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Career Opportunity

Medical Director - Supervising Physician Specialist - Department of Public Health (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) Primary Care division is seeking applicants to serve as Medical Director at one of our community-based primary care health centers/programs in the classification of 2233-Supervising Physician Specialist. 

Primary Care is at the center of SFHN’s complete system of care. Our fourteen (14) health centers/programs are located in neighborhoods throughout San Francisco. We provide high-quality, compassionate care to the City’s children, youth, adults, and elders regardless of immigration status or ability to pay. On-site specialty services include prenatal care and family planning services; integrated behavioral health and substance abuse services; dental, gender health, nutrition, pharmacy, and podiatry services; integrative health services such as acupuncture; and care for people experiencing homelessness and refugees/asylum seekers. Our primary care teams partner with University of California, San Francisco (UCSF) faculty and staff who provide acute, specialty, skilled nursing, and rehabilitation care; teach health care trainees; and conduct research at Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). 

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✅ 
  • Meet the Clinics!
  • Application Deadline
    Continuous: File immediately because this announcement may close at any time, as applications will be accepted until a sufficient number are received to satisfy the hiring need
  • 🏁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 Primary Care Chief Medical Officer, the Medical Director:

  • Plans, organizes, directs and is responsible for the overall operation of the health center
  • Supervises and supports the professional development of medical staff, nurse manager, practice manager, and other members of the health center’s management team
  • Oversees the health center’s quality improvement, quality management and care experience programs
  • Participates in and supports initiatives to recruit, hire, and develop health care providers from underrepresented groups
  • Addresses issues of workplace equity and inclusion
  • Participates in grant management where applicable
  • Participates in developing and managing partnerships with community based organizations, including identifying and responding to the health needs of the community
  • Conducts meetings and provides trainings on clinical topics, policies, and procedures
  • Provides continuity and urgent care to a panel of patients consistent with their medical specialty area (30% effort)
  • Provides clinical consultation and coverage as needed
  • Participates in after hours, remote, on-call, medical advice pool
  • Performs other duties as assigned, including appointment as the Acting Primary Care Chief Medical Officer as needed
  • Commitment to providing first-class care and service to all members of the DPH service population, with heightened sensitivity and awareness to racial, ethnic, and culturally diverse members of the DPH’s workforce and patient populations.
  • Desire and commitment to lead and participate in antiracism, racial justice, and equity work that impacts quality of patient care, and improvements in employee experiences; along with the commitment and fortitude to push and drive change in these areas.
  • Desire to work with, relate to, serve, and support a diverse workforce and patient population.
  • Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

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. Possession of valid Drug Enforcement Agency registration with the United States of Department of Justice (Special Condition); AND 
  4. 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.

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.


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.