Executive Fellow | Building Organizational Capacity to Expand Healthcare Access

FUSE Executive Fellow | Building Organizational Capacity to Expand Healthcare Access

Join to apply for the FUSE Executive Fellow | Building Organizational Capacity to Expand Healthcare Access role at FUSE
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Due to Medi-Cal updates, Fresno County residents can access healthcare from eligible community-based organizations. Fresno County partners aim to equip these organizations with the tools and knowledge they need to participate in this opportunity. The Executive Fellow will support this work by developing tools, education programs, and relationships necessary to build organizations’ capacity. As a result of this work, Fresno residents from all backgrounds will be able to access quality care through this community-based health model.

Fellowship Dates:
April 27, 2026 – April 23, 2027

Salary: Executive Fellows are FUSE employees and receive an annual base salary of $95,000. Fellows can also access various health, dental, and vision insurance benefits. Compensation for this year of public service is not intended to represent market-rate compensation for the experienced professionals in our program.

FUSE is a national nonprofit working to expand social and economic opportunities, particularly for communities that have been limited by a history of systemic and institutionalized racism. FUSE partners with local governments and communities to more effectively address pressing challenges by placing experienced professionals within city and county agencies. These FUSE Executive Fellows lead strategic projects designed to advance racial equity and accelerate systems change.

Since 2012, FUSE has led over 250 projects in 40 governments across 20 states, impacting the lives of 25 million people.

Fresno County serves approximately 4,300 households with community-based health programs (e.g., home visitation programs, community health worker programs, etc.) with an estimated need of 10,000 households. Community based organizations (CBOs) are critical for last mile public health delivery. While these organizations typically have small budgets and staff, they catalyze a large impact. The CBO community-based health workforce (e.g., community health workers, home visitors, doulas, promotoras) are especially effective, because they treat/support the whole person and have trust, connections, and insight related to their local communities.

During COVID-19, many CBOs delivered lifesaving information, support, and supplies to families in Fresno County. While their public health work was effective, the pandemic revealed that CBOs frequently lack the administrative and operational capacity to manage, often administratively intensive, government funding requirements. This limits their ability to pursue strategic grants, scale up good work, and serve their communities through more diverse support.

During the pandemic, the County of Fresno was able to make arrangements for financial and administrative oversight of the federal funding that went to local CBOs, but those resources were for extraordinary circumstances. CalAIM, a state program that expands healthcare definitions to include CBOs, presents an opportunity for sustainable, reliable, long-term funding for these services. To promote holistic, relevant healthcare services for all communities across the County, First 5 Fresno County, and its partners, aims to equip local CBOs with the skills, processes, and resources they need to properly secure and manage state, federal, and philanthropic funding.

First 5 Fresno County will partner with FUSE Corps to build CBOs’ capacity to access and manage grants and healthcare funding. The Executive Fellow will develop strategies for CBOs to pursue CalAIM funds; create a funding matrix that maps out options (e.g., state, federal, philanthropic) and requirements; design tools for CBOs to calculate and demonstrate the true cost of their services;

develop a CBO specific academy or certification program framework/curriculum to build organizations’ administrative knowledge and skills; and forge the relationships, connections, and insights necessary to foster long‑term collaboration and…