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Chief Operating Officer - 4388 


Job Title: Chief Operating Officer

Department: Tohono O'odham Nation Health Care (TONHC)

Division: Executive Direction

Status: Exempt/Full-Time

Salary: $203,418.80/annually

Position Summary:

The Chief Operating Officer (COO) assumes line responsibility and authority for the administrative direction, evaluation, and coordination of the functions and activities of assigned departments within the hospital organization. To ensure operation objectives and results are in accord with overall hospital needs. In the absence of the Health Care’s Chief Executive Officer (CEO) and as assigned, represents the CEO in the coordination of entire portions of the hospital organization, speaking and acting within the scope of objectives outlined in the practice and policy of the hospital.

The COO is responsible to the Health Care’s CEO. The COO functions at an executive level in an active leadership role with the hospital’s governing body, medical staff leadership, senior hospital leadership, and management team. Is directly responsible for managers overseeing departments and other service lines as assigned by the CEO. The incumbent is directly responsible for improving the hospital facilities in designated areas, including structure construction or renovation, and purchasing new equipment. Accountable for department leaders in establishing a measure of performance, increase productivity, quality improvement, cost controls, and efficient utilization of facilities.

Scope of Work:

The COO reports directly to Health Care’s Chief Executive Officer.

Essential Duties and Responsibilities:

  • Provides leadership and guidance to the Leadership staff in developing and implementing ongoing effective and efficient education, performance improvement programs, and training that advance the patient care delivery quality and service excellence.
  • Oversee quality and risk management, development, and maintenance of organizational departments.
  • Provides functional guidance to ensure efficient and effective coordination of quality management resources and efforts.
  • Represents Health Care in the community and at various community functions as designated by the CEO.
  • Ensures demand and capacity plans are in place to deliver the contracted activity levels and the potential demands of emergency activity.
  • Provides service development, modernization, and innovation across the divisions while promoting a culture of continuous service improvement.
  • Works as a team to create and maintain operating budgets; ensure capital availability to meet growing medical advancements; orchestrates and implements new strategies while maintaining budgetary guidelines.
  • Ensures the consistent and effective execution of key systems and processes that make effective use of organizational resources.
  • Leads and drives a team or unit to enhance product or service quality. Creates and maintains a work environment with high morale, pride, job ownership, and productivity in which employees are committed to the organization.
  • Increases management effectiveness by recruiting, selecting, orienting, training, coaching, counseling, and disciplining staff.
  • Builds strategic alliances and partnerships within the organization to collaboratively execute business strategies.
  • Creates an environment in which products and processes are designed to ensure customer satisfaction, effectively incorporating customer perspectives in all business activities.
  • Contributes to the development of the organization’s strategic goals and objectives, as well as the overall management of the organization.
  • Promotes consistent high-quality care and positive patient interactions.
  • Ensures patient care policies and procedures are effectively established, implemented, and monitored.
  • Practices and adheres to Health Care’s organizational philosophy and “Mission and Value Statement”.
  • Provides training and leadership to ensure compliance with regulatory requirements and in meeting the Joint Commission requirements.
  • Contributes to a team effort and performs other job related duties as assigned.

Knowledge, Skills, and Abilities:

  • Knowledge of the Tohono O’odham culture, customs, and traditions.
  • Knowledge of applicable federal, state, tribal laws, regulations, and requirements.
  • Knowledge of the development, preparation, and control of budgets.
  • Knowledge of managerial and statistical analysis techniques and reporting procedures.
  • Knowledge of business English, proper spelling, grammar, punctuation, and basic arithmetic.
  • Knowledge of current Joint Commission, state, and federal guidelines, regulations and standards.
  • Skill in operating business computers and office machines, including a Windows environment, specifically Word, Excel, Access, PowerPoint, and PC-based computerized accounting software.
  • Skill in preparing, reviewing, and analyzing operational and financial reports.
  • Skill in providing leadership to, supervising, training, and evaluating assigned staff.
  • Skill in analyzing problems, projecting consequences, identifying solutions, and implementing recommendation.
  • Skill in communicating information openly and sincerely that promotes credibility (e.g. honest answers to tough questions).
  • Skill in recognizing strategic business opportunities resulting from changes in the economic, technological, political/legal, or social environments.
  • Skill in providing superior customer service to internal and external customers.
  • Ability to focus on employee development through exposure, experiences, and feedback.
  • Ability to demonstrate expertise in negotiation, coaching, and interpersonal skills.
  • Ability to create and present effective financial reports, speeches, and presentations.
  • Ability to analyze situations and adopt appropriate courses of action.
  • Ability to work independently and meet strict timelines.
  • Ability to ensure user compliance with the requirements of the contracts and grants.
  • Ability to communicate effectively verbally and in writing.
  • Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with co-workers at all levels.
  • Ability to maintain confidentiality.
  • Ability to make reliable decisions and exercise independent judgment.
  • Ability to be persuasive and diplomatic in controversial situations.
  • Ability to manage many priorities simultaneously.
  • Ability to interpret applicable federal, state, tribal, county, and local laws, regulations, and requirements.
Position Requirements


  • Master's Degree or Doctoral in healthcare, business or a related field.
  • Five years of work experience in a health care executive position.
  • Five years of supervisory experience.

Licenses, Certifications, Special Requirements:

  • Upon recommendation for hire, a criminal background and fingerprint check are required to determine suitability for employment.
  • Must possess and maintain a valid driver's license (no DUIs or major traffic citations within the last three years).
  • Must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
  • Must submit a 39-month driving record with the employment application.
  • Based on the department's needs, the incumbent(s) may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

Work requires sitting, standing, and walking for extended periods; using hands to finger, handle, or feel; reaching with hands and arms; talking or hearing; and taste or smell. The employee occasionally is required to climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 20 pounds.

Work Environment:
Work is generally performed in an office or clinical area with exposure to potentially dangerous materials and situations extensive safety precautions including protective equipment and exposure to blood-borne pathogens. The position requires working evenings and weekends. Extended hours and irregular shifts will be required.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Location Sells  
Open Date 5/3/2022  
Close Date  
About the Organization The Tohono O'odham Nation is a federally-recognized tribe that includes approximately 28,000 members occupying tribal lands in Southwestern Arizona. The Nation is the second largest reservations in Arizona in both population and geographical size, with a land base of 2.8 million acres and 4,460 square miles, approximately the size of the State of Connecticut. Its four non-contiguous segments total more than 2.8 million acres at an elevation of 2,674 feet.  

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