Chief Executive Officer

Waterfall Clinic, Inc. dba Waterfall Community Health Center (WCHC) is a rural Oregon Federally Qualified Health Center (FQHC) and an integrated patient-centered primary care clinic serving insured and uninsured children and adults with a special emphasis on care for individuals who experience barriers to accessing care due to income, language, cultural and social barriers.

Job Purpose: Chief Executive Officer

The CEO provides strategic leadership and oversight of the executive team to ensure high-quality, accessible, equitable, and patient-centered care and integrated services, operational excellence, financial sustainability, and compliance with HRSA Health Center Program Requirements, Oregon Health Authority (OHA) regulations, and all state, federal, and FQHC program standards. The CEO works closely with the Board of Directors in setting the organization’s vision, ensuring strong governance, and representing the FQHC to community partners, regulators, and funders. The CEO leads at a strategic level while delegating daily operations, clinical direction, and financial management to the appropriate executive leads.

The CEO fosters a culture of integrity, respect, accountability, service excellence, safety, and continuous improvement; ensures strong community partnerships; and leads organizational sustainability in a rural healthcare environment.

Qualifications, Education, & Experience

• Bachelor’s degree in healthcare administration, public health, business or related field required; Master’s in previously listed field(s) strongly preferred
• Minimum seven years’ experience in a senior leadership position in community health, nonprofit healthcare, or similar organization required
• Experience with FQHC operations, HRSA/Bureau of Primary Health Care (BPHC) compliance, and rural healthcare delivery
• Demonstrated strategic, financial, and operational leadership
• Exceptional interpersonal, communication, and community engagement skills
• Ability to handle sensitive information with objectivity, confidentiality and professionalism
• Certified Medical Practice Executive (CMPE) preferred
• Prior experience reporting to or working with a nonprofit governing board
• Previous experience directly supervising C-suite leaders, prior oversight of multi-site health services preferred
• Knowledge of Oregon’s CCO model, Medicaid managed care, and integrated care systems preferred
• Bilingual speaking skills desirable

 Essential Responsibilities: Executive Leadership

• Adhere to the spirit of Waterfall Community Health Center to remove barriers to care, and our mission statement while performing assigned duties
• Demonstrate the core values of Integrity, Respect, Accountability, Compassion, Partnership, and Collaborative Communication
• Develop collaborative partnership with the Board of Directors to ensure that the organization fulfills its vision, mission, goals, and strategic direction by effectively managing all key components of organization’s operations
• Foster a workplace that results in the development, growth, and retention of a highly performing Executive Team

Strategic Leadership & Governance

• Provide leadership and oversight to the Executive Team to implement Board-approved strategic plans and organizational vision
• Strengthen governance practices, support Board development, and ensure compliance with all HRSA Health Center Program requirements and OHA regulations
• Present timely performance, quality, financial, and compliance reports to the Board

Executive Team Leadership

• Guide and support the Executive Team in respective areas of responsibility
• Ensure alignment across clinical, operational, financial, and administrative functions
• Facilitate executive team decision-making and accountability for deliverables

Financial Sustainability & Compliance

• Collaborate with the CFO to steward financial health, budgeting, forecasting, and diversified revenue strategies, including federal grants, Medicaid/Medicare reimbursements, and value-based care contracts
• Ensure robust financial controls and compliance with federal/state standards

Community and Stakeholder Relations

• Act as the primary external representative to community partners, CCOs, local governments, tribal entities, and other stakeholders
• Strengthen partnerships that advance access, care coordination, and population health in rural communities

Organizational Culture & Human Capital

• Promote an inclusive and mission-driven culture grounded in equity, safety, and continuous improvement
• Work with leadership to recruit, retain, and develop a high-performing workforce

Quality and Performance Improvement

• Oversee organizational performance measurement through the executive team
• Champion continuous quality improvement, patient experience, and data-driven outcomes
• Ensure compliance with company policies and procedures as applicable to area(s) of responsibility
• Handle confidential information and materials appropriately and maintain a secure work area
• Other duties as assigned