Deputy Executive Director for Health Systems Organizational Performance

Deputy Executive Director for Health Systems Organizational Performance

Salary

$123,102.58 - $184,653.88 Annually

Location

Location will vary throughout Adams County, CO

Job Type

Regular Full-time

Job Number

07669

Department

Public Health Department

Opening Date

09/22/2026

Closing Date

10/13/2026 4:30 PM Mountain

Our Mission

To responsibly serve the Adams County community with integrity and innovation.

EEO

Adams County is an equal opportunity employer. No person is unlawfully excluded from employment opportunities based on race, color, national origin, ancestry, religion, creed, sex, sexual orientation, gender expression, gender identity, age, disability, genetic information, veteran status, marital status or any other legally protected characteristic.

Position classification

Hybrid -- Job duties and expectations allow for onsite and remote work scheduled every week. Employees in this classification are regularly scheduled onsite one (1) to four (4) days per week based on the County needs and as determined by Department Director. Hybrid classified roles can be onsite more than the set minimum based on employee preference.

• Description
• Benefits
• Questions

What Success Looks Like In This Job

Organizational Information:

Adams County Health Department is a newly-formed, local public health agency in the State of Colorado and part of the Adams County Government. The department was formally formed on January 1, 2023. As of June 1, 2023, the department is composed of 5 Divisions including Strategic Health Initiatives, Epidemiology and Data Science, Public Health Nursing, Environmental Health, and Nutrition and Family Health, as well as unique organizational units such as the Office of Strategic Affairs, Finance Program, Performance Management and Quality Improvement (PMQI), and employs approximately 200 staff and has an annual operating budget of approximately $30M.

Role Overview:

The Deputy Executive Director of Health Systems and Organizational Performance performs executive-level duties for the Adams County Health Department and serves as the executive leader responsible for organizational excellence, enterprise quality, compliance, financial stewardship, organizational development, accreditation, enterprise risk management, and performance management. This position provides executive oversight of the Nursing and Strategic Health Initiative divisions and enterprise support functions that enable the organization to achieve its strategic priorities while maintaining compliance with federal, state, local, and accreditation requirements.

The Deputy Executive Director provides direct supervision of the Finance Manager, the Performance and Business Excellence Manager, Nursing Division Director, and Strategic Health Initiatives Division Director, and may supervise additional staff or divisions as determined by the Executive Director. The Deputy Executive Director serves as the Departments Chief Compliance Officer and executive sponsor for enterprise quality improvement, accreditation, ethics, organizational development, and continuous improvement initiatives.

In partnership with the Executive Director, this position provides executive leadership across the organization by establishing systems that strengthen organizational effectiveness, accountability, fiscal stewardship, performance excellence, and public trust. During the Executive Directors absence, provides executive leadership in coordination with the Deputy Executive Director for Community-Based Services. This mirrors the responsibilities of the existing DED while shifting the focus from service delivery to organizational performance and governance.

Examples of Duties for Success

Executive Leadership:

• Provides executive leadership for enterprise quality, compliance, organizational excellence, finance, and administrative services.
• Maintains awareness of policy, public health law, regulations, and political landscape and collaborates closely with the County Attorney's Office and other subject matter experts in the interpretation and application of policy to health department operations.
• Dedication to and promotion of psychological safety and staff development throughout the agency by fostering an environment of learning, development, and growth for all Adams County Health Department staff.
• Serves as Executive Sponsor on large-scale, cross-divisional, multidisciplinary strategic projects, innovation, and organizational transformation efforts. Provides executive leadership and sponsorship of large-scale, cross-Division and multidisciplinary projects, including special projects, policy initiatives, community engagement efforts, and change management efforts as assigned.
• Serves as a strategic advisor to the Executive Director on organizational effectiveness, governance, enterprise risk, and performance.
• Promotes a department-wide mindset focused on organizational excellence, accountability, innovation, and continuous improvement.
• Leads cross-divisional change management initiatives that improve organizational effectiveness.
• Promotes improving health outcomes in the communities served by the health department. Strives to integrate fairness into all department programs, services, and activities.
• Responds to public health emergencies and initiates corrective actions and responses pursuant to federal, state, and local laws, as assigned by the Executive Director. Plays a critical role in the health department's incident command system (ICS) during incidents or other emergencies.
• Represents the Department with county leadership, governmental agencies, auditors, accreditation organizations, and community partners as assigned.
• Participates in the hiring, onboarding, training, and development of top-level department staff.
• Works closely with the Executive Director, Division Directors, and other subject matter experts to develop and monitor annual budget and address contractual issues as needed.
• Works collaboratively with cross-functional teams and other county departments to support efforts to integrate operations with existing county functions.
• Effectively models best practices in values-based leadership to supervise, coach, and mentor staff in a productive and positive manner to support overall workforce development.
• Promotes and models ACHD leadership competencies.

Compliance, Ethics, and Enterprise Risk:

• Serves as the Departments executive leader for enterprise compliance and ethics.
• Oversees development, implementation, and maintenance of the Departments compliance policies and procedures.
• Chairs the Quality and Ethics Committee.
• Oversees enterprise compliance with applicable federal, state, local, grant, contractual, and accreditation requirements.
• Oversees enterprise risk management and organizational risk assessment activities.
• Ensures development and execution of internal monitoring and audit plans.
• Oversees investigations and corrective action planning related to compliance issues.
• Promotes an ethical culture grounded in accountability, integrity, transparency, and public trust.

Finance and Business Operations:

• Provides executive oversight of departmental financial planning, budgeting, and fiscal accountability.
• Oversees financial compliance, internal controls, grant compliance, procurement oversight, and financial monitoring.
• Partners with County Finance and ACHD Finance teams to ensure long-term fiscal sustainability.
• Reviews financial trends and recommends executive decisions regarding organizational investments.
• Ensures responsible stewardship of public resources.

Quality, Performance, and Accreditation:

• Provides executive leadership for Performance Management and Quality Improvement (PMQI).
• Oversees the Departments Performance Management System.
• Leads organizational performance review processes and executive scorecard development.
• Oversees Public Health Accreditation Board (PHAB) accreditation activities.
• Champions Lean, process improvement, evaluation, and organizational learning.
• Ensures performance measures support strategic planning and organizational decision-making.

Organizational Development:

• Provides executive leadership for organizational development and employee experience.
• Oversees enterprise policy governance and organizational policy management.
• Supports leadership development, workforce planning, and succession planning.
• Sponsors organizational change management initiatives.
• Champions a culture of innovation, continuous learning, and psychological safety.

Emergency Preparedness Duties:

• Employee responds, as required, to support public health emergencies, incidents and events. Employee participates in all exercises and drills on emergency preparedness, as required. Completes trainings identified as appropriate for this level employee.

HIPAA Statement:

Maintain sensitive & confidential client information according to the HIPAA policy confidentiality requirements.

Hours, Location, Travel:

• Hours - Typical work hours are 8am - 5pm, but work schedule is flexible and based upon the needs of the organization. This position qualifies for flexible work schedules.
• Location - This is a hybrid position that is currently based out of the Adams County Government Center in Brighton, Colorado.
• Travel - The individual hired for this position should anticipate daily travel to multiple work locations within the Denver metropolitan area for executive oversight. We currently have five (5) health department locations. Travel overnight may also be required multiple times per year.

Equipment Used:

Standard office equipment including, but not limited to, personal computer and associated hardware and software, telephone, copier, calculator, and audio-visual equipment.

Working Conditions and Physical Requirements:

Work is primarily conducted indoors with occasional time spent in an outside environment. Incumbent experiences routine exposures and hazards of a typical office environment. Incumbent is occasionally required to work after normal work hours to attend governmental meetings.

• Requires sufficient hearing and speech ability to communicate verbally in response to inquiries, complaints, and to speak to groups of people or the media in an informational or training situation

Requires the ability to sit and perform administrative and computer work for significant periods of time.

Supervisory Responsibilities:

• Supervision Received: Executive Director
• Supervision Exercised: Division Directors, Finance Manager, Performance and Business Excellence Manager

Manages the organization, its programs, functions and operations during the absence of the Executive Director. Position is responsible for final decision-making and resolution at the most difficult, complex, and sensitive issues regarding budget, policy, and strategic direction as it impacts areas of assigned responsibility. Has direct supervisory responsibility over Public Health Nursing Division, Strategic Health Initiatives, Finance, Performance Management and Quality Improvement, and Organizational Development. Has a strong matrixed relationship with the Epidemiology & Data Science Division, ACHD Project Management Office, and other internal Divisions.

Qualifications for Success

Education: A Master's Degree from an accredited college or university with major coursework in public health, public administration, biological or environmental science, or a related field is required with a Bachelor's Degree from an accredited college or university in public health, public administration, biological or environmental science, or related field is required.

Experience: Seven (7) years' supervisory or management experience in upper level management position with four years within the public health setting, health systems setting, and/or local governmental experience. Local governmental public health experience strongly preferred.

Adams County and the 17th Judicial District Attorneys Office complies with Colorado's Job Application Fairness Act ("JAFA"). JAFA prohibits employers from asking individuals to disclose their age, date of birth, or dates of school attendance or graduation on an initial employment application. However, additional application materials such as certifications and transcripts containing this information may be required for certain positions; if such additional materials are requested, applicants may redact information that identifies the applicant's age, date of birth, or dates or attendance or graduation.

Adams County provides a comprehensive benefits package to employees that goes above and beyond what is offered at most organizations.

Benefits You Expect:

• AFLAC Supplemental Medical Insurance
• Basic Term Life & Optional Term Life Insurance
• Deferred Compensation Plan
• Dental/Vision/Medical Plans
• Generous Vacation/Sick leave
• Long-Term Disability
• Retirement Plan
• Short-Term Disability

Plus some you might not expect:

• Employee Assistance Program
• Employee Fitness Center
• Employee Health Clinics
• Flexible Work Schedules
• Recreation Center Discounts
• Training & Tuition Reimbursement Programs
• Wellness programs
• Lactation friendly certified workplace

01

Please be aware that your cover letter and resume will not be accessed in the initial screening process, so you must complete your application and supplemental questions with as much detail as possible. Any personally identifiable information (PII) such as name and address will be redacted from applications that meet the minimum screening requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process, your cover letter and resume will then be accessible to the hiring team. Information provided on the application is used to determine if a candidate meets minimum qualifications. Only information provided at the time of the application being completed will be considered and additional information that is not listed on the application will not be considered when deciding if a candidate meets or does not meet the qualifications. Applicants are STRONGLY encouraged to include all information and details on their application. I understand and agree that only information provided at the time of my application will be used to determine if I meet the minimum requirements for this position.

• Yes, I understand and agree
• Yes, I understand but disagree.

02

A Master's Degree from an accredited college or university with major coursework in public health, public administration, biological or environmental science, or a related field with a Bachelor's Degree from an accredited college or university in public health, public administration, biological or environmental science, or related filed is required for this role. Do you meet this requirement?

• Yes
• No

03

Please describe your master's degree, including the field of study, awarding institution, and key areas of focus. Explain how this educational background prepares you for the responsibilities and strategic leadership required for the Executive Director role.

04

Seven (7) years' supervisory or management experience in upper level management position with four years within the public health setting, health systems setting, and/or local governmental experience is required for this position. Do you meet this requirement?

• Yes
• No

05

Please provide a detailed summary of your 7 years of supervisory and upper-level management experience, including the scope of your responsibilities and the number of years in each role. Highlight the four or more years you have worked within public health, health systems, or local government, and describe how this experience equips you for strategic leadership in a public health environment. Please do not list "see resume."

Required Question

Employer Adams County

Address 4430 S. Adams County Parkway, Suite C4000B

Brighton, Colorado, 80601-8213

Website http://www.adamscountyco.gov/careers