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Posted: March 13, 2026 (2 days ago)

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Chief Operating Officer (Director, Clinical Services)

City of St. Louis

Public Health - Division of Health Services

Fresh

Location

Salary

$60.98 - $73.18

per hour

Closes

March 29, 2026

Job Description

Summary

This role involves leading the day-to-day operations of community health centers, including managing budgets, staff, patient care, and partnerships to ensure high-quality services and financial health.

It supports the organization's mission by developing programs, securing funding through grants and contracts, and complying with health regulations.

Ideal candidates are experienced healthcare leaders with strong business skills who are passionate about public health and community service.

Key Requirements

  • Master’s degree in a relevant field
  • Eight years of professional experience in healthcare or operations management
  • Experience in developing and implementing strategic plans and programs
  • Proficiency in financial management, including budgeting, grants, and contracts
  • Knowledge of HRSA regulations and FQHC operations
  • Skills in quality improvement, process optimization, and stakeholder collaboration
  • Ability to oversee clinical services, staffing, and compliance

Full Job Description

Assist the CEO, Officers, and other key staff in developing and implementing the FQHC LAL mission, strategic plan, and program development. Leads all FQHC LAL Health Center administrative operations including grants, contracts/negotiations, contracts evaluation, coordination of vendor services, quality, patient satisfaction, revenue generation and long-term financial viability. Seeks business opportunities to align with mission, vision, and strategic direction. Works closely with finance to assure Health Centers are efficient in reimbursement, collections, payor contracts up to date, and value-bases, and quality contracts are up to date and equitable. Monitors budgets and financial statements. Assure the Community Health Centers are meeting HRSA regulations and aligning policy and procedures to fit the FQHC LAL needs. Lead charge regarding UDS management, HRSA reviews and visits.

As an employer, St. Louis County cares about the health and well-being of our employees.

In an effort to provide for the best possible work-life balance, the County offers a generous benefit package which includes affordable health insurance, dental and vision coverage, 4 weeks of Paid Time Off the first year, 11 paid holidays, deferred benefit retirement plan, paid life insurance as well as short- and long-term disability.

To learn more County benefits, please visit Competitive Benefits - St. Louis County Website

St. Louis County Government is a qualified agency for the Public Service Loan Forgiveness program managed by the Federal Government. For more information regarding this program, please visit Public Service Loan Forgiveness | Federal Student Aid

Requirements

Essential Function Examples

Develop programs for public health patient care ensuring best practices standards with accreditation standards and maintenance of continuous quality improvement plans.

Identify expense reduction and process improvement opportunities, assess potential gains, and prioritize and propose action plans and timelines.

Partner with internal and external stakeholders for staffing commitments to support recruitment, retention and professional advancement.

Collaborate with external partners on patient care protocols and support systems to foster community based services.

Oversee all FQHC operations including clinical care teams, laboratory services, grants programs, scheduling, pharmacy, and patient registration.

Marginal Function Examples

Monitor budget, purchasing, financial statements and reporting to ensure accountability, accuracy and governmental compliance.

Perform other duties as required or assigned.

This document defines the job class as a whole and provides examples of work that may typically be performed by assigned positions. It does not represent any single position.

Qualifications

Requires a Master’s degree and eight years of experience.

Additional Information

SELECTION AND APPOINTMENT:A selection committee will evaluate the qualifications of each applicant which will include recentness and appropriateness of the applicant's education and experience, answers to the supplemental questions, results of employment references investigated and any other appropriate information available.

The selection committee will admit to the interview only those persons who possess the most job-related qualifications and may establish admittance criteria beyond the minimum qualifications stated above.

The interview will comprise 100% of the applicant's earned grade. A candidate must earn a qualifying grade of 70 or more on the interview to be eligible for appointment.

After initial interviews with the selected candidates are conducted, an email will be sent to the address on file with instructions on how to complete and submit a Conviction Questionnaire.

Candidates have 3 days to complete the required questionnaire.

The five top ranking candidates, based on the final grade, will be certified to the Department Director/Appointing Authority who will make the final decision.

All applicants conditionally offered a merit position will be required to submit to urinalysis to screen for illegal drug use prior to appointment.

Screening will be performed by a reputable clinical laboratory. The cost of screening will be covered by the County.

COVID-19 VACCINATION POLICY: In support of commitment to the health, safety, and wellness of all staff and to be compliant with the Centers for Medicare and Medicaid Services (CMS) Omnibus COVID-19 Health Care Staff Vaccination Rule it is the policy of the Department of Public Health that all newly hired employees are required to provide proof of COVID-19 vaccination.

Acceptable forms of proof include CDC COVID-19 vaccination cards (or legible photo), documentation from a health care provider, electronic health record, or state immunization information system record.

New employees must be fully vaccinated prior to starting service for the Department, and adherence to this policy is a condition of employment.

Full vaccination means having received a Food and Drug Administration (FDA) Emergency Use Authorization (EUA) approved vaccine or vaccine series, consisting of two doses of either of the two-dose vaccines or one dose of the single-dose vaccine.

For moderately or severely immunocompromised individuals, a primary series consists of a 3-dose series of an mRNA COVID-19 vaccine or a single dose of Janssen COVID-19 Vaccine.

Individuals are considered fully vaccinated two weeks after the second dose in a two-dose series, or two weeks after a single-dose vaccine.

At this time, full vaccination does not require a booster shot.

The meaning of “fully vaccinated” is subject to change in accordance with the most recent Centers for Disease Control and Prevention (CDC) guidelines.

For applicants with a CMS clinical contraindication to the vaccine or sincerely held religious beliefs, which prohibit them from receiving a vaccine, you may contact the Department of Public Health Office of Human Resources (DPH HR) during the hiring phase to request an exemption or reasonable accommodation.

Employees granted exemption for medical or religious reasons will be required to wear facial coverings to reduce the risk of transmission to at-risk individuals in DPH facilities and submit to weekly COVID-19 testing.

All prospective employees must read and acknowledge the Policy during the application process.

HOW TO APPLY: Applicants interested in applying for this position should visit our website at www.governmentjobs.com/careers/stlouis. We only accept On-line applications.

EQUAL EMPLOYMENT OPPORTUNITY POLICY: The policy of the Civil Service Commission of St.

Louis County is to support fair and equitable employment opportunities for all persons regardless of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, veterans' status or political affiliation.

Call the Division of Personnel at (314) 615-5429 for more information on this policy.

St. Louis County
Division of Personnel, 7th Floor
Clayton, MO 63105
(314) 615-5429

Relay MO 711 or 800-735-2966
An Equal Opportunity Employer
Fax: (314) 615-7703

www.stlouiscountymo.gov

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Posted on NEOGOV: 3/13/2026 | Added to FreshGovJobs: 3/14/2026

Source: NEOGOV | ID: neogov-stlouis-5269954