Skip to main content

Chief Administrative Officer-Single Medical Center

Primary Location Fresno, California Worker Location Onsite Facility Fresno Medical Offices I - First St. Job Number 1289990 Date posted 06/25/2024
Submit Interest

Navigating the Hiring Process

We're here to support you!

Having trouble with your account or have questions on the hiring process?

Please visit the FAQ page on our website for assistance.

Need help with your computer and browser settings?

Please visit the Technical Information page for assistance or reach out to the web manager at

Do you need a reasonable accommodation due to a disability?

A reasonable accommodation is any modification or adjustment that enables you to fully participate in completing the following:

  • Online Submissions
  • Pre-Hire Assessments
  • Interview Process

Please submit your accommodation request and an HR Representative will contact you.

Job Summary:

This job classification is reserved for Chief Administrative Officers who oversee ambulatory services (ER, Radiology, Lab) for a single medical center/hospital service area
The Chief Administrative Officer is the highest level non-physician operational and administrative executive in an assigned service area for The Permanente Medical Group (TPMG).  In partnership with the Physician In Chief (PIC), the role is responsible for aligning the regional TPMG vision and total performance strategy to pursue joy & meaning in medicine; exceptional care experience; and operational excellence for the members and communities it serves.
In partnership with the PIC, this role leads the development and direction of the culture; clinical, business, and market strategies; as well as oversees the day-to-day operations for both outpatient and select in-patient settings.  This role along with the administrative leadership team provides strategic and operational support, consultation, and guidance to medical center physicians.
Along with the PIC and the Kaiser Foundation Hospital senior area leader, this role will develop and lead the service area strategy (service area portfolio; people development; and capital planning) to differentiate and position the local service area for future trends, while aligning with regional and KP-wide strategy and plans.
Executive oversight includes quality; care experience; access; fiscal/capital planning; HR/people strategy; labor relations; innovation; performance improvement; analysis and integration of market trends; and community engagement.

Essential Responsibilities:

  • In partnership with PIC and leadership team, develops and champions a member-centered culture of service and quality excellence.  Creates high quality patient care experiences.
  • Incorporates the voice of the customer to understand what members value and aligns systems and processes accordingly.  Demonstrates a passionate commitment to serving members, patients, families, and the community.
  • Champions change and innovation.  Encourages diverse and creative thinking, and pursues new strategies, processes, technology, or tactics, to improve quality, service, operational excellence, and physician and employee engagement and wellness.
  • Encourages identification and spread of regional and program-wide best practices to promote consistency and excellence.
  • In collaboration with the PIC, develops goals and strategic growth objectives to accomplish TPMG and the local service areas vision.  Sets short and long term goals and objectives to support the strategy.
  • As a member of the regional operational leadership team, contributes to the development and implementation of regional strategies to leverage full potential of TPMG people, strategy, and practices.
  • Builds productive and respectful relationships across the medical group and Kaiser Permanente; with labor unions and the community to integrate and advance the regional and service area strategies and operational goals.
  • Leads labor strategy at the local level.  Models partnerships and relationship-building for others in the service area. Operationalizes bargaining unit contract language aligned with service area goals and objectives.
  • With PIC, establishes and leads individual and team engagement.  Partners with service area leadership team and Human Resources to implement integrated people strategies to onboard, develop, retain, and celebrate employees.
  • Creates career development systems and processes to supports career paths, professional satisfaction, and development for all team members.
  • Anticipates and identifies critical talent gaps, and proactively builds development opportunities in those areas.
  • Promotes an environment of equity, diversity, and inclusion for all employees and members.
  • Creates and delivers an effective communication culture, strategy, and framework to energize and motivate people to achieve performance excellence.
  • Consistently communicates vision, strategy and performance to internal and external audiences.
  • Fosters a communication culture of listening, curiosity and learning.  Encourages an open expression of diverse ideas and opinions.
  • Provides broad oversight of administration and compliance of policies and regulations. Identifies needs and champions to develop new regulations and laws. Maintains open dialogue and cooperation with both public and private regulatory organizations.
  • Directs and exerts influence and utilizes flexible approaches with multiple stakeholders to drive for results; hold self and others accountable for executing TPMG and service area priorities.
  • Leverages data to make informed decisions. Conducts both in-depth and high-level analysis of data to provide insight; make informed decisions; to engage others ideas and opinions; and develop decisions.
  • Along with service area leadership team shares accountability for all performance of the service area.  Accountable for success of the service area measured by Pulse; Work Unit Index, and People Engagement Index, and through other methods and tools.
Basic Qualifications:


  • Minimum ten (10) years of general management and operations experience in a complex, multi-faceted health care setting required.

  • Minimum three (3) years of experience working with a large physician group practice managing through influence and collaboration.


  • Masters degree in healthcare, hospital, business or public administration, or related field required.

License, Certification, Registration

  • N/A

Additional Requirements:

  • Understanding of organizational behavior/human dynamics - employee motivation; work styles; organizational structure; and leadership development.

  • Knowledge and understanding of professional and ethical codes of conduct. Extensive collaboration and partnership experience with physician leadership; demonstrated success in creating a collaborative environment and setting expectations for partnering between physician and administrative leaders at every level.

  • Experienced leader with strategic, creative approach to performance improvement by engaging all team members in measurably improving care for our patients.

  • Business savvy. Possesses a strong business acumen with a focus on providing member-focused, coordinated care by optimizing resources and systems that support physicians and staff. Knowledgeable on how to plan, develop, implement, analyze, and assess fiscal management processes and systems for budgeting, capital planning and forecasting.

  • Subject matter expert on national healthcare industry trends and opportunities, anticipates changes, and their implications on the region and medical center. Brings diverse views and business perspectives to bear on local care delivery.

  • A growth mind set. Demonstrated ability to drive for continuous learning and improvement for the service area, the team, and self.

  • An executive-level strategic communication style. Experienced with strategic narrative, telling the story. Able to communicate broadly to employees, and in one-on-one relationship building.

  • Demonstrated success in leading complex initiatives and projects in the areas of strategic planning, fiscal management, quality improvement, compliance, project management and people strategy.

  • Demonstrated success in developing and implementing innovative programs and practices.

  • Significant knowledge of applicable federal and state laws and government regulations related to the health care industry their impact on the organization.

Preferred Qualifications:

  • Experience in shaping and sustaining a people-first culture that will ultimately drive strategic alignment, engagement, and success. 

  • A future-oriented individual who can articulately convey visions on strategies and plans. 

  • Skilled at establishing clear direction and setting growth objectives. 

  • Strong organizational intelligence and understanding of clinical operational and care management demands and workloads. 

  • A competent, trustworthy leader with the ability to mediate and build consensus. 

  • A proactive leader who practices reflective listening and fosters an environment that values transparency and visibility. 

  • Skilled at conflict resolution and values giving and receiving constructive feedback.  

  • A proven track record of operational excellence and delivering results through servant leadership, collaboration, and inclusion.  

  • Three (3) years of experience leading & managing in a complex union/management environment.  

Primary Location: California,Fresno,Fresno Medical Offices I - First St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:01 AM Working Hours End: 05:01 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee Job Level: Director/Senior Director Department: Oakland Reg - 1950 Franklin - Rgnl Mg Admn-Med Group Admin - 0206 Pay Range: $257500 - $333190 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: Yes, 15 % of the Time On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest