City and County of San Francisco

Administrator, Department of Public Health (#1166)

$109.34-$139.55 Hourly / $18,952.00-$24,189.00 Monthly / $227,422.00-$290,264.00 Yearly


Under administrative direction, exercises primary responsibility for the efficient operation of a large medical facility; plans, implements and directs a hospital-based comprehensive community medical program providing a wide variety of inpatient, outpatient, ambulatory services, skilled nursing, and rehabilitation and geriatrics services; develops, executes and coordinates intra-and interdepartmental policies, methods and procedures; implements and promotes efficient and economical administrative techniques; represents the medical center before various groups, especially those concerned with community needs and issues; and performs relates duties as required.

Distinguishing Features

Positions allocated to this class report directly to the Director of Health and have administrative  responsibility for the efficient operation of all medical and non-medical activities at the San Francisco General Hospital and Trauma Center or at Laguna Honda Hospital and Rehabilitation Center.

Supervision Exercised

Incumbents typically manage senior executive level medical and/or administrative managers responsible for large diverse medical or healthcare functional areas.

Examples of Important and Essential Duties

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

  1. Provides the vision and leadership to effectively motivate and direct staff in developing and achieving goals and objectives that are congruous with the mission, values and strategic plan for the Department of Public Health.
  2. Organizes, implements and controls all medical and non-medical activities of the medical center in order to achieve its objectives and insure compliance with the standards set by the Joint Commission on the Accreditation of Hospitals, California Department of Public Health, Centers for Medicare and Medicaid Services and/or other accreditation or regulatory agencies; appraises and evaluates all operations by maintaining systematic procedures for evaluating the quality of care received at the medical center; reviews, evaluates, interprets, and carries out policies, methods and procedures through subordinate administrators; insures that policies and objectives are clearly understood and effectively applied.
  3. Develops, executes, and coordinates intra and inter departmental policies, methods, and procedures; provides the framework for planning, directing, coordinating, providing and improving care, treatment, and services to respond to community and patient needs, improve health outcomes, and meet regulatory requirements.
  4. Coordinates and integrates all functional phases and activities of the medical center to achieve a multi-disciplinary approach to the delivery of health care services; supervises the medical center personnel and administrative aspects of patient admission, care and discharge.
  5. Formulates procedures and/or programs for providing health care services that are responsive to various  communities of San Francisco,  the indigent and those with special health problems; meets with groups concerned with community issues, appropriate staff and others to assess present and future requirements, trends and problems.
  6. Authorizes and approves release of research, news articles and other public information regarding the hospital, its function and activities; prepares periodic reports concerning various phases of the hospital’s operations and financial conditions.
  7. Establishes cooperative relationships with the health community, including professional associations, hospitals, clinics, medical centers, government agencies and other health organizations; serves as an ex-officio member of the medical staff Executive Committee which acts in an advisory capacity to the medical center and is a member of other standing medical or advisory committees.
  8. Exercises general supervision and directs the services provided by the University of California and by other institutions serving the medical center; reviews and accounts for these functions to the Director of Health.
  9. Determines that duties and responsibilities, authority, and interrelationships are clearly defined and that the organizational structure is planned to secure efficiency; recommends staffing for each department of the medical center; supervises the physical operations of the medical center buildings and grounds; and gives priorities to necessary capital improvements.
  10. Supervises the fiscal administration of the hospital, such as the preparation of the budget, the accounting for all expenditures, the receipt, deposit and optimization of all revenues for inpatient and outpatient care rendered at the medical center, including reimbursement from local State and Federal agencies and private insurance programs.
  11. Identifies appropriate grant funds for and coordinates grants from various funding sources to the medical center, complying with grant objectives and departmental and City requirements under the direction of the Director of Health.
  12. Performs other related and assigned projects as needed.

Knowledge, Skills and Abilities

Requires comprehensive knowledge of: hospital administration and management, long-range strategic planning techniques, federal, state and local healthcare laws, rules and regulations, financial principles and practices related to healthcare and opportunities and challenges in the healthcare environment of an urban area.

Requires unusual ability to: plan, coordinate and direct the work of subordinates; deal tactfully and effectively with government officials, representatives of community interests, the general public, and others at all levels of government or business activities; provide strong leadership skills; apply the principles and practices of public administration, financial and human resources management to a medical and healthcare environment.

Experience and Training

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification.  Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.

Possession of a Master’s degree from an accredited college or university in Hospital Administration, Nursing, Public Health Administration or a closely related field.

Requires at least five years of experience as an administrator of a large general teaching hospital; five years of complex health care administrative experience; or an equivalent combination of training and experience.

License or Certificate

May require possession of valid license to practice medicine issued by the State Board of Medical Examiners or another advance level medical or healthcare licensure or certification.  


Special Qualifications including specialized knowledge, abilities, education, experience, or license may be established for individual positions.


CLASS: 1166; EST: 2/15/2013; REV: ;