lines, or locations. * Familiarity with HRSA Health Center Program requirements and community health center operations.   Knowledge and Skills Knowledge of: * Healthcare operations and administration. * Budgeting and financial management. * Human resources and workforce development. * Strategic planning and organizational leadership. * Federal and state regulatory compliance. * Quality improvement and performance management. * Community engagement and stakeholder relations. * Healthcare information technology and reporting systems.   Leadership Competencies Demonstrated ability to: * Lead with integrity, transparency, and accountability. * Build strong relationships with staff, providers, patients, community partners, and Board members. * Foster a positive and collaborative organizational culture. * Balance strategic vision with day-to-day operational needs. * Make sound decisions in complex situations. * Communicate effectively with diverse audiences. * Support employee engagement, retention, and professional development.   Personal Attributes The successful candidate will demonstrate: * Commitment to the mission of serving rural and underserved communities. * Strong ethical standards and professionalism. * Sound judgment and problem-solving skills. * Respect for diversity, equity, and inclusion. * Ability to lead through change and organizational growth. * Dedication to improving access to quality healthcare services.   Other Requirements * Valid driver's license and ability to travel between CCFHS locations, community meetings, conferences, and events. * Ability to attend evening Board meetings and occasional community functions.