Hospital Chief Operating Officer (#EH3105)
$115.18-$140.01 Hourly / $19,965.01-$24,267.60 Monthly / $239,580.22-$291,211.25 Yearly


Under administrative direction from the San Joaquin General Hospital Chief Executive Officer (CEO), the Hospital Chief Operating Officer (COO) provides executive operational leadership ensuring the smooth and efficient operation of hospital ancillary support and non-nursing clinical service areas such as food and nutritional services, plant operations and facilities, laundry, housekeeping, laboratory, diagnostic imaging, pharmacy, rehabilitation and medical staff administration; integrates the strategic organizational plan with the operations team to develop high quality, cost effective clinical programs and services; acts in the absence of the CEO; and performs related work as required.


The Hospital COO is a single-position, executive-level class that is exempt from the San Joaquin County Civil Service system. The incumbent in this at-will position is responsible for assisting the CEO by leading, managing, and administering the programs, projects, functions budgets, and activities associated with multiple hospital operational areas with an emphasis on hospital strategic growth, clinical service line development, and physician recruitment/engagement. Service expectations include quality clinical practice, excellent patient care, fiscal accountability/productivity, regulatory compliance, leadership, staff development and professionalism. The COO is charged with promoting interdisciplinary collaboration and delivering excellent patient outcomes while meeting financial expectations. The incumbent will model a strong work ethic and leadership skills, including accountability for oneself and others.


This specification is a general guideline for the class. The statements below are not restrictive, and the responsibilities and duties assigned to the position in this class may expand beyond those identified in this specification.

  • Assists the CEO by providing executive-level leadership over multiple diverse divisions and services such as hospital support services, non-nursing clinical services, medical staff support services, physician contracting/recruitment, and the graduate medical education program; plans, organizes, directs, manages, controls, and reviews the operations of assigned functions, divisions and services; determines strategic priorities; reviews, evaluates, and approves operating procedures and policies for assigned areas; exercises good judgment and makes sound decisions in managing assigned areas. 
  • Directs the activities of assigned departments and services through subordinate managers and supervisors; selects staff and evaluates performance; reviews and takes action on disciplinary matters. 
  • Develops and executes strategic and operational plans for the organization, direction, supervision, and improvement of assigned hospital departments and services; works collaboratively with the hospital leadership team and administrators to develop and implement well-balanced clinical and support services that are in line with the mission and core metrics of San Joaquin General Hospital and the county as a whole; develops and implements appropriate quality control and quality improvement programs and initiatives; analyzes and monitors performance indicators; ensures that quality business practices and necessary internal controls are enforced while adhering to sound personnel management and customer service standards. 
  • Assists the CEO in ensuring that the Hospital is in compliance with all applicable regulatory requirements and quality standards, including the California Code of Regulations TITLE 22, the Joint Commission, and other federal and state regulatory agencies and accrediting organizations. 
  • Develops and recommends new business strategies to enhance market share and improve overall hospital performance; effectively utilizes community relations and marketing techniques to expand hospital outreach activities and referral networks and to form and maintain effective partnerships that will facilitate the development of a comprehensive and geographically dispersed integrated health care system. 
  • Provides effective liaison between hospital departments, divisions, medical staff leadership, faculty, and affiliated services inside and outside of the hospital to ensure an integrated approach to providing services while also fulfilling the hospital’s goals and objectives; may represent the hospital to the Board of Supervisors, the County Administrator, and/or other officials as assigned. 
  • Prepares and administers assigned budgets and participates in the development of the hospital-wide annual budget; prepares justification for salaries, maintenance and capital outlays; serves as a resource to the management team regarding ways to help reduce costs, enhance revenues, achieve effective utilization and quality goals and objectives. 
  • Directs and oversees studies and projects for assigned areas, including construction and facilities-related projects; communicates key information to stakeholders with respect to managed care, marketplace needs, the competitive environment, cost management, and customer-focused services. 
  • Serves as the Administrative Liaison to the California Department of Corrections and Rehabilitation, facilitating a strong and positive relationship between the Hospital and CDCR. 
  • Keeps informed of current trends in medical administration; reads appropriate professional literature; leads and/or participates on committees and task forces, and in the activities of professional associations; attends conferences, seminars and trainings; ensures the effective utilization of technology in assigned areas to improve systems and processes; establishes and maintains good relations with other agencies, County departments and the general public.


Education: Possession of a master’s degree from an accredited college or university in health care administration, hospital administration, public health, business administration or a closely related field is preferred.

Experience: Six years of senior management-level health care operations management or other hospital administration experience in an accredited acute care hospital. District, County or other public hospital experience is preferred. 

License/Certificates: Membership in the American College of Healthcare Executives (ACHE).


Principals and practices of health care administration, including effective organization, administration, budgeting and fiscal management, and human resources management; current trends in health care policy, research, treatment, education and related issues; laws, codes and regulations governing community health care facilities, including hospital accreditation and quality assurance standards; standards of medical service in an acute care hospital; principles and practices of medical care reimbursement.


Plan, organize, direct and coordinate the activities of multiple acute care hospital departments and services in a cost-effective manner while ensuring excellent customer service and compliance with local, state, and federal laws; provide appropriate and effective leadership and management of diverse staff teams, including subordinate managers and supervisors; work collaboratively with staff, client departments, patients, and other pertinent stakeholders to achieve successful outcomes; exercise good judgment and make sound managerial decisions; exercise analytical and critical thinking to evaluate complex problems and recommend appropriate solutions; develop and prepare complex analytical reports, using both narrative and statistical formats; understand, interpret, and apply legal codes, regulations, and rules pertaining to hospital operations; analyze and implement program mandates and work within various regulatory systems; formulate and present short and long-range plans; recommend the development and utilization of effective automated systems; prepare and administer annual budgets as well as financial and statistical records; delegate and coordinate among subordinates a broad span and multiple levels of administrative and managerial responsibilities; communicate effectively, both orally and in writing; make effective presentations to diverse audiences, including professional clinical and civic groups; establish and maintain cooperative relationships with the general public, medical and other professional groups and private and public agencies.


Mobility—frequent sitting for long periods; frequent walking; occasional standing, pushing, pulling, bending, squatting, climbing stairs; frequent operation of a data entry device; Lifting—frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual—constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking—frequent hearing of normal speech, hearing/talking on the telephone, talking in person; Dexterity—frequent use of normal dexterity with frequent writing and repetitive motion; Emotional/Psychological—frequent decision-making, concentration, and public contact; Special Requirements—may occasionally require working nights and weekends; Environmental—frequent work in an indoor office environment; occasional exposure to varied weather conditions.

San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.

CLASS: EH3105; EST: 12/11/2017;