Public Health Clinic Manager

Public Health Clinic Manager

Salary

$120,536.00 - $163,904.00 Annually

Location

Tacoma-Pierce County Health Department, WA

Job Type

Regular

Job Number

2026-0015*

Division

Strengthening Families

Program

SF - Substance Use Services

Opening Date

06/18/2026

Closing Date

7/5/2026 11:59 PM Pacific

• Description
• Benefits
• Questions

Job Summary

Are you an experienced operational leader ready to drive impactful, integrated community health services? As the Public Health Clinic Practice, you will serve as a key senior leader, directing all clinical and administrative activities for a dynamic, integrated public health clinic focused on SUD treatment, HIV/STI services, and street medicine. Managing a 30-35 person multidisciplinary team (including SUDPs, RNs, ARNPs, and billing staff) and a $6M-$7M budget, you will have significant autonomy to oversee daily operations, ensure rigorous regulatory compliance (HIPAA, 42 CFR Part 2), and manage complex grant/revenue cycles. This advanced, second-level management role focuses on strategic program growth, expanding services (e.g., hepatitis C care, family planning), and strengthening community partnerships. As a liaison to local and state agencies, you will shape public health policy and ensure high-quality, equity-focused care delivery. The Public Health Clinic Practice / Program Manager II is a Regular, Full-time (1.0 FTE) position within our Substance Use Services program. The expected starting salary range for this position is between $120,536.00 - $129,043.20 annually. Salary is open to negotiation based on experience and qualifications.

Position Series

• Program Manager I
• Program Manager II

Career Path Options

Options to continue your career at the Health Department depend on your interest, education, and training. Possibilities beyond the position series include:

• Assistant Division Director
• Division Director

Essential Functions

• Oversee operations of the clinic services including SUD treatment, counseling, ensure timely/safe delivery of MOUD, street medicine services, and STI/HIV testing services.
• Develop, refine, and monitor clinic workflows (check-in, triage, testing, treatment, counseling, follow-up).
• Monitor program performance metrics (positivity rates, retention, encounter volume, no-show rates, claims resolution).
• Ensure compliance on regulations regarding HIPAA, 42 CFR Part 2, OSHA, SAMHSA, DEA, WA Health Care Authority/SOTA, state nurse practice acts, MOUD rules, lab certification, vaccine storage guidelines, county policies, etc.
• Plans, organizes, directs, monitors, and evaluates the assigned program area(s) within a complex environment. Exercises independent judgement in the oversight of daily operations.
• Supervises, mentors, coaches, and manages staff, including hiring, training, timecard/time off approvals, performance management, and resolution of disciplinary matters. Assists program supervisors with resolving complex employee relations and performance management issues. Coordinate multidisciplinary teams (SUDPs, LPNs, RNs, ARNPs, medical assistants, reception, etc.).
• Plans and executes workplans to ensure goals and objectives are met.
• Formulates quality assurance, improvement, and control efforts to improve the efficiency and effectiveness of program(s). Provides support toward implementation and assessment of QI fidelity.
• Plans, develops, monitors, and controls complex program budgets. Ensures financial accountability and fiscal viability of program(s). Proposes service fees and monitors reimbursement invoicing and billing. Provides oversight to billing team to ensure accurate coding, claim submission, insurance verification, and payer compliance.

Examples of Key Duties

The items in this section are the key duties and responsibilities for this job and do not represent an exhaustive list. Our organization is dynamic, and duties may change based on business needs. Any new duties will remain within the scope of the job.

• Maintain compliance with infection control, harm-reduction, medication handling, and MOUD protocols.

• Formulates policies, procedures, protocols, and standards, ensuring compliance with federal, state, contractual, and Department requirements.

• Manage audits, licensing reviews, QA inspections, and corrective action plans.

• Lead or participate in compliance review teams conducting compliance and credential review processes.

• Directly supervises, mentors, coaches, and manages staff and supervisors (i.e., Program Manager I, Nurse Supervisor, SUDP Supervisor, front office/billing leads), including hiring, training, performance management, investigations, and resolution of disciplinary matters. Assists program supervisors with resolving complex employee relations and performance management issues.

• Establish and maintain competency and cross-training of staff (i.e., LPNs in testing procedures, dosing, SUDPs in basic public health screenings).

• Plans, develops, monitors, and controls program budget. Ensure financial accountability and program fiscal viability. Monitor budgets, grants, contracts, expenditures, and revenue forecasts.

• Participate in financial recovery strategies (e.g., reducing denials, standardizing documentation).

• Identifies new sources of revenue. Negotiates and manages grants, interagency agreements, and revenue contracts.

• Identifies, evaluates, and manages quality improvement initiatives to develop recommendations and facilitate continuous improvement.

• Contribute to long-term planning around integrated care, new service lines (e.g., street medicine outreach expansion, immunizations, and TB).

• Promotes and maintains partnerships with local, state, and federal agencies and internal and external partners and collaborators such as shelters, Street Medicine/homeless services, hospitals, community-based organizations, and correctional health.

• Maintain staff safety protocols for street medicine and clinic settings.

• Plans, organizes, directs, and evaluates the assigned program area within a complex environment. Exercises independent judgement in the oversight of daily operations.

• Formulates policies, procedures, protocols, and standards, ensuring compliance with federal, state, contractual, and Department requirements.

• Evaluates and monitors services and programs. Monitors and assesses progress toward objectives and impacts on the community. Formulates quality administrative controls and quality assurance policies and procedures to improve and/or monitor the efficiency and effectiveness of service delivery.

• Manages program performance to ensure goals are met and impact on the community is maximized. Determines service priorities based on community need and regulatory requirements.

• Plans and executes workplans with project managers, program supervisors, and team members to ensure goals and objectives are met. Supports strategy and service implementation, addressing equity, health equity, and social determinants of health.

• Plans, develops, monitors, and controls complex program budgets. Ensures financial accountability and program fiscal viability.

• Monitors expenditures and revenues. Proposes service fees and monitors reimbursement invoicing and billings.

• Negotiates and administers community-based contracts with private and public agencies. Reviews and approves contractor selection process, payment of contracts, and contract performance.

• Identifies new sources of revenue and develops, monitors, and manages program budgets, contracts, grant deliverables, and program operations. Negotiates and manages grants, interagency agreements, and revenue contracts.

• Translates leadership direction into actionable plans that align current priorities with the Department Strategic Plan and organizational initiatives and objectives. Develops and implements program goals, objectives, and metrics.

• Identifies, implements, and manages quality improvement initiatives to develop recommendations and facilitate continuous improvement.

• Assesses program and community needs. Performs needs assessments, utilization, and outcome data analysis.

• Supervises, mentors, coaches, and manages staff, including hiring, training, timecard/time off approvals, performance management, investigations, and resolution of disciplinary matters. Assists program supervisors with resolving complex employee relations and performance management issues.

• Monitors, reviews, interprets, and implements detailed federal, state, or local regulations and ensures program compliance with applicable policies, practices, and the law. Assesses impact of new legislation on program operations and services and makes recommendations.

• Lead or participate in compliance review teams conducting compliance and credential review processes.

• Promotes and maintains partnerships with local, state, and federal agencies and internal and external partners and collaborators. Shares information and resources with other agencies to promote public health initiatives.

• Provides expertise, consultation, and assistance in the areas of program expertise. Serves as a resource and technical consultant to explain the health department role and policies and laws and regulations in assigned area to officials, groups, and individuals.

• Acts as a liaison and consultant to community, local and state agencies regarding public health policy. Under the direction of the Director of Public Health, Health Officer, and/or division leadership, may represent the department on task forces, committees and planning bodies in the areas of policy and health services planning.

• In collaboration with Communications, may represent the program before the media and public.

• Represents the program by presenting at various functions including Board of Health Meetings, community events, and committee meetings.

• The work you do might require you to participate in the Title XIX Medicaid Claiming Program.

• Performs other duties as assigned.

Safety & Emergency Preparedness

• Adheres to all workplace and trade safety laws, regulations, standards, and practices.
• Understands and properly follows established procedures in preventing and responding to unsafe or emergency situations. Identifies and reports potentially unsafe practices or conditions.
• Operates equipment, tools, machinery, and vehicles safely and understands processes for reporting an accident or injury.
• Understands and applies knowledge and skills necessary to successfully perform assigned emergency response role during an emergency.

When public health responds to an emergency, you may be assigned duties and responsibilities that are outside your regular job description. This may involve responding at any time and reporting to a location other than the department with different working conditions and physical requirements. You are expected to participate in emergency preparedness activities including our emergency notification system, WA SECURES. Drills and real-world events may take place at any time.

For a complete description of the classification specifications please click here.

What you bring to the table

• Intermediate knowledge of standard Microsoft Office programs, financial management software, and timekeeping systems.
• Proficient with modern equipment and communication tools used for business functions and program, project, and task coordination, including computers and software programs relevant to work performed.
• Knowledge of principles and practices of program management including planning, development, monitoring, evaluation, and administration.
• Knowledge of organization and management practices as applied to the development, analysis and evaluation of programs, policies, and operational need of the assigned area of responsibility.
• Knowledge of principles and practices of public health program services to include evidence and practice-based assessment, prevention, treatment, and education.
• Skilled in health education practices, policy development, and program planning.
• Applied knowledge of administrative principles, practices, and methods including goal setting, program development, implementation and evaluation, policy and procedure development, quality control, and work standards.
• Knowledge of public health laws and regulations governing public health programs and services. Knowledge of local, state, and federal laws applicable to the body of work.
• Understanding of complex regulatory environments relating to the program.
• Skilled in multi-tasking complex functions.
• Knowledge of principles and practices of legal, ethical, and professional rules of conduct.
• Knowledge of government and departmental procurement practices and procedures.
• Knowledge of Departmental policies and procedures and Collective Bargaining Agreements.
• Knowledge of contract and budget development, implementation, and management.
• Skilled in grant writing.
• Skilled in maintaining sensitive and confidential data and using discretion when sharing information.
• Skilled in communication:
• Listens to others and communicates in an effective manner.
• Asks questions in ways that enhance the clarity, quality, and reliability of information.
• Understands and learns from what others say, attends to nonverbal cues, and responds appropriately.
• Grasps the meaning of written information and applies it to work situations.
• Conveys ideas and facts using language the audience will best understand, taking into consideration the audience and nature of the information.
• Writes in a clear, concise, and organized manner for the intended audience.

Foundational Competencies

• Knowing and managing oneself: Understands that all equity, trauma-informed, and restorative practices start with oneself. Exercises a high degree of self-reflection, personal accountability, resilience, flexibility, and adaptability. Is willing to learn, apply, and model agency values and ethical standards.
• Restorative practices and conflict resolution: Articulates through words and actions authentic commitment to create an environment in which all people are treated with dignity and respect and afforded equal opportunities and impartial treatment. Centers work inequity and trauma informed and restorative practices to achieve and maintain collaboration and teamwork and to effectively work with historically underrepresented and/or underserved populations to advance community health. Utilizes restorative practices to address harm and promote healing to strengthen relationships between individuals and social connections within communities.
• Collaboration and engagement: Provides balanced and objective information to help teammates, partners, and the public understand problems, alternatives, opportunities, and solutions. Works directly with partners within the Department, in the community, and members of the public affected by the work to obtain feedback and understand diverse points of view, concerns, and aspirations. Identifies preferred solutions together, incorporating advice and recommendations to the maximum extent possible.
• Evidence informed practices and decision-making: Applies evidence informed practices and methodologies to achieve the greatest impact in delivery of services to internal and external customers and partners. Incorporates the social determinants of health into public health work. Integrates research and evidence into the decision-making process. Seeks to systematically identify and eliminate inequities resulting in differences in health and in overall living conditions. Utilizes evidence informed practices to increase equity in systems and policy. Creates a robust culture of assessment and evaluation and continuous process improvement.
• Cross cultural communication and Engagement: Understands that cultural awareness, appreciation, and humility can only occur when you practice curiosity and open-mindedness. Operates with a high level of humility and cultural agility to achieve effective intercultural communication, engagement, and collaboration in the workplace and in the community. Is open to feedback and continuously self-reflects on one's own actions and responses. Centers personal accountability on the Department's mission, values, and ethical standards.

In addition to the Foundational Competencies, the key competencies for this job include:

• Conflict Management: Anticipates and seeks to resolve confrontations, disagreements, and complaints in a constructive manner; demonstrates ability to work with diverse viewpoints toward a common goal.
• Cultural Competency: Demonstrats knowledge the implications for public health of increasingly diverse communities; able to interact sensitively, effectively, and professionally with persons from diverse backgrounds.
• Quality Improvement: Understand and applies basic concepts of quality management and improvement.
• Personal Leadership: Takes responsibility for outcomes of assigned tasks; manages own time efficiently; displays initiative and works persistently toward Dept goals; assesses own strengths and weaknesses, and impact on others.
• Team Skills: Contributes to the outcomes of a mutual goal; participates productively as a team member/leader.

Who should apply

The items below are the requirements for the job and are relevant to this position. The organization values work experience, lived experience, and education and realizes that people take different paths to acquire knowledge.

• Bachelor's degree in business, public health, environmental health, or applicable related field.
• Three years of experience in public health program management.
• Directly related experience in the assigned program(s).
• Three years of experience supervising or leading teams.

We will consider any equivalent combination of education and experience that provides the necessary qualifications to successfully perform the duties of the position.

Professional Certifications, Licensure, and Other Requirements

We require or prefer the below for this classification.

• Requires valid driver's license and acceptable driver's abstract prior to employment.
• Strong background in compliance and regulatory requirements for SUD and STI/HIV services.
• Demonstrated success managing programs with complex funding (grants, billing, insurance).

Desired:

• Master's degree (MBA, MPH, MHA, MSN, or similar).
• 4-5+ years of experience in clinical operations, health care, public health, behavioral health/SUD, or community health.
• 4+ years of experience supervising multidisciplinary teams (clinical + administrative + support staff).
• Strong background in compliance and regulatory requirements for SUD and STI/HIV services.
• Demonstrated success managing programs with complex funding (grants, billing, insurance).
• Certification in CPPS (Certified Professional in Patient Safety) or CPHQ (Certified Professional in Healthcare Quality)
• Experience with harm-reduction models, street medicine, and low-barrier access services.
• Experience with EHR implementation and optimization.
• Previous work in a public health department or integrated care clinic.
• Knowledge of 42 CFR Part 2, HIPAA, and other sensitive data and confidentiality rules.
• Strong understanding of clinical workflow design, scheduling, staffing, and patient flow.
• Project management, QI, and change management skills.
• Ability to use data for decision-making and performance improvement.
• Understanding of SUD treatment modalities (i.e., MOUD).
• Familiarity with STI/HIV testing, STI treatment workflows, HIV PrEP, and STI/HIV partner services.

Working Conditions & Physical Requirements

Work Environment

• Work is performed almost exclusively indoors in an office environment. Exposure to hazards is limited to those commonly found in office environments.
• Some afterhours and/or weekend work may be required.

Physical and Cognitive Demands

• Regularly required to sit or stand continuously.
• Regularly communicate clearly in-person, over the phone, and via written communication.
• Capable of reading physical and electronic documents and working for prolonged periods on a computer monitor.
• Fine motor skills sufficient to operate a telephone and operate a computer mouse and keyboard.
• Frequently move throughout the Department.
• This position may require lifting, carrying, pushing, pulling, or moving objects up to 10 pounds consistently, 20 pounds frequently, and exerting up to 30 pounds of force occasionally.
• Learn, recall, and apply specialized information.
• Maintain concentration and attention for extended periods of time.
• Work effectively when exposed to workplace stressors, such as emotional and/or confrontational individuals.

Tools and Equipment

• Duties require the use of standard office furniture and equipment (e.g., desk, filing cabinet, computer, printer, telephone, fax machine, copy machine, etc.)

Travel

• Some travel may be required (10-15% of the time, will vary by position), and is typically local or regional, to meet with clients, conduct business, or attend training.

Click Here for more details on reasonable accommodations, safety, risk management and more.

Benefits

Tacoma-Pierce County Health Department offers an excellent pay and benefits package, combined with the opportunity to provide innovative Public Health services to our community, making this a rewarding place to work!

Salary: Salary ranges are listed on the job announcement and are based on the unique skills, education, and experience for the position. Salary offers are typically made at the starting pay step and are reviewed annually. You will get an annual cost-of-living adjustment that increases the salary range as well as an annual step increase on your anniveristy date. All salary offers are subject to administrative approval.

Medical, Vision, and Dental Insurance: The Department pays a significant portion of these premiums for employees, their spouse or domestic partner, and dependent children, with an FTE of .80 or greater. Employees with an FTE between .50 and .80 pay a pro-rated portion of their premiums. Medical, vision and dental coverage begins the first day of the month following date of hire.*

Life Insurance: The Department provides a term Life Insurance policy equal to the employees annual salary, up to a maximum of $50,000.* Affordable voluntary, spouse, and dependent life insurance is also available.

Long Term Disability Insurance (LTD): The Department provides a base LTD policy which provides 40% income replacement for participants who are unable to work due to illness or injury for greater than 180 days. Buy-Up LTD is available at group rates and provides 60% income replacement to participants who are unable to work due to illness or injury for greater than 90 days.

Retirement: Eligible employees participate in the Tacoma Employees Retirement System (TERS). TERS is a defined retirement benefit plan funded by both the employee and the Department. We also have a 457 Deferred Compensation retirement program available which allows individuals to set aside a portion of their income on a tax deferred basis.

Additional Benefits include: Generous paid vacation, sick, personal, and holiday leave, Flexible Spending Arrangement (FSA), Employee Assistance Program, On-site Fitness Center, Commute Trip Reduction program, Worksite Wellness Program, Direct Deposit; Service Awards, Safety Program / Rewards, Executive Benefits Plan and more.

• Temporary Employees (hired for greater than 2 months): The Department provides medical, dental, and vision benefits, $12,000 base life insurance effective the first of the month following 2 months of employment. Paid vacation, sick leave and holiday leave accrual begin following 6 months of temporary employment.

Please Note:

• There may be restrictions to the above benefit programs or policies not listed. The provisions of this bulletin do not constitute an expressed or implied contract. Any provisions contained herein may be modified and/or revoked without notice.
• Employee pay is distributed through Direct Deposit. For this reason, employees are required to have an open checking or savings account, at their choice of banking institutions, upon employment.

We are an Equal Opportunity Employer. For assistance, contact our Office of Human Resources/Risk Management at hr@tpchd.org or (253) 649-1660.

01

This role requires that you possess a Bachelor's degree in Business, Public Health, Environmental Health, or a related field AND three years of experience in public health program management with at least three years of experience in a supervisory or leadership role. Please indicate which of the following describes how you meet this requirement:

• I have an Masters degree in Business, Public Health, Environmental Health, or a related field AND one or more years of the required experience.
• I have a Bachelors degree in Business, Public Health, Environmental Health, or a related field AND three or more years of the required experience.
• I have an Associates degree in Business, Public Health, Environmental Health, or a related field AND five or more years of the required experience.
• I have less than an Associates in Business, Public Health, Environmental Health, or a related field AND Seven or more years of the required experience.
• I do not have the required education or experience.

02

Do you have experience managing clinical operations, supervising a multidisciplinary staff (such as nurses, counselors, or medical leads), and overseeing program budgets or grants?

• Yes
• No

03

If you answered Yes, please describe your experience managing and overseeing a complex clinical or public health program. In your response, please address the following: 1. The size and types of teams you have supervised (e.g., clinical, administrative, or billing staff). 2. Your experience managing budgets, grants, or revenue cycles. 3. How you ensure compliance with strict regulations (such as HIPAA or 42 CFR Part 2) while keeping clinic workflows running smoothly. (If you answered No, please describe any transferable leadership and operational experience that qualifies you for this senior management role.)

04

Please describe your experience managing an annual budget of $5M or more. Specifically, highlight your familiarity with blending diverse funding streams, such as Medicaid revenue, local/state grants, and federal funding. If you do not have this experience, please indicate n/a.

05

This position requires strict adherence to privacy and healthcare regulations. What is your level of experience ensuring compliance with HIPAA and 42 CFR Part 2 within a behavioral health or clinical setting? If you do not have this experience, please indicate n/a.

06

As this clinic looks to expand into immunizations, TB care, and family planning, please provide an example of a time you successfully scaled a program or implemented a new clinical service line. If you do not have this experience, please indicate n/a.

07

Briefly explain your experience with clinical billing and revenue cycle management. How do you ensure financial sustainability while serving high-need or uninsured populations? If you do not have this experience, please indicate n/a.

08

Describe a time you served as a liaison between a healthcare organization and a government agency (local or state). How did you represent your programs interests in policy or planning discussions? If you do not have this experience, please indicate n/a.

09

Provide an example of a Quality Improvement (QI) initiative you led. What metrics did you use to measure success, and how did you gain staff "buy-in" for the change? If you do not have this experience, please indicate n/a.

10

This role oversees street medicine operations. What do you believe are the primary operational challenges of delivering healthcare to unsheltered populations, and how have you addressed these in the past? If you do not have this experience, please indicate n/a.

11

This role operates with significant latitude. Describe a complex operational crisis you managed independently. What factors did you consider when making your final decision? If you do not have this experience, please indicate n/a.

12

This position requires proof of a valid drivers license and acceptable drivers abstract prior to employment. Can you meet this requirement?

• Yes
• No

Required Question

Employer Tacoma-Pierce County Health Department

Address 3629 South D St.

Tacoma, Washington, 98418

Phone 253-649-1660

Website https://www.tpchd.org/i-want-to-/jobs/employment/employment-opportunities