County of Alameda

Programs Performance Management and Accreditation Director (#5760)

Bargaining Unit: Unrep - HCSA Tech/Para Mgmt (U45)
$50.91-$67.91 Hourly / $4,072.80-$5,432.80 BiWeekly /
$8,824.40-$11,771.07 Monthly / $105,892.80-$141,252.80 Yearly

Under general direction, to develop and facilitate quality improvement, strategic planning, and public health accreditation activities of a department or division located within the Public Health Department; develop policies and procedures to ensure compliance with departmental and national public health accreditation requirements; maintains an organizational quality improvement program consistent with the department’s mission, vision, values and strategic direction; supervise professional, paraprofessional staff, technical and support staff; and perform related duties as required.


This is a single- position class located in the Public Health Department and reports to the Director, or Deputy Director of the Public Health Department. This position directs planning, implementation, coordination and evaluation of the Quality Assurance/Improvement Program and Accreditation Process across Public Health Department Divisions. This position provides supervision of and consultation to staff responsible for or engaged in quality improvement, strategic planning, or accreditation activities. This position is distinguished from the Health Care Program Administrator I class in that the latter manages a small to medium size program(s) whereas the Programs Performance Management & Accreditation Director leads QA/QI programs and Accreditation process across the 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. Directs efforts to prepare and maintain the Public Health Department for national accreditation, which includes all requirements for annual reporting and documentation collection, maintenance and submission during the period following accreditation and for re-application for accreditation every five years.

2. Plans, supervises or directs, reviews and evaluates the work of supervisory, professional, technical and support staff; selects staff and provides for their training and professional development.

3. Develops, revises and interprets relevant policies and procedures; and reviews policies and procedures to ensure compliance with departmental, Federal and State requirements.

4. Leads quarterly planning, monitoring, evaluation and reporting on all activities related to national accreditation and to the Community Health Improvement, Workforce Development and Strategic Plans.

5. Conducts and/or facilitates internal and external audits, investigations and program reviews to determine potential compliance risks; analyzes data, provides findings and makes recommendation reports to administrative staff, to ensure plans of correction and program improvements are implemented.

6. Identifies goals and objectives and develops ongoing specific action plans and timelines for accreditation activities including conducting assessments, identifying areas for quality improvement and setting organizational priorities related to national accreditation.

7. Serves as liaison to the Public Health Accreditation Board during the preparation, conducting and follow-up of site visits; provides site visit results to leadership and other stakeholders.

8. Prepares a variety of correspondence, periodic and special reports, program documentation and other written materials; develops and revises a variety of forms/templates to ensure consistency and compliance with regulatory or accreditation requirements and/or clinical standards

9. Orients staff and other stakeholders on the accreditation and standards/measures documentation process as needed.

10. Maintains current information in manuals, handbooks, web pages and other related sources in accordance with departmental, and regulatory agencies’ standards, and Federal/State laws; develops and maintains proper record keeping processes for retention of documentation in accordance to applicable standards and measures.

11. Manages and facilitates cross–functional, cross-departmental continuous quality improvement committee and provide data and reports on performance measures and key processes.

12. Chairs and/or participates in various committees and work groups; serves as liaison between the department and regulatory bodies or accreditation boards.

13. Coordinates, directs and supervises the department’s continuous quality improvement activities including all activities related to the Quality Improvement (QI), Workforce Development Plans, and Results Based Accountability (RBA); ensures RBA process compliance of county operated programs; and provides RBA and QI trainings to staff related to quality assurance/improvement.

14. Maintains support and training for quality improvement teams.

15. Collaborates with departmental/division staff to implement department-wide procedural and operational changes including establishing best practices for acquiring documentation, reviewing existing systems and improving/implementing formal processes.

16. Provides support, technical assistance and training to staff and contractors, directly or through subordinate staff, on the process and program requirements for public health accreditation; and supporting the public health accreditation application and maintenance processes.


Possession of a Bachelor’s degree from an accredited college or university in public health, health care or related field.

(Additional experience as outlined below may be substituted for the education on a year-for year basis.)



The equivalent of four (4) years’ experience in planning, implementing, coordinating and evaluating a Quality Assurance and Improvement Program or conducting quality improvement and compliance or accreditation activities in a public health or health care setting, one year of which must have included supervisory experience.


Possession of a valid California Motor Vehicle Operator’s license.

NOTE: The Civil Service Commission may modify the 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:

• Public Health Accreditation Board accreditation process.
• Management principles and practices, including work planning, employee supervision and resource allocation.
• Current principles, best practices and trends in a service delivery system and Quality Assurance (QA)/Quality Improvement (QI).
• Principles of outcome measurement in system evaluation.
• Program planning and implementation.
• Relevant federal, state and local regulations and public health standards, measures and domains and their reporting requirements.
• Principles and practices of medical records management and utilization management.
• Clinical standards of practice and licensure requirements.
• Office administrative practices and procedures, including records management and the operation of standard office equipment.
• Principles and practices of direct client service delivery.
• Policies, procedures, and systems related to public health services.

Ability to:

• Identify operational problems, investigate and evaluate alternatives and implement effective solutions.
• Communicate clearly and effectively both orally and in writing.
• Set and achieve measurable goals through subordinate staff and the use of analytical methodology, strategic planning and technology.
• Establish, strengthen and maintain relationships with multiple agencies, departments, stakeholders and community organizations.
• Manage multiple tasks and responsibilities.
• Collaborate with other agencies, departments, government entities and local communities to achieve organizational goals while leveraging financial and other resources.
• Exhibit flexibility and adapt to frequent changes in standards, regulations and requirements.
• Assess training and development needs of multiple organizational groups and programs.
• Prepare clear accurate and effective reports, correspondence, policies, informational brochures and other written materials.
• Maintain accurate records.

Newspecs: 5760
SJ:cs 10/27/15
CSC Date: 11/24/15
LC:jf Revised 3/17/17
CSC Date: 4/12/17


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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