The purpose of the Supplemental Questionnaire is to assist with assessing your qualifications for the 0942 Manager VII – Director of Primary Care position.
It is suggested that you allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline. If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.
1.
Please select the highest level of education that you have completed.
High School Diploma or equivalent
Associate's degree
Bachelor's degree
Master's degree
Doctoral degree
None of the above
Please list the school(s) where you obtained your degree(s), the discipline/field of study, and type of degree earned (e.g. Bachelor of Arts degree in Psychology from the San Jose State University). If you do not possess any of the degrees identified above, type N/A.
2.
How much experience do you have managing a health care entity?
One (1) year of full-time experience is equivalent to 2,000 hours.
I have some, but less than one (1) year of experience
I have at least one (1) year, but less than two (2) years of experience
I have at least two (2) years, but less than three (3) years of experience
I have at least three (3) years, but less than four (4) years of experience
I have at least four (4) years, but less than five (5) years of experience
I have at least five (5) years, but less than six (6) years of experience
I have six (6) years of experience or more
I don't have any experience
3.
How much of your experience managing a health care entity as referenced in #3 above included supervising professionals?
One (1) year of full-time experience is equivalent to 2,000 hours.
I have some, but less than one (1) year of experience
I have at least one (1) year, but less than two (2) years of experience
I have at least two (2) years, but less than three (3) years of experience
I have at least three (3) years, but less than four (4) years of experience
I have at least four (4) years, but less than five (5) years of experience
I have at least five (5) years, but less than six (6) years of experience
I have six (6) years of experience or more
I don't have any experience
In accordance with your responses to #2 and #3 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) when you obtained the verifiable full-time equivalent work experience.
Additionally, please list the name of managers or supervisors who can verify the information provided as well as their contact information. If you do not have experience in these areas, please type N/A.
4.
From the following options, please identify relevant knowledge and experience that you possess. Select all that apply.
Experience using principles, practices and techniques of program planning, development and evaluation as applied to health care setting in a multicultural environment serving primary care patients
Experience using principles, practices and techniques of budgeting and health care reimbursement system, especially in capitation financing model
Knowledge of principles, practices and techniques to ensure compliance with State and Federal regulations
Experience using principles, practices and techniques of Primary Care workforce development, labor practices, and employee relations
Experience in building, leading, and managing successful project teams and working in a multidisciplinary environment
At least two (2) years of experience working with an electronic medical record
Experience working in a system which has implemented principles and tools of Lean Management Systems
None of the above
I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.
Department of Human Resources