Nick Macchione, FACHE
San Diego County Health & Human Services Agency
With more than 30 years of experience leading health and human services, Nick Macchione serves as director of San Diego County’s Health and Human Services Agency. He oversees a workforce of approximately 6,700 employees and a $2.6 billion annual budget with an additional $10 billion in Medicaid and public assistance payments to providers and clients. Since the Live Well San Diego initiative was implemented in 2010, Mr. Macchione has partnered with hundreds of diverse governments, schools, businesses and community-based organizations to collectively unify a region where everyone can be healthy, safe and thriving. The California Council for Excellence recently recognized the agency with the 2017 Silver Level California Award for Performance Excellence and Eureka Award for Performance Excellence. Mr. Macchione holds master’s degrees from Columbia University and New York University, specializing in leadership, management and policy. He is the Baldrige Foundation’s 2018 Harry S. Hertz Leadership Award recipient. Mr. Macchione is actively involved in community and professional activities at both the national and regional levels. He is a Public Health Leadership Scholar with the Public Health Institute and a Creating Healthier Communities Fellow of the American Hospital Association. For the past 22 years, he has been an instructor and faculty member at San Diego State University’s Graduate School of Public Health. He also holds the endowed position of John J. Hanlon Executive Scholar for the Division of Health Management and Policy. In recognition of his professional and academic accomplishments, Mr. Macchione was named 2016 Public Official of the Year by Governing. He is board certified in healthcare management as an ACHE Fellow.