County of Alameda

Director of Health Care Services (#5050)

Bargaining Unit: Unrep - Senior Executive Mgmt (071)
$129.15-$174.20 Hourly / $10,332.00-$13,936.00 BiWeekly /
$22,386.00-$30,194.67 Monthly / $268,632.00-$362,336.00 Yearly


Under appointment by the Board of Supervisors and reporting through the County Administrator, to provide leadership and plan, organize, coordinate, direct and review the policies, programs, activities, and operations of the Health Care Services Agency; to enlist and foster community interest in and support of the objectives of health care services; to represent the County’s interest before legislative bodies and committees on health matters; and to perform other duties as required.  

The Director of Health Care Services is responsible for advising the Board of Supervisors through the County Administrator in all matters which affect the County’s medical, mental health, community health, and substance abuse services. This position has overall Agency administrative oversight which includes reviewing and developing policies and priorities with respect to agency programs and organization of the various health services.  It is further distinguished from Assistant Agency Director positions which are delegated overall responsibility for making routine service delivery, operational and administrative decisions for the various major service areas.


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.  Directs the planning, development, organization, and coordination of all programs and operations of the Health Care Services Agency to meet changing community health service needs.

2.  Develops agency policies in consultation with and under the direction of the Board of Supervisors through the County Administrator; determines operational policies, procedures, lines of authority and responsibility, and functional assignments; and  determines Agency programs, services, budget and organizational structure.

3.  Directs the ongoing review and evaluation of service programs and operations to identify opportunities for continuous improvement; and consults with the Assistant Agency Directors in charge of the various functional service areas on a regular basis concerning Agency matters, including programs, services, budget and organization.

4.  Acts as technical and policy advisor to the Board of Supervisors; advises the Board on proposed health care legislation; and when appropriate, attends Board sessions and other policy forums to present and justify agency proposals requiring action.

5.  Confers with the County Administrator’s Office concerning budgetary and organizational programs and services; directs the preparation of the Agency’s budget; and administers and monitors the budget to ensure accomplishment of Agency objectives within budget constraints.  

6.  Establishes and maintains cooperative relationships with other County departments, community organizations and individuals concerned with health care services; and serves on agency committees and boards concerned with health care services.

7.  Keeps informed of current trends and new developments in the field of health care; reads professional literature; and actively participates in professional organizations.


Either I: 

Current employment as an Agency or Department Head with the County of Alameda.  

Or II:  

Current employment as an Assistant Agency Director in the Health Care Services Agency.

Or III:  

Education:   Possession of a Master’s degree from an accredited college or university in Public Administration, Public Policy, Health Care Administration, Health Sciences, Social Sciences or a closely related field. 


Experience:   The equivalent of five years of increasingly responsible administrative experience, three years of which must have been as an administrator or principal assistant administrator of a large and diverse program or organization associated with the delivery of health care services to the public.  

Or IV:  

Any combination of training, education and experience that is equivalent to one of the patterns listed above and will provide the required knowledge and abilities.    

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 health care policy and administration including modern trends in health care services, planning, and program evaluation.
• Principles and techniques of modern public administration, governmental organization, management, public relations, and personnel administration.
• Pertinent local, state and federal laws, rules and regulations governing the health field.
• County, state and federal legislative processes and developments applicable to contemporary health issues. 
• Community resources and current trends in the health field.
• Principles of financial administration including public sector budgeting concepts, alternative financing methods, and other diverse community funding sources.  


• Plan, organize, and direct the execution of short and long-range administrative programs, operations, and activities for a large and diverse health organization.
• Advise governing bodies and oversee complex administrative and executive activities.
• Properly interpret and make sound decisions in accordance with applicable laws, regulations, and policies.
• Develop, control and administer the Agency’s budget and expenditures.
• Stimulate and foster community interest in and support of the objectives of the Health Care Services Agency.
• Establish and maintain good internal and public relations.
• Write and speak effectively.
• Work effectively with a wide variety of people.
• Demonstrate a commitment to the County’s Mission, Credo and Goals.
• Lead in a manner that is visionary, strategic and innovative when working towards change.
• Collaborate with other Agencies and Departments to meet overall county-wide needs while leveraging financial and other resources.
• Use business acumen to build a strong organization which delivers results.
• Provide the highest level of service delivery to diverse customers.
• Use interpersonal skills to communicate effectively.
• Promote personal and professional growth for self and others.
• Work effectively as a member and leader of diverse teams.

Old document:  0126H
New document:  Jobspecs/5050
CSC Date:  2/2/83
RE Dept. Head Project 3/2012


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

  • 12 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.

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