Working closely with and reporting directly to the Chief Executive Officer (CEO)/Principal Investigator (PI), the COO has overall strategic and operational responsibility for TRIHCI program and services and manages key staff leaders. In conjunction with the CEO and leadership team participates in the development and implementation of the mission, vision and values of the organization, including high quality, patient focused health care. This position will provide daily follow up and direction to the Departmental Directors/Managers and assist in the coordination of activities between Departments and the uniform implementation of policies within the Departments.  The incumbent is delegated broad authority to plan for and direct the program staff with wide latitude for the exercise of individual judgment, initiative and decision making.  Plans, actions, decisions and accomplishments are in concert with the Chief Executive Officer/ Principal Investigator.

1. Provides daily oversight of health center operations and direction to Department Directors/Managers.
2. Streamline overall operations for efficiency, quality, and patient centeredness.
3. Collaborate with providers and staff towards operational improvements, meeting accreditation and regulatory standards.
4. In conjunction with the CEO, CFO, Medical Director and members of the leadership team, develop annual operating plans and corresponding budgets including staffing and other needed operating resources to achieve projected patient volumes.
5. Assists CEO and leadership team in new clinical program development, ensuring participatory decision making and appropriate design and implementation.
6. Works with the Chief Executive Officer (CEO) to advance the organization’s Strategic Plan, the implementation of new services and facility expansions. Supports innovative technology initiatives that aim to enhance the delivery of patient care and create an effective organization.
7. Assists the CEO with facility expansions, property acquisitions/transactions.
8. Analyzes, recommends, and implements practices seeking to improve operating performance at various organizational levels. Engages in practice redesign, implementing required changes within the organizational system, policies and procedures, and the workflow processes.
9. Seeks and evaluates process improvement data, materials, and methods to match specific organizational needs and adapts them to use in the execution of process improvement events.
10. Presents, facilitates, and leads assigned process improvement events using appropriate team building, team energizing, data analysis, problem solving, and project management methods.
11. Provides event follow-up to monitor the progress of planned improvement implementation to ensure timely action, appropriate management support, and achievement of expected benefits. Uses appropriate measurement, analysis, and evaluation methods to accurately identify and document process improvements.
12. Coordinates with related departments and functions to ensure appropriate information flow and understanding of overall process improvement direction. Work side by side with the leadership team in developing transformational strategies in the adoption of process improvement and guide staff in the implementation and execution of process improvement tools and methods.
13. Develops a talented and motivated staff by ensuring engagement and satisfaction, while ensuring optimal efficiency and accountability.
14. Provides the Chief Executive Officer/Principal Investigator with regular and systematic reports on program implementation and management concerns for review and finalization.
15. Oversees the development and implementation of internal policy and procedure manuals.
16. Assists Department Directors/Managers in the acquisition of resources necessary to efficiently and effectively achieve objectives.
17. Provides liaison between the CEO/PI and Department Directors/Managers.
18. Provides staff support to regularly scheduled inter-Departmental meetings.
19. Oversees the development and distribution of a historically accurate record of all regularly scheduled inter-Departmental meetings.
20. Assures compliance with all contract and grant objectives and deliverables resulting from private, local, state and federal agreements.
21. Managing, supporting and implementation of grant requirements for the organization.
22. Monitor paperwork and other related documents connected with grant-funded programs.
23. In the absence of the CEO/PI, the COO will be responsible for carrying out day-to-day operation requirements.