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Career Opportunity

Supervising Physician Specialist - Medical Director of Substance Use Disorder Services 2233

Recruitment: REF8353N

Published: January 12, 2024


Eliot Watt -

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Department: Public Health
Job class: 2233-Supervising Physician Specialist
Salary range: $253,656.00 - $357,058.00
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Continuous
Rule: Rule of the List What does this mean?
List type: Combined Promotive and Entrance


The Department of Public Health’s San Francisco Health Network (SFHN) Behavioral Health Services division is seeking applicants to serve as the Medical Director of Substance Use Disorder (SUD) Services in the classification of 2233-Supervising Physician Specialist. 

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions – the San Francisco Health Network and Population Health.

  • START with this Required Exam 
  • 🏁Once and for All
    • You only need to apply once for all permanent 2233 positions
    • All City departments with open permanent positions can review your application
    • Position-specific details will follow from them 

Role description

Under the direction of the Behavioral Health Services (BHS) Chief Medical Officer, the Medical Director of Substance Use Disorder (SUD) Services:

  • Works closely with the Chief Medical Officers, other Deputy Medical Directors, and Clinic Directors to lead implementation of evidence-based SUD care in directly-run and contracted services, including SUD screening, assessments, diagnosis, and treatment.
  • Partners with the Behavioral Health Substance Use Disorder System of Care Director and other SUD leadership to plan programs, quality improvement work, and set goals for the system of care.
  • Represents BHS on the clinical care of people with SUD across DPH, including the San Francisco Health Network, and to external partners
  • Partners with BHS Population Health leadership in population-level SUD initiative development, implementation, and evaluation.
  • Provide clinical consultation and support to BHS providers in addiction care, including medications for addiction treatment.
  • Knowledgeable in Federal, State and Local regulations and initiatives relevant to the delivery of SUD treatment; ideally with experience in delivering or supervising publicly funded SUD care; and ideally in California.
  • Demonstrates a high level of clinical knowledge in SUD, analytical ability, critical decision-making skills, and an extensive knowledge of healthcare issues, with a focus on the science of integrating services.
  • Centers DPH and BHS health equity goals in all clinical initiatives and in the planning, development, and implementation of clinical services.
  • Lead in the design and implementation of clinician training and support strategies for maximizing the adoption and use of standardized medications for addiction treatment and contingency management protocols in BHS
  • Maintains clinical practice with safety net populations.
  • Participating member of BHS Deputy Medical Team, reporting to the Chief Medical Officer.
  • Supervision of SUD medical staff and program staff as needed

Desirable Qualifications

  • 3 years of providing Addiction Medicine care
  • Board-eligible or board-certified in Addiction Medicine

How to qualify

⚠️Required Before Applying⚠️

  1. Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California*
  2. Possession of valid Board Certification in the appropriate medical specialty area for the assigned facility or division
  3. Three (3) years of post-residency experience as a practicing physician in the respective medical specialty area.
    One (1) year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a forty (40) hour work week). Any overtime hours that you work above forty (40) hours per week are not included in the calculation to determine full-time employment. Applicants must meet the minimum qualification requirements by the application review date unless otherwise noted.

*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California.

For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification.

Conditions of Employment
All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer:

  • All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and will be required to meet all of the following criteria:
  • Be eligible to participate in Medicare, Medicaid, and/or other federal healthcare programs
  • Possess a National Provider Identifier (NPI)
  • Submit a completed credentialing application and/or required documentation for credentialing
  • Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status

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

What else should I know?


Training and Experience Examination (Weight 100%)
The Required Examination linked in this job ad is designed to measure knowledge, skills, and/or abilities in job-related areas which may include, but are not limited to experience:

  • Working with vulnerable patient populations
  • Supervising clinical and administrative professionals
  • Improving clinical quality
  • Engaging patients and improving their experience
  • Engaging staff and improving their experience
  • Participating in quality assurance activities

Once submitted, applicant responses on the Required Examination cannot be changed. Qualified applicants must achieve a passing score 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.

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

Eligible List/Score Report
Once you pass the exam, you will be placed on an eligible list and given a score and a rank. For more information, visit Candidate names will remain on the list for a maximum period of 12 months. Unselected candidates  may reapply after their eligibility expires.

How to Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit and begin the application process. Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 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.

Terms of Announcement and Appeal Rights
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. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at

DPH Health Critical Requirements and Information: Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

Additional information regarding Employment with the City and County of San Francisco: 

If you have any questions regarding this recruitment or application process, please contact the exam analyst, 628-271-6704.

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT: All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.


The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.