Executive Director

Executive Director

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 include:

• 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.