0943 Manager VIII - SFHN Chief Operating Officer

Recruitment #PBT-0943-101734




Applicants are encouraged to file immediately as this recruitment may close at any time,
but no earlier than January 17, 2020

7/15/2020: Announcement amended and reissued due to a change in the Selection Procedures. Applicants who have already submitted an application, do not need to reapply.

The Department of Public Health’s (DPH) San Francisco Health Network (SFHN) is a community of top-rated clinics, hospitals, and programs.  We connect San Franciscans to quality health care, annually serving more than 100,000 people, by providing continuous care for people wherever they are – in clinics, hospitals, at home, in jail, in transitional housing or on the streets.  As the City and County of San Francisco’s (CCSF) public health system, we also provide emergency, trauma, mental health, and substance use care to any San Franciscan who needs it.  The SFHN celebrates San Francisco’s diversity, serving individuals and families of all backgrounds and identities, regardless of immigration status or lack of insurance and is dedicated to empowering all San Franciscans, without exception, to live the healthiest lives possible.  

Major operational divisions of the SFHN include an acute care and trauma medical center, primary care and specialty clinics, home health agency, skilled nursing facility and behavioral health (mental health and drug treatment) inpatient, out-patient and community programs.  The SFHN is the largest Division of the DPH and manages an annual budget of nearly $2 billion and more than 6,500 FTEs.  

Under policy direction of the SFHN Director, the 0943 Manager VIII – SFHN Chief Operating Officer provides executive managerial oversight for DPH’s vertically integrated healthcare delivery system; as a member of the SFHN executive leadership team, collaborates with the SFHN Chief Medical Officer and SFHN divisional leadership to develop and implement business, fiscal, organizational and developmental strategic initiatives consistent with achieving the mission of the SFHN and DPH; and manages special grants and projects as directed by executive and legislative branches of CCSF government related to health care delivery system improvement efforts.   


The 0943 Manager VIII – SFHN Chief Operating Officer performs the following essential job functions:

  • Leadership – Provides direct supervision of department managers/directors for areas including SFHN-wide pharmacy services, materials management, rehabilitation services, and interpreter services; provides indirect supervisory oversight to the Chief Operating Officers at Zuckerberg San Francisco General and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, Business Intelligence Unit, and Ambulatory Care;
  • Program Planning and Administration – Provides oversight and leadership for the operations of the following DPH areas:  pharmacy services, supply chain management, rehabilitation services, Health at Home, and interpreter services; provides oversight (jointly with finance) for the Business Intelligence Unit, consolidation and management of contracts that involve multiple SFHN/DPH Divisions, and serves as the lead for SFHN and DPH-wide policies and procedures; 
  • Project Implementation, Coordination and Evaluation - Develops and implements business, fiscal, organizational and developmental strategic initiatives consistent with achieving the SFHN and DPH mission, with a focus on the program areas detailed above;
  • Resource Development – Provides executive oversight and management operational responsibility for the development of high quality, cost effective administrative and clinical programs with a focus on improving integration within SFHN, as well as in collaboration with DPH, its affiliated clinical partners, and the various communities and constituencies serviced by the SFHN;
  • Business Acumen - Demonstrates significant fiscal and budget acumen, with the charge of ensuring value and efficiency in program development and implementation.
  • Political Acumen - Effectively communicates, interfaces, and engages with a broad span of constituencies associated with the SFHN and the DPH, its clinical and community partners and departments within the City and County of San Francisco; establishes and sustains effective communication channels with a wide range of DPH staff and other parties involved in health care delivery system initiatives; anticipates potential problems; takes timely initiative, and skillfully determines when DPH executive leadership consultation and policy guidance is required; represents DPH and SFHN to the community, regulatory agencies and media as needed; and
  • Finance and Budget – Serves as the SFHN lead for analyzing, developing and implementing the unique California public hospital and health system of financial modeling and monitoring, including proforma budget development, reimbursement optimization with the linkage of clinical operations to value based reimbursement metrics; collaborates and directs key clinical and administrative units to move the integrated delivery system from fee for service to fee for value based financial arrangements including Accountable Care Organization (ACO) Development, Shared Savings reimbursement models and Knox Keene licensed full capitation reimbursement models of care.  

The 0943 Manager VIII – SFHN Chief Operating Officer performs other related duties as assigned/required.  

Compensation and Benefits:  The normal annual salary range is $189,046 - $241,228.  Appointment above the maximum of the normal range may be considered based on documented and substantiated recruitment and retention issues or exceptional skills.  A special approval process is necessary for appointment above the normal salary range.  For additional information about the City's benefits package, please visit:  Municipal Executives' Association Benefit Summary  

Other outstanding benefits offered with this position include:

  • Medical, Dental, and Life Insurance; Long-term Disability Plan; Flexible Spending Accounts
  • Municipal Executives Flexible Credits Defined Retirement Plan
  • Deferred Compensation; and Social Security
  • Paid Management Training Program; Wellness Program
  • Vacation/Holiday/Sick Time; and Administrative Leave

Minimum Qualifications

  1. Possession of a Bachelor’s degree from an accredited college or university in Public Health, Health Administration, Health Policy, Business Management or a closely related field; AND
  2. Five (5) years of managerial experience, all of which must include supervisory, in areas comprising of a health care delivery system (e.g. home health, acute care, preventive care, primary care, long-term care, rehabilitation, behavioral health, trauma care, and ancillary support services, such as supply chain, facilities management, environmental services and security services).  

Experience Substitution: Possession of a Master’s degree from an accredited college or university in Public Health, Health Administration, Health Policy Business Management or a closely related field may substitute for one (1) year of the required experience.   

Education Substitution: Additional qualifying experience as described above may be substituted for the education requirement for up to two (2) years.  (One year of work experience is equal to 30 semester or 45 quarter units).   

One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40 hour work week). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine full-time employment. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

Desirable Qualifications:
The stated desirable qualifications may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.

  • Board Certification or Board Eligible for Certification by the American College of Health Care Executives (ACHE) or other health care management credentialing agency.
  • Comprehensive knowledge and understanding of Lean Production Practice and experience in applying Lean management principles within a healthcare organization.
  • Knowledge of regulatory standards and licensing requirements for acute hospitals.
  • Experience developing and implementing strategic plans.
  • Knowledge of change management principles and experience with change management approaches.
  • Willingness to uphold/abide by ZSFG’s ICARE (I-Introduce, C-Connect, A-Ask, R-Respond, E-Exit) philosophy for employee and patient interactions: https://zuckerbergsanfranciscogeneral.org/about-us/.

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

Verification of required education typically must be a photocopy of the degree or transcript from an accredited college or university.  

Verification of required work experience typically must be on the employer’s letterhead, and must include the applicant’s name, job title, description of job duties, dates of employment, hours per week, and signature of the employer, supervisor, or appropriate representative.  City and County of San Francisco (CCSF) employees do not need to submit verification of their City employment, but must submit written verification of outside experience. CCSF employees will not receive credit for experience obtained outside of their classification unless recorded in accordance with the provisions of the Civil Service Rule 110.9.1/111A.11.2.     

Verification of required licensure/certification typically must be a photocopy of the license/certificate including the name of the issuing agency as well as the name of the license/certificate holder, license/certificate number, and expiration date.    

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.

  • Select the desired job announcement
  • Select “Apply” and read and acknowledge the information
  • Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
  • Follow instructions on the screen

Computers are available for the public (from 8:00 a.m. to 5:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor, San Francisco.

Applicants may be contacted by email about this announcement and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date.  Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter.  To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu).

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file.  Applicants should retain this confirmation email for their records.  Failure to receive this email means that the online application was not submitted or received.

All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline.  Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.

Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

If you have any questions regarding this recruitment or application process, please contact the exam analyst, Yvette Gamble, by telephone at (415) 554-2911 or by email at yvette.gamble@sfdph.org

Selection Procedures

Minimum Qualification Supplemental Questionnaire: (Weight: Qualifying)
Applicants will be prompted to complete a Supplemental Questionnaire as part of the online employment application. This Minimum Qualification Supplemental Questionnaire is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position. Applicants must also complete the official application. It is essential that applicants provide complete information in identifying their education, experience and training. The Minimum Qualification Supplemental Questionnaire will be used to evaluate if the applicant possesses the required minimum qualifications.

Supplemental Questionnaire Evaluation: (Weight: 100%)
Applicants who meet the Minimum Qualifications will receive an emailed Supplemental Questionnaire (SQ) that is designed to measure knowledge, skills, and/or abilities in job-related areas which may include, but not be limited to:

  • Knowledgeable about the principles and current applications of health care operations and management;
  • Comprehensive knowledge of laws, rules and regulations affecting the operations and revenue streams related to building health services at the local, state and federal levels;
  • Demonstrated ability and skill in analyzing various administrative problems and exercising discriminating judgment in the analysis and solution of complex administrative problems related to integrating health service operations across the various components of the San Francisco Health Network;
  • Ability to initiate and manage complex health projects in stressful and ambiguous situations while maintaining effective relationships with senior physician and administrative leaders;
  • Ability to contribute to strategic planning efforts; to grasp and adhere to the established policies of the DPH; to effectively utilize financial information in budgeting efforts, as well as strategic and operational decision making with regards to services;
  • Administrative skills to exercise oversight of the essential equipment and infrastructure required in the operations of health services and maintain effective cooperative relationships with DPH and CCSF IT departments, as well as with partnering organizations such as UCSF;
  • Leadership skills necessary to anticipate potential problems and initiate timely responses; to effectively manage unanticipated crises; to communicate skillfully with all parties involved in a given project; to initiate concrete, constructive and frequent feedback; and
  • Ability to supervise and develop staff responsible for supply chain management, rehabilitation services, health at home, the Business Intelligence Unit, and other service lines designated.  

The Supplemental Questionnaire will be sent to the email address listed on the applicant's online application. Applicants will be required to respond to the Supplemental Questionnaire in the time frame indicated and must submit the completed questionnaire as directed in order to have it evaluated. Once submitted, responses on the Supplemental Questionnaire cannot be changed. Applicants will be evaluated based on their SQ responses.  

Applicants must achieve a passing score on both examination components in order to be ranked on the eligible list/score report. Successful applicants will be placed on the eligible list/score report, in rank order, according to their final score.  

After the eligible list/score report is finalized/adopted:

  • The department may administer additional selection procedures to make a final hiring decision (e.g. interviews, written exercise, etc.).
  • Applicants meeting the Minimum Qualifications are not guaranteed advancement through all steps of the selection process.  

The certification rule for the eligible list resulting from this examination will be Rule of the List Scores.  Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Eligible List/Score Report:
A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be  six (6) months, and may be extended with the approval of the Human Resources Director.

Upon approval of the Human Resource Director (see Civil Service Rule 111A.26.5), the eligible list/score report resulting from this announcement may be used by other departments that also use this classification or a similar classification. To find other Departments which use this classification, please see https://sfdhr.org/sites/default/files/documents/Forms-Documents/Position-Count-by-Job-Codes.pdf.

Conviction History

As a selected candidate for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a selected candidate. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:

  • Candidates for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.
  • Candidates for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.

Having a conviction history does not automatically preclude you from a job with the City.

If you are a selected candidate, the hiring department will contact you to schedule a fingerprinting appointment.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.



Statement on Equity, Diversity, and Inclusion:
At the City and County of San Francisco, we share a commitment to a diverse, inclusive and equitable community. Each member of our organization is responsible and accountable for what they say and do to make San Francisco an inclusive and equitable place to live and work by employing fair and just practices to and for all.  

Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout duration of employment. Failure to demonstrate/show proof of possession of required valid licensure/certification/registration may result in dismissal and/or termination of employment.   

Note on Electronic Health Record (EHR):
The Department of Public Health (DPH) is implementing a unified Electronic Health Record (EHR) system and DPH employees must demonstrate competency in the use of the system that is appropriate for their classification as a condition of employment.  

Note on Personal Protective Equipment (PPE):
Some positions in the Department of Public Health will require the use of personal protective equipment (PPE), including but not limited to gloves, gowns, eye and face protection, and face-fitting respirators. The requirement for the use of PPE may come on short or no notice. Facial hair or any condition that interferes with a face-fitting respirator’s seal (i.e. comes between the sealing surfaces of the respirator and the wearer’s bare skin) is not permitted when face-fitting respirators are worn, including during initial or periodic respirator fit-testing.  

Employees who choose not to shave and do not have either American Disabilities Act (ADA) or Equal Employment Opportunity (EEO) Accommodations do not have the right to alternate work assignments or the option of using a loose-fitting Powered Air Purifying Respirator (PAPR) in place of a Face Fitting Respirator.  

Medical Examination: 
Prior to appointment, at the Department’s expense, applicants may be required to take a tuberculosis (TB) screening test, medical examination, and/or drug test.  

Terms of Announcement:
Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations.  Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at www.jobaps.com/sf.

The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule.  Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director.  Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

General Information concerning City and County of San Francisco Employment Policies and Procedures:
Important Employment Information for the City and County of San Francisco can be obtained at http://sfdhr.org/information-about-hiring-process or hard copy at 1 South Van Ness Avenue, 4th Floor.

Copies of Application Documents:
Applicants should keep copies of all documents submitted, as these will not be returned.

Right to Work:
All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.

Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: 

Information regarding requests for Veterans Preference can be found at: 

Seniority Credit in Promotional Exams: 
Information regarding seniority credit can be found at:

Exam Type:  CPE 
Issued:  January 3, 2020 
Amended and Re-issued: July 15, 2020
Micki  Callahan
Human Resources Director
Department of Human Resources
Recruitment ID Number:  PBT-0943-101734
DPH/YG/(415) 554-2911  (#01125670, MCCP#:  81-279)





All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

For more information about benefits, please click here.



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