County of Alameda

Physician IV (#5141)

Bargaining Unit: ACMEA - HCSA Tech/Para Mgmt (R45)
$129.81-$157.78 Hourly / $10,384.80-$12,622.40 BiWeekly /
$22,500.40-$27,348.53 Monthly / $270,004.80-$328,182.40 Yearly

Under direction, to plan, organize, and to supervise a multidisciplinary team including professional, para-professional and support staff in a public health or mental health district and to do related work as required.


These positions are located in the Health Care Services Agency. The Physician IV has supervising responsibilities over professional, para-professional and support staff and may exercise functional and administrative supervision over a program. The Physician IV is distinguished from the lower-level class of a Physician III in that the latter has no primary supervisory responsibilities. The Physician IV is further distinguished from the next higher-level class of Physician V in that the latter is responsible for the overall management of a Division.

NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

1. Supervises, recruits, trains, evaluates and disciplines a multidisciplinary team of professional, para-professional and support staff.
2. Develops and implements service delivery process; interprets and implements policies, procedures, and regulations; and ensures regulatory compliance.
3. Assists in the development and administration of policies, procedures and standards.
4. Establishes and maintains cooperative relationships with other County departments, Health Care Services Agency programs, community-based organizations, private providers, and other stakeholders.
5. Plans, organizes, and directs a clinical service; recommends policies and procedures relating to the service; coordinates the assigned service with other County health services; evaluates existing programs; and plans, organizes and directs new programs within the assigned service.
6. Acts as a liaison between the program/service and all clinical, paramedical, and laboratory services; and provides consultative services to professional staff and other services.
7. Makes presentations and conducts clinical training for the physician community.
8. Convenes and chairs morbidity and mortality reviews including jail and fetal/infant mortality reviews.
9. Participates in State-wide health policy making in such areas as bioterrorism and chronic disease management.
10. Provides direct clinical services, conducts medical examinations and prescribes treatment.
11. Plan, develops, implements, monitors and evaluates the assigned program/project.



The equivalent of two years in the class of Physician III in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.)


The equivalent of three years experience equivalent to the level of a Physician III, of which at least one year experience in a lead or supervisory capacity.


Possession of a valid license to practice medicine in the State of California.

Special Requirements:

  1. In compliance with the Administrative Simplification provision of the Health Insurance and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job.
  2. In compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and Non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination.
  3. In compliance with the Department of Health Care Services (DHCS) and the Federal Cures Act, Employees in this classification who are required to render direct specialty mental health services in the course of their assignment must successfully be enrolled in Provider Application and Validation for Enrollment (PAVE) web portal prior to commencing employment.

NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.

NOTE: The level and scope of the following knowledge abilities are related to duties listed under the "Examples of Duties" section of this specification.

Knowledge of:

• Clinical standards of practice and licensure requirements.
• Modern principles, practices and trends in an appropriate medical specialty.
• Current trends in research, legislation related to the specialty/service.
• Effective management practices in a medical or mental health setting.
• Community, State, and national resources available for application in the medical specialty.
• Community organization and private/public dynamics and development.
• Principles and best practices in the delivery of culturally competent medical services.
• Administrative analysis and report preparation.
• Management principles and best practices, including workforce planning, employee supervision and resource allocation.

Ability to:

• Plan, organize and direct public health/mental health service.
• Supervise and instruct subordinate professional and technical personnel.
• Assist in the development and presentation of educational programs.
• Communicate effectively orally and in writing.
• Assist in the development and presentation of educational programs.

Old document:  0436h
New document:  Jobspecs/5141
CSC Date 12/18/85
SG:po  Revised 1/9/09
CSC Date:  7/29/09 
IL:saa Revised 3/16/23
CSC Date:11/29/2023


Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees)
  • Accidental Death and Dismemberment Insurance 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 12 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Management Paid Leave**
  • Catastrophic Sick Leave
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.

** Non-exempt management employees are entitled to up to three days of management paid leave. Exempt management employees are entitled to up to seven days of management paid leave.

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