Chief Operating Officer

Contra Costa Health is one of the most comprehensive county health systems in the United States. Serving one of the country’s largest and most diverse counties, the department integrates:

• Contra Costa Regional Medical Center and Health Centers – A county-operated public hospital and network of nine primary care health centers.
• Contra Costa Health Plan
• Behavioral Health Services
• Public Health
• Health, Housing and Homelessness
• Community Health and Safety

Together these services create an integrated delivery system that allows Contra Costa Health to influence both how care is delivered and how it is financed—an uncommon model that enables innovation, flexibility, and system-wide coordination. The department oversees approximately 5,000 employees and operates with an annual budget approaching $4B.

About the role

Reporting directly to the Director of Health Services, the Chief Operating Officer serves as a key member of the department’s executive team and works collaboratively to develop strategy, align resources, and enhance organizational effectiveness across Contra Costa Health. Leading operational strategy and providing direct oversight for major divisions in Contra Costa Health, including Contra Costa Regional Medical Center, affiliated Health Centers, Contra Costa Health Plan, Behavioral Health, and Community Health and Safety divisions such as Public Health and Health, Housing and Homelessness.

Responsibilities

• Serves as the Director of Health Services’ designee in their absence, ensuring continuity of executive leadership, decision-making, and operational performance.
• Plans, develops, and implements long-term system objectives, including modernization initiatives, service expansion, and strategies to support sustainable organizational growth.
• Oversee department-wide operations to improve transparency, reduce duplication, increase efficiency, and implement consistent standards and best practices across the organization.
• Develops and maintains collaborative working relationships with other County departments to strengthen coordination, promote innovation, and optimize service delivery.
• Leads the adaptation of organizational systems and operations to effectively respond to evolving healthcare delivery models, financing structures, and managed care environments.
• Collaborates with the CCH Chief Financial Officer in the financial management of CCH, including long-term budget planning and alignment of operational and fiscal strategy.
• Provides oversight to Deputy Directors across all CCH divisions, ensuring alignment with organizational priorities and performance standards.
• Oversee executive responses to regulatory and inspection findings, ensuring compliance, accountability, and continuous improvement across the health system.

Requirements

Education

Possession of a master’s degree from an accredited college or university in public health, hospital or healthcare administration, business or public administration, social or behavioral sciences, health sciences, social work, or a closely related field.

Experience

Seven (7) years of full-time (or equivalent) progressively responsible professional management experience within a healthcare or human services organization. This experience must include at least three (3) years in an executive-level leadership role within a large, complex, and diverse public or nonprofit organization providing health or human services.

Skills

Contra Costa Health seeks an accomplished executive with operational expertise, leadership presence, and strategic mindset to lead a highly complex public healthcare organization through transformational change. The successful candidate will bring:

• Executive Healthcare Operations Experience
  • Extensive executive leadership within large, complex healthcare organizations.
  • Experience overseeing operations for hospitals, integrated delivery systems, health systems, or large ambulatory networks.
  • Demonstrated success leading large-scale and complex operational transformation and performance improvement.
  • Experience aligning clinical operations with financial sustainability.
  • Experience working in a unionized environment.
• Strategic Leadership
  • Strong operational leadership expertise.
  • Excellent relationship-building skills.
  • Political awareness and sound judgment.
  • Data-driven decision making.
  • Commitment to accountability and continuous improvement.

Attractive Factors

As the County's primary Medi-Cal provider, Contra Costa Health touches the lives of a significant portion of the County's 1.2M residents. The successful candidate will have the opportunity to improve access, quality, efficiency, and health outcomes for some of California's most vulnerable populations while helping lead the organization through one of the most transformational periods in its history.

Pay

$369,997 - $449,734