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Overview Galveston County, Texas is home to one of the Texas Gulf Coast's most comprehensive public health organizations. Serving the county and its thirteen member cities, this Tier 1 governmental health district delivers essential services across three areas: traditional public health, a Federally Qualified Health Center providing primary care and wellness services, and the county's largest EMS provider. Reporting to the United Board of Health, the Executive Director holds full responsibility for the organization's operations, strategy, and roughly 251 employees. This is a hands-on leadership role for someone ready to establish clear standards, strengthen accountability, and build a high-performance, professional culture. The Board is looking for a firm, structured leader with strong financial judgment, high integrity, and the resolve to set expectations, make difficult decisions, and align the organization to a shared direction. If you lead through consistency and earn trust by following through, this is a rare opportunity to shape both an organization and a community. Key Responsibilities Provide executive leadership and administration across all GCHD operations, including clinical service delivery, public health programs, and EMS. Lead strategic planning and policy development in line with the organization's Strategic Health Plan and Board direction. Establish clear operational standards, budget discipline, and accountability across all divisions. Lead organizational restructuring, including assessment of divisional leadership, pay structures, and departmental operations. Direct grant strategy and applications to federal, state, and private funders, with particular emphasis on HRSA, and manage all funding-agency reporting. Oversee compliance, fiscal operations, and program performance, including HRSA requirements and health clinic quality standards. Build and maintain strong partnerships with healthcare providers, hospitals, local governments, and underserved communities. Lead public health preparedness and disaster response. Partner with and support the United Board of Health on governance and reporting. Requirements Required Qualifications One of the following: Master's degree in Public Health Administration, Healthcare Administration, or a related field, plus 5+ years of managerial experience in a health services organization; or Bachelor's degree in a business or administrative field, plus 7+ years of managerial experience in a health services organization. An equivalent combination of education and experience will also be considered. Demonstrated knowledge of HRSA programs, requirements, funding mechanisms, and sub-grant management. Experience preparing and submitting grant applications to federal, state, and private funders, and reporting to funding agencies. Strong financial and budget management skills, including the ability to review and validate budgets, grant formulas, and funding allocations. Demonstrated change leadership: setting standards, holding teams accountable, and strengthening organizational culture. Demonstrated experience addressing community and public health issues. Outstanding communication skills, high ethical standards, and a commitment to HIPAA and confidentiality. Valid Texas driver's license, or the ability to obtain one upon hire. Preferred Qualifications Seven or more years of progressive executive management within a public health or community health center organization. Direct experience overseeing outpatient clinics or Federally Qualified Health Center (FQHC) operations. Compliance and fiscal oversight experience, particularly with HRSA or similar federal programs. Nonprofit or government healthcare operations background. Familiarity with IT governance and organizational cybersecurity oversight. Reporting and Team The Executive Director reports directly to the United Board of Health and leads an executive team spanning Public Health, Nursing