Soboba Healthcare Board Member

SOBOBA Healthcare BOARD Member – POSITION NOTICE TITLE: Board Member ENTITY: Soboba Healthcare LLC CATEGORY: Board Appointment REPORT TO: Appointing Authority (Soboba Tribal Council or Aambé Health Board) TERM LENGTH: Three (3) years STATUS: Voting Member SUMMARY Board Members of the Soboba Healthcare Board (“the Board”) serve as governance leaders responsible for overseeing the clinical, financial, operational, and compliance performance of Soboba Health, LLC.

Members ensure that healthcare services are safe, culturally aligned, financially sustainable, and compliant with all Tribal and applicable regulatory requirements. The Board acts collectively as the governing body that supports both Tribal interests and the management services partnership with Aambé Health. ESSENTIAL DUTI ES AND RESPONSIBILITIES The essential duties of members of Soboba Healthcare Board include, but are not limited to, the following:

1. Governance & Strategic Oversight

• Ensure all decisions protect patient welfare, Tribal sovereignty, and long-term community health outcomes.
• Review and approve major policies, budgets, capital expenditures, and strategic initiatives.
• Evaluate progress toward annual strategic goals and multi-year planning priorities.
• Participate in annual Board performance reviews and governance training.

1. Financial Oversight

• Review monthly and annual financial reports including income statements, balance sheets, cash flow, and AR aging.
• Monitor payer performance (IHS, Medicaid/Medicare, private payers).
• Evaluate budget-to-actual variances and operational efficiency indicators.
• Approve annual fiscal year budget and financial corrective action plans.

1. Operational Oversight

• Review performance dashboards including patient volumes, scheduling access, staffing ratios, and satisfaction metrics.
• Approve key senior leadership hiring decisions (Clinic Director and other major roles).
• Monitor facility conditions, equipment lifecycle, safety programs, and IT/EHR performance.

1. Compliance, Quality & Risk Management

• Ensure adherence to Tribal Health Codes, HIPAA, OSHA, CLIA, HRSA, CMS, IHS requirements, and all relevant laws.
• Review compliance audits, incident reports, corrective action plans, and licensure/credentialing status.
• Monitor Quality Assurance/Performance Improvement (QAPI) reports and approve quality initiatives.

1. Community Representation & Engagement

• Promote culturally respectful, community-centered healthcare delivery.
• Review community health outcomes and satisfaction surveys.
• Participate in community listening sessions, outreach, and communication with Tribal Council. SPECIFIC RESPONSIBILITIES BY APPOINTMENT TYPE Soboba-Appointed Members
• Represent Tribal community health priorities and cultural values.
• Ensure transparency and communication with Soboba Tribal Council.
• Monitor alignment with Tribal sovereignty, public health priorities, and community expectations. Aambé Health-Appointed Members
• Provide subject matter expertise in healthcare operations, compliance, finance, and technology.
• Oversee management performance, operational metrics, workflows, and budget execution.
• Ensure efficient delivery of services under the Health Services Agreement. MEETING RESPONSIBILITIES
• Attend monthly Board meetings and any special or emergency meetings.
• Review agenda materials distributed prior to meetings.
• Participate actively in discussion, decision-making, and voting.
• Uphold confidentiality and ethics requirements.

QUALIFICATIONS

Candidates should possess at least one of the following:

• Experience in healthcare administration, compliance, clinical operations, or quality.
• Background in finance, governance, business management, or public administration.
• Experience in Tribal governance, community health, or culturally rooted service roles.
• Demonstrated ability to make objective decisions, engage collaboratively, and interpret reports. ETHICS & CONDUCT REQUIREMENTS
• Adhere to fiduciary duty, confidentiality, and good-faith governance practices.
• Avoid conflicts of interest and disclose any potential issues proactively.
• Maintain professionalism and uphold Tribal values and regulatory obligations.
• Use role only for governance—not for personal, political, or financial gain. TIME COMMITMENT
• Monthly Board meetings (typically 2–3 hours)
• Quarterly reviews and annual retreat participation
• Preparation time for documents and reports (estimated 2–4 hours monthly)
• Community outreach (as applicable) Page Break REQUIRED At least eighteen (18) years of age. Successfully complete the pre-screen Background Clearance equivalent to the clearance required of key Tribal Team Members. No convictions for a felony or any crime involving theft or conversion of money or property. SPECIAL ACTION BY CANDIDATES REQUIRED Those who are interested in serving as a Soboba Healthcare Board Member must submit a résumé and completed background packet, which may be obtained from Soboba Human Resources Department. The Human Resources Department may be contacted Monday-Thursday, between the hours of 8:00 am- 4:00 pm, by phone at (951) 654-5544 ext. 4165 or email Lynn Saenz at lsaenz@soboba-nsn.gov . T he completed background packet must be submitted to Steven Estrada no later than November 16, 2026, by 4:00 pm PST. Email: sestrada@soboba-nsn.gov Mail: Soboba Band of Luiseño Indians Steven Estrada, Tribal Executive Officer P.O. Box 487 San Jacinto, CA 92581