CHIEF EXECUTIVE OFFICER

OUR ORGANIZATION & MISSION

North Sound Accountable Community of Health (North Sound ACH) is an independent nonprofit organization committed to building vibrant and healthy communities, places where all can live full lives. We convene partners across public, private, clinical, community, and government sectors to address the root causes of inequities and to cultivate systems that support thriving.

North Sound ACH has an annual operating budget of around $20 million and accomplishes the work through an engaged team of 40 employees.

The North Sound region is home to more than one million people who live in Island, San Juan, Snohomish, Skagit, and Whatcom counties — urban and rural settings spanning from mountains to islands in the Salish Sea, sitting on the traditional homelands of eight Tribal nations who have inhabited this land since time immemorial: Lummi Nation, Nooksack Tribe, Upper Skagit Tribe, Samish Indian Nation, Swinomish Indian Tribal Community, Stillaguamish Tribe of Indians, Tulalip Tribes, and Sauk-Suiattle Indian Tribe.

COMPENSATION & BENEFITS

• The 2025 salary range for this role is $166,747- $225,599. Employees are provided with the following resources, care, and support to do and be the best while working as a part of the North Sound ACH:
• Flexible work model – North Sound ACH is primarily remote, and this role requires travel to in-person internal and external meetings on a weekly basis, requiring overnight stays at times
• Remote work stipend for internet and utilities used at remote location
• Employee Assistance Program
• Professional development support
• Paid time off: 30 days (combination of vacation, sick and holiday)
• Healthcare Insurance (medical, dental, and vision)
• 401k Retirement plan with employer match

THE ROLE

Summary

The Chief Executive Officer (CEO) is the executive leader of North Sound ACH. The CEO is accountable to the Board of Directors and is the sole staff member hired, evaluated, and directly reporting to the Board. The CEO directs all organizational activities to accomplish the goals and outcomes set by the Board, and is responsible for stewarding resources, building and sustaining strategic partnerships, and advancing the organization’s mission. The CEO ensures the organization is working to meet urgent needs and reduces barriers to well-being for individuals and groups who face systemic inequities within the North Sound region. This is accomplished by investing in policies and programs that address and dismantle the historic and systemic barriers to equitable well-being.

Essential Job Functions

Executive Leadership & Strategy

• Supports the Board in defining a clear strategic vision and value proposition for the region.
• Determines the means to achieve goals established by the Board, operating within any Executive Limitations set by the Board.
• Serves as a practical visionary, helping communities and partners translate complexity into achievable pathways.
• Oversees strategic and operational processes for North Sound ACH’s internal and external system transformation efforts.
• Provides collaborative leadership as a member of the WA Coalition of ACHs, a 501c6 formed to foster the work of Washington’s nine ACH regions.
• Tracks and interprets changes in federal and state policy landscapes that impact the State’s Medicaid waiver, related health transformation initiatives, and any legislation affecting partner organizations and the communities served. Provides timely insights and strategic recommendations to the Board and stakeholders to ensure alignment, compliance, and proactive adaptation.

Community & Systems Partnership

• Convenes and elevates diverse voices to advance shared priorities, especially those most impacted by inequities.
• Assures that the organization upholds its commitment to tribal sovereignty, deepening relationships with each of the eight tribal nations who have traditional homelands in the North Sound region.
• Represents the organization’s vision of equitable well-being with local, regional, state and federal partners, providers, and stakeholders, advocating for a path to help North Sound ACH and its partners meet defined goals.
• Serves as the primary liaison with state agencies and partners, including WA Health Care Authority, WA Department of Health, Medicaid Managed Care Organizations, and other state, regional and local entities, ACHs and partners.

Operational Stewardship & Workforce Leadership

• Builds an organizational structure and internal systems that foster collaboration, learning, and sustained success.
• Directly supervises key members of the leadership team and ensures clarity of roles, accountability, and performance.

Risk, Compliance & Contract Management

• Ensures North Sound ACH meets all federal, state, and local regulatory requirements.
• Coordinates with legal counsel to interpret relevant legislation and regulations.
• Monitors and manages organizational risk, including legal compliance, liability insurance, investments, and operational safeguards.

Financial Leadership & Resource Stewardship

• Provides fiscal management oversight of all revenue, expenditures, and investments.
• Identifies and pursues opportunities that will support sustainability and increased community impact.
• Expertly brokers and negotiates new partnerships or makes changes to existing partnerships which tap into the value proposition of the organization.
• Ensures that the organization’s financial resources and assets are managed according to the guidelines set by the Board and in compliance with accepted accounting standards and current laws and regulations.

Qualifications

• Minimum of 7 years of experience leading teams and supporting the performance and development of supervisory/management staff.
• Minimum of 7 years demonstrated expertise in facilitation, consensus building, and problem-solving across diverse stakeholders.
• Advanced ability to communicate complex issues clearly to a wide range of audiences, including executives, community partners, and policymakers.
• Has a strong understanding of federal and state health policies and roles of state and federal agencies in planning, implementing and funding new initiatives.
• Knowledge of and leadership experience working with the social determinants of health, vital conditions for well-being, and impacting health/community service delivery systems.
• Change management competency: Experience in change management best practices and implementation required, to include competence around human behavioral change required for long lasting organizational change. Ready to take advantage of unexpected opportunities; adapts quickly as things change.
• Proficiency with MS Office suite (including Word, Excel, PowerPoint), Google Suite (including Google Docs, Spreadsheets, and Drive), Zoom and other online virtual meeting tools along with ability and desire to learn new applications.
• Advanced degree from an accredited college or university in business, health education, public health, health administration, or a related field. Experience directly related to the essential job functions listed may be considered in lieu of an advanced degree.

Values & Cultural Expectations

Every member of the North Sound ACH team commits to:

• Equity and social justice: Recognizing how identity, race, income, age, language, immigration status, ability, and more shape access and wellbeing.
• Self-awareness and growth: Reflecting on personal identity, receiving feedback with humility, and modeling continuous learning.
• Proactive problem solving: Anticipating challenges, navigating complexity, and spotting opportunities.
• Effective change management: Understanding human behavioral change and how to support lasting transformation.
• Reliability and professionalism: Managing multiple projects, honoring commitments, and showing respect in every interaction.
• Community stewardship: Representing North Sound ACH with integrity, honesty, and care.

WHAT ELSE YOU SHOULD KNOW

North Sound ACH is an equal opportunity employer, and we value having staff who come from communities that are most impacted by our issue. We especially encourage people of color, LGBTQIA+ people, transgender and gender non-conforming people, and people with disabilities to apply. Applicants fluent in languages other than English are preferred.

COMPENSATION & BENEFITS

• The 2025 salary range for this role is $166,747- $225,599. Employees are provided with the following resources, care, and support to do and be the best while working as a part of the North Sound ACH:
• Flexible work model – North Sound ACH is primarily remote, and this role requires travel to in-person internal and external meetings on a weekly basis, requiring overnight stays at times
• Remote work stipend for internet and utilities used at remote location
• Employee Assistance Program
• Professional development support
• Paid time off: 30 days (combination of vacation, sick and holiday)
• Healthcare Insurance (medical, dental, and vision)
• 401k Retirement plan with employer match