County of Alameda

County Health Officer (#5046)

Bargaining Unit: Unrep - HCSA Tech/Para Mgmt (U45)
$142.08-$172.63 Hourly / $11,366.40-$13,810.40 BiWeekly /
$24,627.20-$29,922.53 Monthly / $295,526.40-$359,070.40 Yearly

Under general administrative direction of the Director of the Health Care Services Agency or a designee, plans, organizes, directs, and administers the County medical Public Health Program and provides oversight of selected division or divisions within Health Care Services Agency; provides leadership and participates in the design, development, evaluation, and implementation of departmental goals and strategies for care; develops, implements and monitors policies, procedures, systems and standards for county operated and contracted medical services to ensure effective delivery of services and compliance with local, state and federal laws pertaining to the practice of medicine within the county setting; enforces Local, State and Federal public health laws; serves as the local Registrar of Vital Records for the County; provides highly complex staff assistance to the Director of the Health Care Services Agency or designee; represents the Agency before boards, committees, Local, State and Federal health agencies, community organizations, and the general public on medical issues, and does related work as required.
The County Health Officer is a single-position class which serves as the local medical/public health authority to issue and/or enforce local health orders, ordinances and statutes to assure the effectiveness of mandated health protection functions, to assess the health status of the community and to provide related medical direction to the Health Care Services Agency.  This position is also responsible for overseeing communicable disease and pandemic related issues and functions within a division or divisions through subordinate supervisors and staff.  This class is distinguished from the Director, Public Health, in that the latter has overall administrative and operational responsibility for the Public Health Department.

NOTE:  The following are the duties performed by employees in this classification.  However, employees may perform other related duties at an equivalent level.  Each individual in the classification does not necessarily perform all duties listed.


  1. Plans, organizes, directs, and administers the County medical public health program and provides oversight of selected division or divisions within Health Care Services Agency; monitors for program efficiency and effectiveness.
  2. Recommends and participates in the development of countywide goals, objectives, policies, and procedures to meet current and projected service delivery needs as it relates to public health issues.
  3. Ensures that services related to the County’s medical health program and services provided by managed care plans (Medicaid) are coordinated with services provided by other County departments/agencies.
  4. Assesses the health indicators of the community by applying epidemiological principles and methods, medical expertise and public health knowledge; promotes proactive measures and monitors the implementation of initiatives to improve community health.
  5. Advocates for effective disease prevention and health programs and makes recommendations to address the social determinants of health.
  6. Provides technical consultation to all segments of the community in the development and implementation of interventions to reduce excess morbidity and mortality in the health jurisdiction.
  7. Interfaces with the private and public medical community to assure knowledge of ongoing and emerging public health threats, current and new developments in standards of care, mandatory reporting requirements, research priorities, and appropriate interventions to reduce the transmission of communicable diseases.
  8. Represents the department to public and private organizations; coordinates public health activities with other public and private agencies.
  9. Ensures adequate disease controls and preventive systems are in place and effectively measured by community assessment planning and education.
  10. Provides community outreach and preemptive health education to community organizations and the general public on critical health issues.
  11. Develops and implements a surveillance system and conducts data analysis.
  12. Develops the recurring County Health Status Report and communicates health improvements to the community.
  13. Plans, implements, and evaluates county-wide disaster drills, ensure proficiency in individual and department staff preparedness for major disaster incident.
  14. Serves as Medical and Health Coordinator for Alameda County Emergency Response representing Region II, which includes: serving on the Disaster Preparedness Task Force, attending California Conference of Local Officers disaster committee meetings, attending Emergency Managers Association of Alameda county meetings, developing and implementing the medical and health care response plan for the operation area.
  15. Enforces local health ordinances and State and Federal public health laws and regulations to protect and promote the health and well-being of all residents of Alameda County.
  16. Plans, coordinates, convenes, and implements annual Alameda County jail and prison inspections; generates formal inspection reports to jail/prison officials, State Prison, Grand Jury, and the State Prison Bureau of Correction.
  17. Directs the Public Information Officer in responding to media inquiries and engaging in related activities (interviews, press releases/conferences, etc.) in the event of an epidemic or disaster; may meet with news media and issue public statements.
  18. May serves as the Director of the Public Health Department or a division thereof.
  19. Identifies, appoints, and oversees the coordinating body for pandemic preparedness and response.  
  20. Enacts or modifies legislation and policies required to sustain and optimize pandemic preparedness, capacity development, and response efforts across all sectors.



Graduation from an accredited school of medicine with a Medical Degree.  



The equivalent of five (5) years of recent full-time, paid experience in either health care administration or management of a medical or a public health care program.  The equivalent of at least three (3) years of the required experience must have been in a major administrative role, which included program planning and evaluation, oversight of clinical services, community organization, and budget management.  


Possession of a valid license to practice medicine in the State of California.  

Certification by an American Specialty Board in preventive medicine, pediatrics, internal medicine, family practice, or other field closely related to public health.  (Possession of a Master’s Degree in Public Health may be substituted for the required Specialty Board certification.)  


NOTE:    The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.


NOTE:  The level and scope of the following knowledge and abilities are related to duties listed under the “Examples of Duties” section of this specification.  

Knowledge of:

  • Principles and practices of organization, public administration, budget and personnel management.
  • Principles and practices of public health, including current trends in policy, research, treatment, prevention, education and related issues.
  • Laws, codes, and regulations governing public health care issues, including appropriate enforcement techniques.
  • Communicable disease management and mitigation.
  • Effective management practices in health care systems.
  • Community needs, resources and organizations related to public health and medical care.
  • Principles of financial administration, including public budgeting and reporting.

Ability to:

  • Research, prepare and interpret clinical, technical and administrative reports.
  • Speak effectively to diverse audiences.
  • Maintain relationship with various private and public agencies, and interact effectively with the public and a variety of stakeholders.
  • Work cooperatively and effectively with other agencies/departments, government officials, and the local private medical community.
  • Plan, organize and direct activities designed to protect and promote the public health.
  • Interpret and make decisions in accordance with laws, regulations, and policies.
  • Evaluate the adequacy of health programs.
  • Provide collaborative leadership with strong commitment to public health and community participation in addressing health problems.


Retyped:  04/96



Old document: 1306H.doc

New document:  Jobspecs/5046


CSC Date:  04/17/96

CC:pf  Rev. 12/12/02

CSC DATE: 04/02/03

RE:ah Revised 11/7/18

CSC Date:12/05/18

RE:sa Revised 11/03/2020

CSC Date: 11/18/2020


Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees)
  • Accidental Death and Dismemberment Insurance 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 11 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Management Paid Leave**
  • Catastrophic Sick Leave
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.

** Non-exempt management employees are entitled to up to three days of management paid leave. Exempt management employees are entitled to up to seven days of management paid leave.