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File #: 25-4634    Version: 1 Name:
Type: Consent Item Status: Passed
File created: 3/20/2025 In control: BOARD OF SUPERVISORS
On agenda: 11/4/2025 Final action: 11/4/2025
Title: ADOPT Position Adjustment Resolution No. 26478 to reallocate the salary of the Chief Operations Officer - Exempt (VWD1) classification to a five-step (5-step) salary plan with five percent (5%) increments between steps at salary plan and grade BL8 2449 ($23,500 - $28,564) in the Health Services Department. (Cost increase - Hospital Enterprise Fund I and Contra Costa Health Plan Enterprise Fund II)
Attachments: 1. PAR 26478.pdf, 2. Signed PAR 26478
To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Reallocate the salary of the Chief Operations Officer - Exempt (VWD1) classification in the Health Services Department
?Recommendation of the County Administrator ? Recommendation of Board Committee


RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26478 to reallocate the salary of the Chief Operations Officer - Exempt (VWD1) classification to a five-step (5-step) salary plan with five percent (5%) increments between steps at salary plan and grade BL8 2449 ($23,500 - $28,564) in the Health Services Department.


FISCAL IMPACT:
This action will incur an additional annual cost of $170,031.97, including $24,839.91 in pension costs.

BACKGROUND:
Contra Costa Health (CCH) is actively implementing significant systemwide changes aimed at enhancing transparency, modernization, and overall quality within its operations. These efforts are driven by CCH's commitment to building a health department capable of effectively navigating the evolving structural, economic, and policy landscape shaping healthcare in California and across the nation. Recent vacancies and retirement announcements among key CCH leadership have further underscored the need to address leadership capacity promptly.

There are currently two Chief Operations Officer (COO) positions within CCH - one assigned to the Contra Costa Regional Medical Center and Health Centers, and the other to the Contra Costa Health Plan division. Each position is responsible for overseeing the administration and operational management of its respective division. The base salary for the COO classification is presently a single-step salary plan of $236,900.64 annually.

At CCH's request, Human Resources conducted a comprehensive salary study of the Chief Operations Officer-Exempt (COO) classification, comparing compensation data across the nine Bay Area counties. The study identified a significant market disparity, with the Co...

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