1070 IS Project Director

Epic Access and Revenue Cycle Manager

Recruitment #TEX-1070-904411


1070 IS Project Director

Temporary Exempt (Category 18). This position is excluded by the Charter from the competitive Civil Service examination process and shall serve at the discretion of the appointing authority. The duration of this position shall not exceed 36 months.

The qualified applicant pool resulting from this recruitment may be utilized to fill other vacancies within DPH.

General Description

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 $2.4 billion, SFDPH employs over 8,000 people and contracts for more than $400 million in community-based services. Our mission is to protect and promote the health and well-being for all in San Francisco, and our vision is to make San Francisco the healthiest place on earth.

Position Overview

The San Francisco Department of Public Health (SFDPH) is continuing efforts to roll out the Epic electronic health record system across the San Francisco Health Network & Dept. of Public Health. In conjunction with these rollouts, SFDPH is working to optimize revenue cycle performance using Epic to support our mission through funding and resources. Similarly, SFDPH seeks to improve access channels to ensure referrals for specialty care, mental health, non-acute services, and more are simplified and standardized across the San Francisco Health Network. This is a pivotal component to SFDPH’s digital transformation and to the advancement of the Mental Health San Francisco initiative as the city works to reinvent how we support and address mental health issues in our community.

Under the direction of the EHR Epic Program Director, the Epic Access and Revenue Cycle Manager will manage an IT and workflow team while serving as the central contact person for Epic Access and Revenue modules/teams. These modules include Grand Central, Cadence, Prelude, HIM, Hospital Billing, Professional Billing, Home Health Billing, and Claims. Future modules will include Welcome Kiosk and potentially solutions for mental health billing. The Epic Access and Revenue Cycle Manager is also responsible for engaging key financial stakeholders to align IT resources in support of the organization’s financial goals and objectives. The Epic Access and Revenue Cycle Manager works closely with the other IT Managers and operational teams to identify changes required in current workflow, system design, build, and long-term support. The manager will also translate these needs into functional solutions within the teams that they manage.

The individual will set strategic direction and objectives for their teams based on the communicated goals of the organization, the overall IT strategy, and opportunities identified by the Epic Access and Revenue Cycle Manager. The Epic Access and Revenue Cycle Manager oversees coordination between applications, facilitates regular integrated workgroups, follows implementation timelines and strategies relating to access and revenue applications, and ensures the team maintains application related documentation. This position also develops, defines, and coordinates functions and activities among a variety of divisions and systems across SFDPH, affiliate organizations, and third-party partners. This requires cross collaboration with internal SFDPH Operational Groups.

Position Responsibilities:

This is a direct staff management role for a team of more than 15 team members. The Epic Access and Revenue Cycle Manager is responsible for application strategy development, implementation, maintenance, planning, testing, quality assurance, documentation, and user acceptance criteria for Epic patient access and revenue applications. These activities support SFDPH and Epic users across all applications. SFDPH operates in a complex business and technical environment consisting of multiple institutions and a highly diverse suite of applications.

Examples of Important and Essential Duties:

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

  1. Organize, direct and supervise the work of subordinate staff.
  2. Provide feedback and coach staff through professional development.
  3. Participate in the development and implementation of goals, objectives, policies, priorities and procedures for the assigned programs.
  4. Ensure that activities are completed in a timely and efficient manner consistent with defined policies and regulations.
  5. Assume significant responsibility for the preparation and administration of assigned budget(s).
  6. Represent the department at various meetings.
  7. Coordinate training programs for staff and users; design, fund, schedule and/or arrange for outside trainers.
  8. Function as liaison to other units or departments for data processing activities; coordinate sharing of common software applications and data.
  9. Develop and present information systems Master Plan.
  10. Develop, program and maintain unit data processing applications.
  11. Review and provide direction for system production activities.
  12. Install new devices and software for computer and telecommunication systems; and/or coordinate installation plans with vendors, administrators, users, programmers, analysts, etc.
  13. Perform complex system administrator and/or production functions for computer and communication systems.
  14. Monitor, analyze and resolve problems for systems with varied environments, including PC-based networks, mini computers, mainframes and the like.
  15. Evaluate hardware and software.
  16. Coordinate consultants in the purchase of hardware and software and the establishment of custom software applications for departments.
  17. May prepare specifications and purchase orders; manage vendor accounts; recommend consulting services as needed: establish maintenance contracts for equipment.
  18. Evaluate and recommend department equipment purchases; may maintain inventories of materials, supplies and equipment.

Knowledge, Skills and Abilities:

Knowledge of: Project management and information systems development and maintenance; technical, operational, and programming problem solving analysis; computer languages; systems design: common operating systems and relational database systems; interactive or macro-based applications; practices and techniques of supervision; training techniques; job flow within a large scale data processing environment; and data processing methods.

Ability and Skill to: Supervise and direct a group of technical employees, including the ability to provide counseling and mediation; persuade, convince and train others; advise and interpret regarding the application of policies, procedures and standards to specific situations; exercise judgement, decisiveness and creativity required in situations involving the direction, control and planning of an entire program or multiple programs; modify existing policies, strategies and/or methods to meet unusual conditions within the context of existing management principles; communicate effectively orally and in writing; establish and maintain good working relationships with department personnel, staff, vendors, and peers; use logic and analysis to solve computer and systems problems; read and understand professional and technical journals and literature; produce complex reports; prioritize competing requests for service.

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.

An associate degree in computer science or a closely related field from an accredited college or university OR its equivalent in terms of total course credits/units [i.e., at least sixty (60) semester or ninety (90) quarter credits/units with a minimum of twenty (20) semester or thirty (30) quarter credits/units in computer science or a closely-related field]; AND

Seven (7) years of experience in system administration, information systems development, maintenance and support, or information technology project management, including two (2) years of supervisory experience

Additional experience as described above may be substituted for the required degree on a year-for-year basis (up to a maximum of two (2) years). One (1) year is equivalent to thirty (30) semester units / forty-five (45) quarter units with a minimum of 10 semester / 15 quarter units in computer science or a closely related field.

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.

Epic Certification:

Possession of one or more of the following Epic Certifications:

Grand Central OR Cadence OR Prelude OR HIM OR Hospital Billing OR Professional Billing OR Home Health Billing OR SBO Claims.

Other Desirable Qualifications:

  • Experience managing large teams in a complex integrated environment.
  • Project management and process leadership.
  • Strong communication skills.
  • Experience and working knowledge of medical claims billing processes and procedures; a strong knowledge of the end to end processes which drive successful revenue cycle outcomes.
  • Working vocabulary of healthcare revenue cycle terminology (AR days, minimum days, claim edits, etc.).
  • Working knowledge of applicable federal, state, local, and private laws and regulations in relation to the processes of the area of purview and electronic health records.
  • Proficiency with basic word processing and presentation applications (i.e. MS Office: Word, Excel, PowerPoint); knowledge of flow diagramming applications and collaboration platforms, (i.e. Visio, SharePoint).
  • Knowledge of Lean fundamentals including, but not limited to, A3 thinking, Value Stream Mapping and Kaizen events.
  • Knowledge of HL7 standard integration and Microsoft SQL databases.

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

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. 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).

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 the recruitment or application process, please contact the exam analyst, Tara Stevens, by telephone at (415) 554-2919, or by email at Tara.Stevens@sfdph.org.

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.

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 may be posted on the Department of Human Resources website at
www.jobaps.com/sf.] 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 South 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 http://sfgov.org/civilservice/rules.

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

Information regarding requests for Veterans Preference can be found at:

Seniority Credit in Promotional Exams can be found at:

Exam Type: CPE
Issued: April 8, 2021
Carol Isen
Human Resources Director
Department of Human Resources
Recruitment ID Number: TEX-1070-904411
DPH /TS/415.554.2919/#01147138


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.


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