9978 Chief Technology Officer (CTO)

Recruitment #PEX-9978-095368


9978 Chief Technology Officer (CTO)

APPOINTMENT TYPE: Permanent Exempt (PEX), this position is excluded by the Charter from the competitive Civil Service examination process and shall serve at the discretion of the Appointing Officer.

Position Description: The Department of Public Health (DPH) is seeking a Chief Technology Officer that has a passion for working with leadership to enable the best technology to support the mission of the department.  This includes delivery of care at Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, Jail Health Services, Behavioral Health as well as primary and specialty services.   DPH also promotes the health of all San Franciscans through a range of services supporting safety and equity.   If you are innovative, motivated and have the collaborative and leadership skills to contribute to the health of San Franciscans through technology, this is a tremendous opportunity.  You can make a difference in a mission driven, family-friendly work environment.

The Department of Public Health with the affiliation with UCSF has over 10,000 users.   The ideal candidate will assist business operations and IT through the rapidly changing healthcare technology landscape to transform the delivery of care and improve the health of San Franciscans.

DPH has an IT staff of 290 to provide technology and services to over 10,000 affiliates and staff.  Under the general supervision of the DPH Chief Information Officer (CIO), the CTO is expected to collaborate with IT leadership and more importantly with business operational leadership to develop a technology strategy that enables DPH to provide optimal safety (patient and staff) and improve the ability for clinicians to perform at the top of their license and for staff to perform at the top of their training.   The selected candidate will determine how mainstream and emerging technologies can be used to advance business strategy The CTO will collaboratively lead strategic thinking that guides enterprise architecture and innovation management.

The Ideal candidate will be a visionary with the ability to build deep professional relationships with business and IT leadership becoming a natural extension of IT providing guidance on critical decisions that include strategy, organization, architecture, solution assessment and evaluation, implementation, and transition. The candidate will have extensive knowledge of clinical systems, Epic (the primary DPH electronic health record) as well as other healthcare business applications, back end systems, storage, networking, security, and mobile and virtualization technologies is essential.  The CTO will drive the technology solution suite towards improved utilization and power of data as well as integration with multiple city agencies.


The CTO is expected to chair the Technology Evaluation and Recommendation committee, jointly manage the biomedical team and oversee assigned resources to architect technology innovations and direction.   Policy development, communication and maintenance is elemental to the role.

Essential Job Duties and Functions:
The DPH CTO will have a DPH-wide perspective and deliver systems, data and that will grow the DPH’s capacity to use and benefit from technology while controlling costs by leveraging commercial software systems and developing modular, re-useable components. Specific duties include, but are not limited to, the following:

  • Define and execute a strategy to cost-effectively move application hosting to an offsite cloud providing hot site strategy for critical applications and backups.
  • In coordination with CISO define the strategies to maintain backup communications to critical applications to provide optimal and cost-effective business continuity.
  • Serve as the key technical leader between IT and all business functions dependent on all technologies and determine current and future technology needs.  
  • Assist business operations in seeing the opportunities available from new technology solutions that will provide increased productivity, patient health and safety as well as staff job satisfaction. Allow all staff IT to work at the top of their profession.
  • Develop benefit/cost analysis for technology solutions and system development projects that considers one or multiple use cases. Lead staff through a cost-benefit assessment of internal and external impacts for new initiatives and client platforms.
  • Responsible for developing, distributing, supporting, enforcing, and integrating best practices and technology standards across the organization.
  • Responsible for enabling and implementing analytics and expand the role of the current reporting platform by building system integration and data sharing across commercial platforms with architectures that standardize and simplify data management.
  • Provide thought leadership and innovation to enable and develop forward looking automation solutions that may include IoT (Internet of Things) and AI technologies.
  • Establishes and drives a technology innovation team within IT and the health informatics.
  • Assists with sourcing and retaining top technical talent.
  • Provide strong leadership to the various team members through mentoring, coaching, career development, interpersonal skills, teamwork ethic, and enabling leadership skills.
  • Implement and maintain enterprise application roadmaps, including priorities, resource capacity planning, and timelines to support short and longer-term planning with recommendations for maturation.
  • Drive the DPH technology solution suite towards improved utilization and power of data as well as integration with multiple city agencies
  • Maintain strong relationships with appropriate technology vendors and partners
  • Regularly meet with appropriate business leaders to understand their plans and challenges
  • Provide regular updates to Customer Senior IT Leadership
  • Research and assess trends, new solutions, and novel approaches that deliver value.
  • Track and communicate relevant industry trends and technologies
  • Always seek new opportunities to expand our contribution; always seek new ways to share knowledge and expertise.
  • Coordinate with other city CTOs to exploit cost effective ways improve business solutions and leverage a shared expertise.
  • Chair and lead the Technology Evaluation and Recommendation committee.
  • Jointly manage the biomedical team ensuring integration and coordinated security with the network team and CISO.
  • Oversee assigned resources which may include architects and administrative staff.
  • Ensures there is a defined application architecture.
  • Works with legal and CISO on refining technology contract templates.
  • Develops policy, policy communication and ensures a minimum of an annual policy review and update.
  • Promote the health of all San Franciscans through the strategy, tactical planning and cost-effective solutions with technology.
  • Collaborative with IT and business leadership with a high level of emotional intelligence.
  • Acts as a coach and mentor leading intern programs.
  • Perform other related duties as assigned.

Nature of Work: Incumbent must be willing to work a 40-hour per week schedule and may be required to work additional hours when necessary as determined by the department. Travel within San Francisco may be required. The individual hired for this position is expected to answer calls/e-mails via a department-provided mobile device within a reasonable time frame.

About the Department

The San Francisco Department of Public Health (SFDPH) is the largest department within the City and County of San Francisco. With an annual operating budget of $2.2 billion, SFDPH employs over 8,000 people, and contracts for more than $400 million in community-based services.

The San Francisco Department of Public Health is an integrated health department with two major divisions to fulfill its mission of protecting and promoting the health of all San Franciscans:

  • The San Francisco Health Network (SFHN) includes top-rated hospitals, clinics and programs that provide medical, mental health, and substance abuse services to over 100,000 individuals. SFHN includes Zuckerberg San Francisco General Hospital, the only local Level 1 Trauma Center for San Francisco and Laguna Honda Hospital and Rehabilitation Center, the largest public skilled nursing facility in the Country; and
  • The SFDPH Population Health Division (PHD), which earned public health accreditation in 2017, carries out traditional and mandatory public health functions such as: consumer safety activities; health promotion and prevention; inspections of food, alcohol, and cannabis businesses; promote improved air and water quality; promote pedestrian safety; HIV prevention, research and surveillance; TB prevention and treatment; Emergency Medical Services; and analysis of community public health data.

SFDPH’s central administrative functions, including finance, human resources, information technology, and policy and planning, support and promote integration between SFDPH’s two divisions. The SFDPH is committed to providing quality health care and public health services to all San Franciscans regardless of immigration or insurance status.

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. 


  • Bachelor’s Degree in technology, health, health IT, engineering or business and/or public administration or related field; AND


  • 5 years of managerial and supervisory experience in strategic technology planning and execution.

Note: We define manager as an individual in a high level administrative and policy-influencing position who plans, organizes, staffs, leads and controls a major function or effort for the purpose of accomplishing organizational goals. We define supervisor as an individual having authority and exercising independent judgment to effectively recommend to hire/promote, discipline, assign, reward or adjust the grievances of other employees.

Desired Qualifications:

  • 10+ years leadership, advisory services, professional services or technology operations management or consulting
  • 5+ years of experience with healthcare delivery
  • Humility and utilization of humble inquiry
  • Desire to continue to learn
  • Success running enterprise projects, managing teams, driving business requirements, identifying gaps, and designing technology solutions
  • Experience with Epic eHR
  • Master’s Degree in Technology, Finance, Public Health, Business Administration (or equivalent demonstrated mastery)
  • Experience with applying lean/agile
  • Effective in executive communication and presentations. Experience in leading a large diverse health delivery and/or public health organization through digital transformation and use of biomed and healthcare IoT
  • Certifications in ITIL, Lean, Six Sigma, CISSP, PMP or other industry certifications

The stated desirable qualifications may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.

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.

One year 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.

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.

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

How To Apply

Applications for City and County of San Francisco jobs are ONLY being 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


Computers are available for the public (from 8:00 a.m. to 5:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor, San Francisco.


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).


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, please contact the exam analyst, Patrick Cheng, at 415-554-2919, or patrick.cheng@sfdph.org.

Selection Procedures

Departmental Review:   The selection process will include an evaluation of applicants in relations to minimum requirements. Depending on the number of applicants, the Department may establish and implement additional screening mechanisms to comparatively evaluate the qualifications of candidates. If this becomes necessary, only those applicants whose qualifications most closely meet the needs of the Department will be invited for an interview.  

Applicants meeting the minimum requirements are not guaranteed advancement in the selection process.

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.


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.

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.


Licensure/Certification/Registration: Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout duration of employment. Failure to demonstrate/show proof of possession of required valid licensure/certification/registration may result in dismissal and/or termination of employment.

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. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at www.jobaps.com/sf.

General Information concerning City and County of San Francisco Employment Policies and Procedures can be found at: http://www.sfdhr.org/index.aspx?page=20

Copies of Application Documents: http://sfdhr.org/getting-job#copies

Right to Work: http://sfdhr.org/getting-job#identification

Information on requesting a reasonable ADA Accommodation: http://www.sfdhr.org/index.aspx?page=20#applicantswithdisabilities

Exam Type: Exempt
Issued: April 12, 2019
Micki Callahan
Human Resources Director
Department of Human Resources
Recruitment ID Number: PEX-9978-095368
Position Number: 01020685 


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.

The normal annual salary range for the CTO is $149,916-$191,308.  Appointments above this range may be considered for a top candidate and require a special approval process.  For additional information about the City's benefits package, please visit:  Municipal Executives' Association Benefit Summary  

Other outstanding benefits offered with this position include:

  • Medical, Dental, and Life Insurance; Long-term Disability Plan; Flexible Spending Accounts;
  • Municipal Executives Flexible Credits Defined Retirement Plan;
  • Deferred Compensation; and Social Security;
  • Paid Management Training Program; Wellness Program;
  • Vacation/Holiday/Sick Time; and Administrative Leave

Powered by JobAps