Chief Executive Officer

The Chief Executive Officer (CEO) is the senior executive leader of Roanoke Chowan Community Health Center (RCCHC) and is accountable to the Board of Directors for the overall performance, integrity, and sustainability of the organization. The CEO is required to reside in Hertford County and maintain a permanent residence of record within the county as a condition of employment, ensuring visibility, accessibility, and engagement with the community served.

The CEO is responsible for ensuring that RCCHC fulfills its goals through effective leadership of strategy, operations, finance, compliance, quality, workforce, and community relationships. This role requires disciplined execution, sound judgment, and the ability to align people, systems, and resources to achieve measurable outcomes.

The CEO leads the organization through ongoing organizational development, ensuring that infrastructure, performance, and culture support high-quality care and long-term viability in a complex rural healthcare environment. They are expected to lead in a manner that is mission-centered, ethically grounded, data-informed, and responsive to the needs of patients, staff, the Board, funders, and the communities served.

Board Relationship & Governance
• Serves as the chief executive accountable to the Board of Directors.
• Maintains a transparent, professional, and collaborative working relationship with the Board and its committees.
• Ensures clear distinction between governance and management while supporting the Board in fulfilling its fiduciary, strategic, and policy responsibilities.
• Provides timely, accurate, and relevant information to support Board decision-making.
• Implements Board-approved policies, strategic priorities, and major initiatives.
• Develops and submits annual organizational goals for Board approval in advance of each fiscal year.
• Reports regularly to the Board on organizational performance, including progress toward goals, financial position, compliance status, and quality outcomes.
• Supports Board development, orientation, and ongoing education.

Core Responsibilities
1. Strategy and Organizational Direction
• Leads development and execution of RCCHC’s strategic plan in partnership with the Board.
• Translates strategy into measurable priorities, operational plans, and accountable outcomes.
• Identifies organizational risks, gaps, and opportunities and ensures timely response.
• Aligns short-term actions with long-term sustainability and growth.

2. Operations and Organizational Infrastructure
• Provides executive oversight of all operational functions across clinical and administrative areas.
• Ensures operational consistency, efficiency, and alignment across multiple service sites.
• Strengthens infrastructure, including workflows, reporting systems, internal controls, and management processes.
• Establishes performance expectations and ensures accountability at all levels of the organization.
• Addresses operational variation and ensures reliability in service delivery.

3. Financial Stewardship
• Ensures sound financial management in partnership with the CFO and Board.
• Oversee budgeting, forecasting, financial reporting, and cash management.
• Maintains strong internal controls and audit readiness.
• Aligns financial planning with strategic priorities and operational realities.
• Identifies and advances strategies that support financial sustainability, including revenue optimization and diversification.

4. Compliance and Risk Management
• Ensures compliance with HRSA requirements, FTCA expectations, federal and state regulations, and payer regulations.
• Promotes a culture of ethical conduct, accountability, and transparency.
• Establishes and maintains systems for monitoring compliance and mitigating risk.
• Ensures appropriate policies, procedures, and corrective actions are in place and functioning.

5. Quality, Patient Care, and Performance Improvement
• Ensures delivery of high-quality, patient-centered, and equitable care.
• Establishes and supports effective quality management and performance improvement systems.
• Uses data and performance metrics to guide decision-making and improvement efforts.
• Partners with clinical leadership to improve access, outcomes, and patient experience.

6. Leadership and Workforce
• Builds and leads an effective executive leadership team.
• Ensures clarity of roles, accountability, and alignment across leadership.
• Promotes a culture of professionalism, respect, accountability, and continuous improvement.
• Supports workforce recruitment, retention, development, and succession planning.
• Addresses organizational culture and workforce stability in alignment with mission and performance expectations.

7. Community Engagement and External Relations
• Serves as the primary representative of RCCHC with community stakeholders, partners, funders, and public entities.
• Builds and maintains strategic relationships that strengthen the organization’s position and impact.
• Represents RCCHC in a manner that reflects its mission, values, and commitment to the community.
• Identifies opportunities for partnerships that enhance services, access, and sustainability.

8. Data, Technology, and Organizational Performance
• Ensures effective use of data, reporting systems, and performance dashboards.
• Promotes data integrity and accountability in organizational reporting.
• Supports appropriate use of health information technology and operational systems.
• Uses data to monitor performance, identify trends, and guide strategic and operational decisions.