Salary Range: 160000 to 185000 (Currency: USD) (Pay period: per-year-salary)

Harmony Health is a Tribally owned wellness clinic that treats a broad-spectrum population of Native and Non-Native patients. Harmony is established to provide those with substance use disorders whole person care: primary care, infectious disease, and mental health care. We are building a team of dedicated and compassionate individuals who align with this mission.

Harmony Health brings an innovative model of highly individualized, compassionate care to patients with -substance use disorder. From the moment someone walks through the door of our state-of-the-art outpatient facility, they will encounter our thoughtfulness and intention for a humanizing and respectful experience with us. The comforting and safe setting of our nature-inspired facility and the friendly, professional attitude of our staff help to define our journey with each patient—and with each other—from day one.

Each employee at Harmony Health creates their own ripple effect in the larger circles of the families and communities that we touch.

We are currently seeking an Executive Clinic Director to serve as the on-site administrative leader of our clinic in Perris, CA. This position will report to the OTS Regional Director of Clinic Operations and will work in collaboration with clinic leadership and OTS leadership.

Indian Preference applies. Qualified Indian (American Indian or Alaskan Native) applicants will receive preference in accordance with 25 U.S.C. § 5323 and 25 U.S.C. § 472a.

POSITION SUMMARY

The Executive Clinic Director provides day-to-day operational, clinical, and administrative leadership for an Opioid Treatment Program (OTP) and its integrated primary care and wraparound service lines. This role is accountable for regulatory compliance, accreditation readiness, patient access and retention, staff performance, and financial results at the site level. The Executive Clinic Director serves as the primary operational liaison to tribal leadership and community partners and works in close partnership with OneTogether Solutions’ corporate services functions (clinical, compliance, revenue cycle, people, IT) to execute standardized playbooks while honoring the sovereignty and cultural priorities of the partner nation.

We are looking for a person who has supervisory and leadership experience and training in treating substance use disorders, primary care, and behavioral health. Experience with multicultural populations is highly desired. The ideal candidate will be patient, humble, and determined, along with demonstrating agility, optimism, organization, and empathy in their work

The Executive Clinic Director is responsible for day-to-day operations of the clinic and is a key leader in the overall management of the program. This individual will develop, manage, report on, and be accountable for the daily operations of the clinic and its staff in their entirety. The Executive Clinic Director will be a main contact with community leaders addressing substance use needs within and around Perris. In this role, the Executive Clinic Director will in tandem with the Clinic Medical Director in the areas of human resources, finances, and general accountability.

THE DYAD MODEL

The Clinic is led through a dyad leadership model consisting of the Executive Clinic Director and the Medical Director. This partnership combines clinical expertise and operational leadership to ensure the delivery of high-quality, patient-centered care while maintaining regulatory compliance, financial stewardship, and organizational effectiveness.

The dyad model is built on shared accountability, mutual respect, transparent communication, and collaborative decision-making. Together, the Executive Clinic Director and Medical Director are responsible for advancing the clinic's mission, strategic objectives, patient outcomes, operational performance, and regulatory compliance.

The dyad model is supported by OTS leadership, including those mentioned above.

The Executive Clinic Director and Medical Director jointly share responsibility for:

Establishing clinic goals, priorities, and strategic initiatives.
Maintaining compliance with federal, state, accreditation, and organizational requirements.
Ensuring safe, effective, and whole-person care.
Optimizing patient access, engagement, retention, and treatment outcomes.
Workforce recruitment, retention, development, and staff engagement.
Quality improvement and performance management initiatives.
Program development and service expansion.
Risk management and problem resolution.
Fostering a culture of accountability, collaboration, respect, and continuous improvement.

KEY RESPONSIBILITIES

Responsibilities include, but are not limited to, the following:

Operations & Service Delivery

In partnership with site Medical Director, direct all clinic administrative operations including dosing, counseling, medical services, care coordination, and integrated primary care and wraparound services (behavioral health, case management, peer support, transportation, housing and benefits navigation)
Own daily census, dispensing window efficiency, appointment throughput, wait times, and no-show/retention performance against established targets
Ensure appropriate staffing coverage, provider scheduling, and coverage plans across all clinical and support roles
Manage facility operations, safety, security, and vendor relationships

Regulatory Compliance & Accreditation

Maintain continuous compliance with 42 CFR Part 8, 42 CFR Part 2, SAMHSA OTP certification requirements, DEA registration and controlled substance handling, and all applicable state opioid treatment authority (SOTA) requirements
Lead accreditation readiness, survey preparation, and corrective action plans for applicable accrediting bodies, which may change from time to time; maintain mock survey and continuous-readiness discipline rather than cyclical scrambles
Ensure compliance with HIPAA, OSHA, CLIA (where applicable), FTCA/HRSA requirements where relevant to primary care operations, and tribal health program requirements under Title I/Title V self-determination agreements
Oversee medication inventory, diversion control, take-home determinations, and controlled substance reconciliation in partnership with the medical director and pharmacy
Serve as site lead for internal audits, external inspections, and licensure renewal

Clinical Quality & Integration

Partner with the site Medical Director and clinical leadership to ensure evidence-based MOUD delivery (methadone, buprenorphine, naltrexone) and adherence to clinical protocols
Drive integration between OTP services and primary care, including warm handoffs, co-located screening (HIV, HCV, TB, STI), chronic disease management, and referral loop closure
Lead site quality improvement activities, incident review, root cause analysis, and performance improvement plans
Monitor and report clinical quality and outcome measures including treatment retention, illicit use reduction, and patient experience to OTS leadership

People Leadership

Recruit, hire, onboard, supervise, cross-train, and develop clinic staff including Nursing Director, nurses, Clinical Supervisor, counselors, medical assistants, front office, patient navigators, concierges and patient transporters
Conduct performance management, coaching, and annual reviews; build bench strength and reduce single-point-of-failure roles
Foster a culture of accountability, trauma-informed care, harm reduction, and cultural humility

Financial & Administrative

Manage site budget, labor costs, supply spend, and productivity targets
Partner with revenue cycle to ensure accurate documentation, coding, charge capture, and payer compliance across Medicaid, IHS/tribal, commercial, and grant-funded payment sources.
Support grant reporting, data submissions, and funder deliverables

Partnership & Community

Partner with OneTogether Solutions (OTS) Regional Directors and Account Managers to develop, track, and report outcomes of services.
Serve as the operational point of contact for tribal leadership, tribal council designees, and community partners
Represent the clinic with referral sources including tribal health programs, courts, corrections, child welfare, hospitals, and community-based organizations
Support sovereignty transition planning and knowledge transfer as applicable to the partner relationship

QUALIFICATIONS

Required Qualifications

Bachelor's degree in healthcare administration, nursing, social work, public health, or related field
Minimum 5 years of progressive healthcare operations experience, including at least 2 years in a leadership role
Demonstrated experience leading or supporting a successful accreditation survey (CARF, Joint Commission, AAAHC or equivalent)
Experience with integrated primary care, FQHC, community health center, or wraparound service delivery models
Proven track record of managing multidisciplinary clinical teams
Ability to pass background check, drug screen, and any tribal, state, or federal credentialing requirements
History of working within a mental health or substance use disorder system, including the provision of medications for opioid use disorder highly desired.
Willing to follow and train staff in Harmony Health Center’s personnel policies.
Able to work the hours and days required by position, including daily 5:30 am start times, from time to time.
A successful track record of working with, and sensitivity to, multi-cultural populations.

Preferred Qualifications

Master's degree (MHA, MPH, MBA, MSW, MSN)
Active clinical license (RN, LCSW, LPC, LMFT, LAC) or CADC/LADC credential
Experience operating a licensed Opioid Treatment Program, including working knowledge of 42 CFR Part 8 and 42 CFR Part 2
Registered with the California Board of Behavioral Sciences or certified (or registered) by a California-recognized drug and alcohol certifying body.
Experience working with tribal health programs, IHS, or Public Law 93-638 self-determination contracts
Experience with EHR optimization in a behavioral health or OTP setting (e.g., Methasoft, Smart Management, Athena, Epic)
Experience with harm reduction programming, syringe services, or naloxone distribution
Bilingual or fluency in the language of the community served

SKILLS

The ideal candidate embodies the following:

Detail-oriented with the ability to work independently.
Ability to plan and manage multiple projects.
Demonstrated capacity to lead and work effectively in a team environment.
Passion for working with people, patients, staff, and the community.
Ability to communicate and listen to everyone with intention and focus.
Commitment to creating a welcoming clinic that celebrates differences and diversity.
Ability to work independently and to thrive in building and leading the team.
Ability to take direction and receive constructive feedback.
Power to stay calm, focused, and kind in stressful situations.
Practice consistent organizational best practices
Demonstrate reliability to staff and patients with timeliness and consistency
Flexibility, versatility, and willingness to jump into new situations and challenges.
Adopt and exhibit humility in leadership.
Courage to stand up for the tribe’s and your own values.
Ability to help create a safe environment for patients and staff.
Conduct all professional activity in an ethical manner.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this classification. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this classification, the employee is frequently required to stand, walk, sit, stoop, kneel, bend, use hands to keyboard or type, handle materials used in performing the essential functions of the classification, and reach with hands and arms. The employee will be asked to perform repetitive behaviors (e.g., typing and data entry). The employee must occasionally lift and/or move up to 25 pounds (think boxes of paper). Specific vision abilities required by this classification include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Sufficient clarity of speech and hearing abilities required by this classification includes those which permit the employee to discern verbal instructions and communicate effectively in person, by telephone. While performing the duties of this classification, the employee works in an office setting where the noise level in the work environment is usually moderate. The employee must also analyze and evaluate situations and adopt effective courses of action.

We support our team through a competitive salary and benefits package and opportunities for continuing education and professional advancement. Harmony Health Center staff will also be cross trained to meet the needs of patients and to make each day a success. On-the-job training will empower team members, as we believe the excellence of the clinic and the professional development of our staff complement one another.

Please visit www.harmony.health for more information.

OneTogether Solutions

Executive Clinic Director

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