Job Number: 00129364

Job Posting : Nov 9, 2022, 5:04:09 PM Closing Date : Ongoing

Full-time Shift Start Time : 8:00 A.M. Shift End Time : 4:30 P.M.

Collective Bargaining Unit : NoneNone

Posting Salary : COMPETITIVE

Organization : Health and Hospital Systems

Applicants may apply for this position by submitting a resume/ CV to the following email address: mgmtrecruit@cookcountyhhs.org

When submitting a resume/CV by email, you must include the job title and posting number in the subject line of your email. An application or resume/CV must be filed for each position which interests you.

To receive Veteran Preference, appropriate discharge papers must be attached to the online application or must be included with your emailed resume/CV. Please refer to Veteran Preference document requirements listed on the bottom of this posting.

Job Summary

The Executive Director of Ambulatory Care Operations of Cook County Health (CCH) is responsible for supervising, directing and coordinating all of the ambulatory services clinical and business operations, programs and functions for CCH, dispersed throughout Cook County communities, school-based, hospital-based and regional outpatient settings.

General Administrative Responsibilities

Collective Bargaining

  • Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
  • Participate in collective bargaining negotiations, caucus discussions and working meetings


  • Document, recommend and effectuate discipline at all levels
  • Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
  • Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements


  • Direct and effectuate CCH management policies and practices
  • Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements


  • Contribute to the management of CCH staff and CCH’ systemic development and success
  • Discuss and develop CCH system policy and procedure
  • Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
  • Work with Labor Relations to discern past practice when necessary

Typical Duties

  • Works with Chief of Ambulatory to develop staffing models and patient care models for new services and new initiatives
  • Leads the implementation of new services and new initiatives
  • Works across the system with CCH Leadership to develop new services/initiative as well as design improvement efforts
  • Ensures directors and managers are leading efficient day to day operations, achievement of long and short-term performance goals, and driving a culture focused on high quality health care and service excellence
  • Creates and manages the budget and financial overview
  • Ensures access to clinics and coordinates management of referrals into clinics from internal and external partners to facilitate ease of throughput with coordination of return of results seamlessly
  • Develops strategic initiatives to increase domestic spending opportunities
  • Evaluates and makes necessary change to improve processes to streamline referral management from Emergency Services
  • Ensures cost effective use of resources by monitoring budget/financial performance and resource management of the clinics
  • Resolves problems related to staffing, utilization of facilities, equipment and supplies
  • Analyzes and recommends changes in organizational systems, policies and procedures and ensures their implementation
  • Performs data processing to analyze, monitor and report statistical information for timely management decisions and as required for federal, state and local agencies
  • Participates with CCH Leadership in development of operational and capital budgets
  • Participates in strategic planning for operational use of workforce, service lines and facilities
  • Supports effective operations for partnering departments including scheduling, referral management and utilization review
  • Uses knowledge of informatics and electronic medical record system configuration, develops approach to measuring program processes, staff performance and impact on CCH quality and cost experience
  • Fosters relationships and collaboration amongst all key internal and external stakeholders
  • Ensures clinical integration by partnering with CCH Leadership in the development and realization of overall objectives for a complex health care delivery system
  • Performs other duties as assigned

Reporting Relationship

Reports to Chief Administrative Officer, Ambulatory Care Services

Minimum Qualifications

  • Master’s degree from an accredited college or university
  • Seven (7) years of progressively responsible healthcare leadership experience in a large complex hospital or health care system
  • Five (5) years of practice management experience
  • Three (3) years of financial management experience

Preferred Qualifications

  • Master’s degree in Business Administration (MBA), Master’s in Healthcare Administration (MHA) or related Master’s in health-related field from an accredited college or university
  • Five (5) years of specialty care and/or primary care experience
  • Experience with unionized workforce
  • Previous public healthcare system experience

Knowledge, Skills, Abilities and Other Characteristics

  • Manages and promotes good public relationships by establishing and furthering relationships with key physicians and medical staff, community organizations, and other health related professionals
  • Knowledge working in an environment where there is close community and press scrutiny
  • Knowledge and use of Microsoft Office
  • Excellent interpersonal, verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
  • Excellent program development, management and leadership skills
  • Demonstrate analytical and organizational, problem-solving, critical thinking and conflict management/resolution skills
  • Demonstrated ability to build effective teams and to lead, mentor and develop management
  • Demonstrated track record of improving operations in a competitive environment with positive outcomes in quality, cost, productivity and patient, physician and employee satisfaction
  • Demonstrated creative problem solver who is energized by challenges and change and can conceive of solutions that are within the financial constraints of the organization
  • Ability to get to the details of operations but also to think and plan strategically
  • Ability to multi-task and meet deadlines in a fast paced and stressful environment
  • Able to remain composed in stressful situations
  • Ability to work with multiple levels of staff to achieve effective care delivery
  • Ability to use a collaborative leadership style that develops and motivates team members but assures accountability

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, “Typical Duties” are essential job functions.



When applying for employment with Cook County Health, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

To take advantage of this preference a Veteran must:

  • Meet the minimum qualifications for the position.
  • Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, “Are you a Military Veteran?”
  • Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable


A copy of a valid State ID Card or Driver’s License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference



“Degrees awarded outside of the United States with the exception of those awarded in one of the United States’ territories and Canada muse be credentialed by an approved U.S. credential evaluation service belongings to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview”.

  • Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.