ASSISTANT DIRECTOR (EXE LEV), ACCESS TO HEALTHCARE

ASSISTANT DIRECTOR (EXE LEV), ACCESS TO HEALTHCARE

Salary

$160,734.08 - $169,404.04 Annually

Location

Houston

Job Type

Executive Level

Job Number

39520

Department

Houston Health Department

Opening Date

09/08/2026

Closing Date

9/16/2026 11:59 PM Central

• Description
• Benefits
• Questions

POSITION OVERVIEW

APPLICATIONS ACCEPTED FROM: CURRENT HOUSTON HEALTH DEPARTMENT EMPLOYEES ONLY

DIVISION: ACCESS TO HEALTHCARE

REPORTING LOCATION: 8000 N. STADIUM

WORKDAYS & HOURS: MONDAY - FRIDAY 8AM - 5PM

ABOUT HOUSTON HEALTH DEPARTMENT - ACCESS TO HEALTHCARE DIVISION

The Houston Health Departments Access to Healthcare Division is dedicated to improving health outcomes by expanding access to high-quality, affordable safety-net healthcare services for Houstons most vulnerable populations. Through a network of health centers and specialized public health programs, the division delivers safety-net clinical and preventive services designed to reduce transmission of infections, improve chronic disease outcomes, provide dental services and strengthen community wellness.

The division oversees safety-net clinical operations, including health centers, immunization services, tuberculosis and sexually transmitted infection (STI) clinics, family planning services, oral health, chronic disease prevention initiatives, the See to Succeed school-based vision program, healthcare billing and revenue cycle operations, and other programs that improve access to care. The division also collaborates with healthcare providers, community organizations, academic institutions, and governmental partners to advance equitable healthcare delivery across Houston.

DESCRIPTION OF DUTIES/ ESSENTIAL FUNCTIONS

The Houston Health Department is seeking an experienced, innovative, and strategic healthcare executive to serve as Assistant Director of the Access to Healthcare Division. This executive leadership position provides strategic direction and operational oversight for the departments safety-net clinical services, and chronic disease prevention programs.

The Assistant Director is responsible for ensuring high-quality, patient-centered healthcare services while advancing organizational priorities related to access, quality, operational excellence, financial sustainability, and health equity. This position provides executive leadership over multiple healthcare service lines and administrative functions while fostering collaboration across clinical, operational, and community partners.

The Assistant Director will lead efforts to strengthen financial performance, improve patient experience, and expand access to preventive and treatment services throughout the City of Houston.

Key Responsibilities:

• Develop and implement strategic initiatives that improve access to preventive and treatment services for underserved communities while aligning division operations with departmental priorities, community health needs, and public health best practices.
• Provide executive oversight of the departments health centers and clinical service lines, ensuring efficient operations, exceptional patient care, regulatory compliance, and continuous improvement in quality, safety, and patient experience.
• Lead strategies to improve healthcare revenue generation, optimize billing and reimbursement processes, strengthen financial sustainability, monitor payer performance, and maximize available funding while preserving access to essential public health services.
• Establish organizational performance expectations and monitor operational, financial, and clinical outcomes using data-driven decision making, quality improvement methodologies, accreditation standards, and performance management practices.
• Build and lead a high-performing workforce through coaching, succession planning, professional development, performance management, and organizational change initiatives that foster accountability, innovation, collaboration, and service excellence.
• Represent the department with executive leadership, healthcare organizations, governmental agencies, elected officials, academic institutions, community organizations, regulatory agencies, funding partners, and other stakeholders to strengthen healthcare partnerships and improve community health outcomes.
• Facilitate a "no wrong door" access to services or support where customers can get help, information or referral regardless of which office or program they contact first.
• Direct the operations and strategic planning for the departments safety-net health centers, chronic disease prevention programs, oral health services, See to Succeed initiative, healthcare billing operations, and other assigned programs.
• Develop and implement strategies that improve healthcare access, patient outcomes, clinic efficiency, and organizational performance.
• Lead operational transformation initiatives that improve patient experience, provider productivity, workflow efficiency, and service delivery.
• Oversee division budgets, grants, contracts, reimbursement revenue, and other funding sources to ensure fiscal stewardship and long-term sustainability.
• Monitor clinical, operational, financial, and quality performance indicators to support executive decision-making and continuous improvement.
• Ensure compliance with federal, state, local, accreditation, regulatory, and grant requirements.
• Build collaborative partnerships with hospitals, federally qualified health centers, healthcare providers, managed care organizations, academic institutions, and community organizations.
• Direct and evaluate bureau managers and division leadership through hiring, coaching, performance management, workforce planning, and succession planning.
• Lead organizational initiatives related to healthcare innovation, quality improvement, population health, and health equity.
• Serve in leadership roles during public health emergencies and Incident Command System activations, which may require extended work hours, emergency assignments, and non-traditional schedules.
• Oversee additional programs and functions as assigned based on departmental priorities and evolving community needs, ensuring the division remains responsive and positioned to effectively serve the community.
• Perform other duties as assigned.

WORKING CONDITIONS

This position is physically comfortable; the individual has discretion about walking, standing, etc. There are no major sources of discomfort in a normal office environment.

MINIMUM REQUIREMENTS

EDUCATION REQUIREMENTS

Requires a Bachelors degree in Business Administration, Public Administration or a closely related field.

EXPERIENCE REQUIREMENTS

Seven years of administrative experience are required, with at least three of those years in a managerial capacity.

A Masters degree may be substituted for two years of experience.

LICENSE REQUIREMENTS

None

PREFERENCES

Preference will be given to candidates who have the following:

• Masters degree in Public Health (MPH), Health Administration (MHA), Public Administration (MPA), Nursing, Social Work (MSW), Nutrition, Business Administration (MBA), or a related field.
• Experience leading safety-net healthcare systems, community health centers, or public health clinical operations.
• Experience overseeing multiple ambulatory care or public health service lines.
• Experience improving healthcare access, patient experience, and operational performance.
• Experience managing healthcare revenue cycle operations, billing, reimbursement, or payer relations.
• Experience developing and managing complex budgets, grants, and multiple funding sources.
• Experience using healthcare data, performance metrics, and quality improvement methodologies to drive decision-making.
• Experience implementing healthcare transformation, population health, or value-based care initiatives.
• Experience with electronic health records (EHRs), clinical workflows, and healthcare reporting.
• Experience leading multidisciplinary healthcare teams and developing organizational talent.
• Experience with healthcare accreditation, regulatory compliance, and clinical quality standards.
• Experience building partnerships with healthcare organizations, community partners, and governmental agencies.
• Experience leading organizational change and strategic initiatives.

Preference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6.

GENERAL INFORMATION

SELECTION / SKILLS TESTS REQUIRED

Department may administer skills assessment test.

SAFETY IMPACT POSITION No

If yes, this position is subject to random drug testing and if a promotional position, candidate must pass an assignment drug test.

SALARY INFORMATION

Factors used in determining the salary offered include the candidates qualifications as well as the pay rates of other employees in this classification.

PAY GRADE: 32

APPLICATION PROCEDURES

Only online applications will be accepted for this City of Houston job and must be received by the Human Resources Department during active posting period. Applications must be submitted online at: www.houstontx.gov.

To view your detailed application status, please log-in to your online profile by visiting: http://agency.governmentjobs.com/houston/default.cfm or call (832-393-0453).

If you need special services or accommodations, call (832-393-0453). (TTY 7-1-1)

If you need login assistance or technical support call 855-524-5627.

Due to the high volume of applications received, the Hiring Department will contact you directly, should you be selected to advance in our recruitment process.

All new and rehires must pass a pre-employment drug test and are subject to a physical examination and verification of information provided.

Equal Opportunity Employer

The City of Houston is committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individuals sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, genetic information, veteran status, gender identity, or pregnancy.

The city offers a competitive benefits program, including competitively priced health coverage and a defined contribution pension plan. Benefits include:

• Medical
• Dental
• Vision
• Wellness
• Supplemental Insurance
• Life insurance
• Long-term disability
• Retirement pension
• 457 deferred compensation plan
• Employee Assistance Program
• 10 days of vacation each year
• 13 city holidays, plus one floating holiday
• Compensable Sick Leave
• Personal Leave
• Flexible schedules
• Hybrid-Telework for eligible positions
• Professional development opportunities
• Transportation/parking plan
• Section 125 pretax deductions
• Dependent Care Reimbursement Plan
• Paid Prenatal, Parental and Infant Wellness Leaves
• Healthcare Flexible Spending Account

For plan details, visit http://www.houstontx.gov/hr/benefits.html

01

Are you a veteran who served on active duty in the Armed Forces (United States Army, Navy, Air Force, Marine Corps, or Coast Guard) for more than 90 consecutive days and received either an honorable discharge or a general discharge under honorable conditions?

• Yes
• No

02

Which best describes your highest level of education?

• High School Diploma / GED
• Associate Degree
• Bachelors Degree
• Masters Degree or higher
• None of the Above

03

Which best describes your years of experience that relate to the duties of this position?

• I have no experience that directly relates to the duties of this position.
• Less than 5 years
• 5 - 6 years
• 7 - 8 years
• 9 - 10 years
• 11 or more years of related experience

04

Please describe your related experience. If none use N/A.

05

Which best describes your years of experience in a managerial capacity?

• I have no managerial experience
• I have less than 3 years of managerial experience
• I have 3 or more years of managerial experience

06

Do you have previous Senior Leadership experience within the Houston Health Department?

• Yes
• No

07

Do you have experience implementing strategies to improve healthcare access, clinic operations, patient flow, or service delivery efficiency?

• Yes
• No

08

If you answered yes to Question #7, briefly describe your role. If you answered no, use N/A. (See resume is not an acceptable answer.)

09

Do you have experience with healthcare revenue optimization, including improving billing processes, reimbursement strategies, coding practices, payer credentialing, or provider enrollment?

• Yes
• No

10

If you answered yes to Question #9, please describe your experience and level of proficiency. If you answered no, use N/A. (See resume is not an acceptable answer.)

11

Do you have experience overseeing or managing chronic disease prevention, health promotion, or population health programs?

• Yes
• No

12

Do you have experience managing complex budgets, grants, contracts, or other funding sources while ensuring fiscal accountability and operational effectiveness?

• Yes
• No

13

This position may be activated as part of the Departments Incident Command System (ICS) response during public health emergencies or other critical events. Are you willing and able to work extended hours, non-traditional schedules, nights, weekends, or holidays when operational needs require?

• Yes
• No

Required Question

Employer City of Houston

Address 901 Bagby St

Houston, Texas, 77002

Website https://www.houstontx.gov/