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Career Opportunity

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

Recruitment: REF8353N

Published: May 25, 2023


Eliot Watt -

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Department: Public Health
Job class: 2233-Supervising Physician Specialist
Salary range: $242,008.00 - $339,040.00
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.

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    • 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

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*; AND 
  2. Possession of valid Board Certification in the appropriate medical specialty area for the assigned facility or division; AND 
  3. Three (3) years of post-residency experience as a practicing physician in the respective medical specialty area; AND
  4. Possession of valid Drug Enforcement Agency registration with the United States of Department of Justice (Special Condition); AND
  5. Board certification and post-residency experience in Family Medicine or Internal Medicine (Special Condition)
    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.

Desirable Qualifications

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

*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.

The above minimum qualifications reflect special conditions associated with the position(s) to be filled. They may differ from the standard minimum qualifications associated with this class code.

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

Conditions of Employment

All qualified candidates who have been selected for appointment to positions in billable specialty areas must be an eligible billable provider and where applicable will be required to meet the following criteria:

  • Be eligible to participate in Medicare, Medicaid and/or other federal health care programs;
  • Possess a National Provider Identifier (NPI);
  • Submit a completed credentialing application and/or required documentation for credentialing; and
  • 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.

Where applicable, failure to meet the criteria and/or 'Conditions of Employment' within two (2) weeks PRIOR to start work date may result in the delay of appointment and/or cancellation of employment offer. 

What else should I know?


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

  • Medical knowledge refers to knowledge in the general practice of medicine which is needed to make expert diagnosis, interpretations and recommendations on a consultative basis; supervise professional and all other support personnel engaged in treatment and services; and to prepare, review, and assist with medical diagnosis, records and reports.
  • Knowledge of administrative and budgetary principles and practices refers to the ability to plan, organize and direct a program; coordinate, execute and assist in the development of policies and methods; as well as materials, supplies, and specialty equipment, when necessary; and manage a budget for a clinic or program.
  • Knowledge of community needs refers to knowledge of high-risk populations being served; how to access community resources and/or familiarity with community agencies and other resources which can provide assistance to those populations; knowledge of cultural factors which may influence provision of medical care; and knowledge to be able to serve members of diverse backgrounds.
  • Ability to communicate with individuals or groups in a clear, organized and persuasive fashion; listen and facilitate an open exchange of ideas; flexibly adapt style to effectively converse with people from different socioeconomic, educational or cultural backgrounds.
  • Ability to empathize with the needs, feelings, and background of others and establish rapport; develop and maintain cooperative and effective working relations with the public, coworkers and supervisors; effectively work with angry or distraught people to defuse situations and reduce conflict.
  • Ability to lead or participate in initiatives to recruit, hire, and develop health care providers from underrepresented groups in health care (e.g., race/ethnicity, sexual orientation, gender, and gender identity); initiatives to address issues of workplace equity; activities to increase inclusion in the workplace
  • Ability to effectively organize and assign work; give guidance and direction to others and follow-up to ensure completion; counsel and motivate subordinates.
  • Ability to inspire, motivate, and challenge others to excel; model the highest ethical standards of courage, honesty and trust; foster teamwork and lead others to achieve challenging organizational goals and overcome difficult obstacles.  

Once submitted, applicant responses on the Supplemental Questionnaire/Training and Experience 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
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. Names of successful candidates will be added to the existing eligible list with an eligibility period of twelve (12) months. Candidates are not allowed to reapply during their 12-month eligibility period. Names are removed from a continuous list at the end of the eligibility period. Candidates do not have the option to automatically extend their eligibility. If you wish to reapply after your eligibility expires, return to the announcement for the specialty area that you are interested in. Please note, reapplying is not permitted while your name is still on the eligible list.

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. [Note: The correction of clerical errors in an announcement will be posted at the top of the job ad.] 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 if you include a mobile number 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.