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1165-Manager, Department of Public Health

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Manager, Department of Public Health

Job Classification

Class 1165
TitleManager, Department of Public Health
Overtime Eligibility Exempt (Z) - No Paid Overtime
Labor Agreement Municipal Exec Assoc, Misc
Effective DateOctober 01, 2026

Current Compensation Plan

Effective: Jul 01, 2026

Management classifications: Range A compensation for this classification is between $274,196 and $349,934.
Further information on pay ranges available for this classification: Compensation Rates.
Minimum qualification guidelines for management positions: PDF.

Job Description

CITY AND COUNTY OF SAN FRANCISCO

DEPARTMENT OF HUMAN RESOURCES

Title: Manager, Department of Public Health

Job Code: 1165

DEFINITION

Under policy direction, managers in these positions function at the executive level of department management for the Department of Public Health and are responsible for all functions and activities of several major medical, clinical and/or healthcare divisions or areas; provide leadership and direction in developing new programs and establishing organizational policies, priorities and objectives; direct and coordinate the implementation of program changes; serve as technical advisor; and perform related duties as required. Incumbents in this class report to senior medical, clinical and healthcare executive level managers.

DISTINGUISHING FEATURES

Incumbents in this class are at the highest level of healthcare, clinical and medical management and assume primary responsibility for diverse and complex functions at the Department of Public Health which includes the San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, Community Oriented Primary Care, and Population Health and Prevention. Incumbents in these positions make decisions of a highly significant consequence or impact involving healthcare, clinical and medical operations and recommend new policies, procedures, organizational areas, or services.

SUPERVISION EXERCISED

Incumbents typically manage senior-level medical, clinical and/or healthcare administrative managers responsible for diverse 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. Develops and implements division goals, objectives, policies, and priorities; determines service levels and resource allocation.

2. Plans, coordinates, directs and evaluates the delivery of medical, clinical and health care by maintaining and ensuring standards of care, practice and performance; develops, implements and evaluates the department�s plan for the provision of medical, clinical and health care.

3. Develops organization wide patient care programs, policies, and procedures that guide and support the provision of services; assesses and improves the provision of medical, clinical and healthcare services through the implementation of effective programs to measure quality.

4. Monitors the work of and mentors or coaches subordinates to improve performance; participates with medical, clinical and healthcare leadership to determine appropriate staffing levels, hiring plans, training needs, and staff qualifications and competencies for efficient and effective operations.

5. Monitors the efficiency and effectiveness of the departmental organization structure, staff assignments, service levels and administrative systems; identifies and analyzes opportunities for improvement; implements improvements.

6. Directs the allocation of resources to achieve timely outcomes and measurable goals within budget; adjusts plans and programs to meet healthcare reform or other new medical or clinical programs, while continuing to address major medical, clinical and health care l priorities.

7. Advises executive leadership on matters pertaining to staffing, finance, facilities and other operational matters; reports on infrastructure or changes required of bylaws, rules, regulations and department policies and established professional standards.

8. Provides leadership and oversight for the infrastructure of data collection, analysis and reporting to support quality (operational, clinical and patient experience) outcomes.

9. Communicates regularly with medical, clinical and healthcare executive-level management regarding the Department's activities and coordination of efforts with other City departments in addressing the needs of the City; represents the Department before legislative boards, regulatory bodies, other healthcare agencies, and medical, clinical or advisory committees.

10. Assesses and responds to community needs; provides consultation and advice to boards, committees and representatives from federal, state and local agencies.

11. Participates in budget development by providing detailed justification and persuasive arguments for proposals or initiatives. Implements and closely monitors budget expenditures of the operating budget for a major area of responsibility typically including multiple divisions.

12. Provides executive management with an early warning and practical options to potential cost overruns.

13. May participate in direct patient care/medical or clinical activities as determined by specialty.

14. Performs other related and assigned projects as needed.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of: federal, state and local rules and regulations pertaining to medical and healthcare activities and functions; management principles and practices; long range strategic, tactical and objective planning techniques; and opportunities and challenges in the healthcare environment of an urban area.

Ability or Skill to: direct subordinate managers engaged in diverse activities; exercise administrative ingenuity, independent analysis, adaptability and judgment on highly specialized proposals with difficult, complicated choices of action; make recommendations and present them effectively to Department of Public Health executive staff, regulatory and advisory organizations, and the general public; apply the principles and practices of healthcare administration, financial and personnel management; clearly interpret all applicable laws, ordinances and codes relating to the department; direct research, survey techniques and statistical methods; communicate effectively, orally and in writing; establish and maintain effective working relations with officials, subordinate staff, directors and members of other departments, civic organizations, healthcare agencies and the public; and the ability to remain calm and provide guidance to managers in crisis situations.

MINIMUM QUALIFICATIONS

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.

Education:

Possession of a Master�s degree from an accredited college or university in Hospital Administration, Nursing, Medicine, Public Health Administration, Public Administration, Public Policy, Business Administration, Behavioral Science or a closely related field.

Experience:

Requires at least three years of experience as an administrator of a large hospital, public health network, or related organization; three years of complex health care administrative experience; or three years of executive public administration experience.

License and Certification:

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.

Substitution:

Possession of a Bachelor�s degree from an accredited college or university in Hospital Administration, Nursing, Public Health Administration, Public Administration, Public Policy, Business Administration, Behavioral Science or a closely related field AND two additional years of qualifying work experience as described above may be substituted for the required Master�s degree.

SUPPLEMENTAL INFORMATION

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

PROMOTIVE LINES

ORIGINATION DATE:

02/15/2013

AMENDED DATE:

10/01/2026

REASON FOR AMENDMENT:

To accurately reflect the current tasks, knowledge, skills & abilities, and minimum qualifications.

BUSINESS UNIT(S):

COMMN

Standard Information

Disaster Service Work

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.

Sources: San Francisco Open Data Portal: Compensation Plan Table

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