0941 - Director of Managed Care

Manager VI, Behavioral Health Services

Recruitment #PBT-0941-110550

Introduction


San Francisco Department of Public Health (DPH), Behavioral Health Services (BHS)

0941 – Manager VI, Director of Managed Care  

PBT-0941-110550  

This is a Position-Based Test conducted in accordance with CSC Rule 111A.

Applicants are encouraged to file immediately as this recruitment may close at any time, but no earlier than June 11, 2021.


The 0941 - Director of Managed Care for Behavioral Health Services (BHS), functions at the executive level of BHS management and will be responsible for all functions and activities of BHS Managed Care, a major division within BHS. 

This is an exciting time to join BHS. BHS is preparing for a period of growth and transformation. San Francisco is making significant new investments in behavioral health that are designed to achieve goals of improving access, quality, coordination of care, and efficiency. In addition to addressing these system goals, BHS is directing significant resources to improve services for individuals and families experiencing homelessness as well as those who have been marginalized by historic and institutional racism. BHS is seeking candidates that demonstrate a strong commitment to these issues and a proven track record effecting change in these areas.  To prepare for the work ahead, DPH has designed a new organizational structure for BHS that includes two newly formed divisions – 1) BHS Managed Care and 2) BHS System of Care (SOC).  The Directors of these two divisions report to the Director of BHS and Mental Health San Francisco.   

A central responsibility of the Director of Managed Care is to ensure compliance across BHS with all state and federal regulatory and contractual requirements for Medi-Cal Managed Care Plans. BHS has contracts with the CA Department of Health Care Services (DHCS) to operate two Medi-Cal Managed Care Plans -  the Mental Health Plan (MHP) and the Drug Medi-Cal Organized Delivery System (ODS).

Additional responsibilities of this new and growing division include:

  • Supporting BHS efforts to develop an adequate network of services to meet the demand
  • Supporting clients to move seamlessly through the right level of care at the right time 
  • Reducing costs and better managing utilization of services
  • Improving performance and quality with a focus on populations with complex care needs (e.g. people experiencing homelessness) 
  • Improve data collection and reporting to achieve the highest quality and most effective care  

The 0941 will oversee the following units/programs:  

  • The Office of Coordinated Care: a new BHS subdivision charged with promoting access to care and care coordination. The Office of Coordinated Care includes the Behavioral Health Access Center, the Care Coordination and Transition Management program, Member Services and Eligibility.
  • Utilization Management Services: a recently established unit responsible for centralized utilization management activities designed to promote more efficient and cost-effective services as well as ensuring clients are getting the right level of care.
  • The Office of Quality Management: a unit responsible for Performance and Outcomes Measurement, Quality Improvement, Regulatory Affairs, Quality Assurance, and Risk Management 

Essential duties & functions: 

  • Oversee the management and overall operations of the BHS Managed Care Division including the development of policies and procedures
  • Assigns and monitors subordinates with job tasks and coaches to improve performance. 
  • Directs the allocation of resources to achieve timely outcomes and measurable goals within a budget. 
  • Monitors the efficiency and effectiveness of organizational structure including, but not limited to: service levels; administrative systems; and quality improvement.  
  • Direct planning or systems change work related to major initiatives such as Cal AIM, Mental Health SF, and Proposition C implementation.
  • Develop and establish policies and procedures and make decisions which impact the daily operations of the entire BHS Managed Care Department, including the management and allocation of resources.  
  • Develop, implement and maintain procedures, administrative monitoring practices and controls in order to obtain smooth and effective operations of the division. 
  • Communicate regularly with executive-level management regarding the Managed Care Department's activities 
  • Coordinate efforts with other City departments in addressing the needs of the City and County of San Francisco, including the Director of Managed Care for SF Health Network. 
  • Represent BHS before legislative boards, outside organizations, Mayor's Office staff, and the media. 
  • Ensure compliance with legislation and regulatory requirements.
  • Monitor the work of and coach subordinates to improve performance.
  • Ensure the highest level of customer service standards are met in all interactions with staff and clients.
  • Receive, analyze and develop division and departmental reports.

The 0941 – Manager VI, Director of Managed Care perform related duties as required.    

Minimum Qualifications

If you are interested in a job like this, we are looking for people that have the following: 

1. Education: Possession of a Bachelor’s degree; AND  

2. Experience: Possession of five (5) years of management experience in health plan operations or integrated health system managed care programs, of which all must include supervisory experience. 

Note: 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.

  • Demonstration of effective leadership and management skills; 
  • Extensive knowledge of managed care and health system financing including managed care actuarial accounting principles, and financial risk management;
  • Possession of Bachelor’s in Healthcare Management, Business Management, Public Health or a closely related degree;  
  • Possession of a Master's degree in Healthcare Management, Business Administration, Public Health Administration or a closely related degree.  
Verification of Experience: http://sfdhr.org/getting-job#verification Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. 

Verification of Education: If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at http://sfdhr.org/how-verify-education-requirements    

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. 

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

In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice.  As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement. 

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).

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, Danny Wan, by telephone at 628-217-7119, or by email at danny.wan@sfdph.org.

Selection Procedures

Training and Experience Evaluation (Weight: 60%):

Candidates will be prompted to complete a supplemental questionnaire as part of the online employment application. The Supplemental Questionnaire is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position and to measure knowledge, skills and/or abilities (KSAs) in job-related areas that have been identified as critical for satisfactory performance in this position.

These KSA areas include: Federal, state and local rules and regulations pertaining to activities and functions of the entire Managed Care Department; Ability to direct subordinate managers engaged in diverse activities.  REMARKS:  It is essential that this position have outstanding verbal and written skills as there is a great deal of interaction with State staff, executive leaders, high-profile commissions and committees and community stakeholders; Ability to build coalitions and consensus with every level of the organization and community; Interpersonal skills – accessible and easy to work with, strength-focused; Excellent verbal, written, and communication skills; Technical skills, including program evaluation theory and design methodology, qualitative and quantitative data analytic skills, quality improvement models and tools; Strong strategic, outcome-oriented, problem-solving, negotiation, coordination and critical thinking capabilities.

All relevant experience, education and/or training must be on the application in order to be reviewed in the scoring process. Candidate responses on the Training and Experience Evaluation cannot be changed once submitted. 

Management Test Battery: (Weight: 40%)

Candidates will be invited to participate in a computer-based examination designed to measure competencies in job-related areas which may include but not be limited to: Problem Solving; Leadership; Decision Making; Interpersonal skill; Human Resources Management; Team Building; Communication; Conflict Management and Process Improvement. For more information about this Management Test (and a suggested reading list) please visit: http://www.sfdhr.org/index.aspx?page=343

A passing score must be achieved on the Management Test Battery in order to continue in the selection process.

This is a standardized examination and, therefore, test questions and answers are not available for public inspection or review.

Scores attained on the Management Test Battery will be valid and 'banked' for three years, starting from the date of the examination. This means that, during this three-year time period, you will not be required to take the Management Test Battery. The Management Test Battery may be used for many other classes; therefore your test score may be applied to one or more of these classes if you choose to apply to future recruitments. If the selection process for the future announcement is held within one year of the date of this examination and it includes the Management Test Battery, your score will be automatically applied to that announcement. However, after one year, you have the option to either (a) apply your test score to the other announcement or (b) re-take the Management Test Battery. Re-testing is permitted no sooner than one year from the date of the examination and only in association with your eligibility for another announcement for which the Management Test Battery is used. Please note that, should you re-test, your re-test score would become your official score since it is the most recent.

A passing score must be achieved on both the Management Test Battery and the Training and Experience Evaluation in order to continue in the selection process and be placed on the eligible list.

Candidates will be placed on the eligible list in rank order according to their final score.  

Candidate scores on this examination may also be applied to other announcements involving other job titles, when directed by the Human Resources Director.

Certification: The certification rule for the eligible list resulting from this examination will be 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.

The duration of the eligible list resulting from this examination process will be 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.

Conclusion

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.

Licensure/Certification/Registration: Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout length 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 ICARE: 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/.

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 FaceFitting Respirator.  

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

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. 

In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice.  As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement.

Copies of Application Documents:  Applicants should keep copies of all documents submitted, as these will not be returned. http://sfdhr.org/getting-job#copies   

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. http://sfdhr.org/getting-job#identification  

Information regarding requests for Veterans Preference can be found at: http://sfdhr.org/information-about-hiring-process#veteranspreference

Seniority Credit in Promotional Exams: Information regarding seniority credit can be found at: http://www.sfdhr.org/index.aspx?page=20#senioritycredit

Information on requesting a reasonable ADA Accommodation: Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: http://www.sfdhr.org/index.aspx?page=20#applicantswithdisabilities  

Exam Type: CPE
Issued:  May 27, 2021
Carol Isen
Human Resources Director
Department of Human Resources
Recruitment ID Number: PBT-0941-110550
DPH / DW / 628-217-7119 / 01147230 

Benefits

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.

 


Click on a link below to apply for this position:

Fill out the Supplemental Questionnaire and Application NOW using the Internet.
View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here.

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