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City and County of San Francisco Director of Patient Access, Primary Care (0923 Manager II) in San Francisco, California

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

  • Application Opening –  June 14, 2024

  • Application Deadline – The application filing will be open continuously at least through June 21, 2024 and will close any time thereafter.

  • Salary – 0923 Manager II (https://careers.sf.gov/classifications/?classCode=0923)  (Range A Salary between $137,540 - $175,552)

  • Appointment Type: Temporary Exempt (https://careers.sf.gov/knowledge/role-types/) , Category 17. This position is excluded by the Charter from the competitive Civil Service examination process and shall serve at the discretion of the Appointing Officer and shall not exceed two (2) years.

  • Recruitment ID: TEX-0923-EXEMPT

The Mission of the San Francisco Department of Public Health (DPH) is to protect and promote the health of all San Franciscans. DPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network (SFHN), Population Health Division (PHD), Behavioral Health Services (BHS), and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. 

Reporting to the Primary Care Director of Operations, the Director of Patient Access has matrix supervision and is principal trainer of new Hospital Eligibility Worker Supervisors and Senior Hospital Eligibility Workers with Primary Care clinics and the Centralized Call Center.  The Director oversees operations related to eligibility of Primary Care services including scheduling, registration, payment verification, authorization requirements, determination of program eligibility, and ensuring the success of the Department’s Patient Access initiative.  The Director of Patient Access will perform the following essential functions:

  • Directs Primary Care’s Patient Access functions, operational design, and training programs.

  • Manages Patient Access functions ensuring all key processes are aligned with the goals and objectives of the network.

  • Develops, designs, tracks, evaluates, coordinates, and improves the overall operational metrics for provider productivity, registration, scheduling, billing, and other systems to ensure an efficient and cost-efficient healthcare delivery system in a managed care model.

  • Serves as an expert resource concerning eligibility requirements for patients to qualify for State, Federal, and County programs (i.e., Medicare, Medi-Cal, CCS, Health Families, Family Pact, etc.).

  • Responsible for developing standards of performance for staff which are measured, reported, and addressed when needed.

  • Ensures the accuracy and completeness of daily registrations.

  • Ensures a high level of quality service provided to patients.

  • Responsible for adequate staffing in all Patient Access areas.

  • Responsible for staff development, including training, reviews of progress, and communication of findings.

  • Directs key processes by monitoring and reporting performance statistics, including explaining discrepancies and adjustments when made.

  • Coordinates and/or directs process improvement projects for the Patient Access functions.

  • Ensures that key processes are prioritized, measured, and reported.

  • Participates in hospital, departmental, and network quality and performance improvement initiatives.

  • Participates in ongoing Patient Access/Epic workgroup discussions regarding system issues affecting enrollments, re-enrollments, disenrollment as well as to develop solutions to address system issues.

  • Updates and/or establishes patient access policies & procedures to ensure that primary care is compliant with governmental regulations, accrediting bodies, hospital policies & procedures, and other statutes.

  • Reviews accounts, cases, testing scenarios, and workflows to identify performance issues and take action to ensure that rework and uncompensated care is minimized.

The Director of Patient Access (0923 Manager II) may perform other duties as assigned or required.

Required Minimum Qualifications (all applicants must verify that they meet both elements below):

  • Possession of a baccalaureate degree from an accredited college or university; AND

  • Three (3) years of full-time verifiable professional supervisory experience in a Patient Access or Patient Financial Services setting

Education substitution: Up to four (4) years of additional qualifying professional experience in Patient Access or Patient Financial Services may substitute for the education requirement. Additional experience may be substituted for the required degree on a year-for-year basis (up to a maximum of 4 years). Thirty (30) semester units or forty five (45) quarter units equal one year.

Note: 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 fulltime employment.

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

DESIRABLE QUALIFICATIONS:

The stated desirable qualifications listed below may be used to identify job finalists at the end of the selection process after candidates are referred for selection:

  • Two (2) years of full-time experience supervising in a patient access setting or patient financial services setting.

  • Two (2) years of full-time experience working with EPIC, the Department of Public Health’s Electronic Health Records (EHR), creating and running reports and work queues.

  • Experience with primary care clinic management, public administration and budgeting as applied to an ambulatory setting in a multi-cultural environment.

  • Experience with Medicare, Medi-Cal, Healthy Families, and other Federal, State, and County Programs, preferably in the City and County of San Francisco.

  • Experience with project management, change management and quality improvement.

  • Advanced computer skills, including Excel and PowerPoint.

  • Experience with diverse populations including the Latinx community, limited English speakers, LGBTQQ+ individuals, and people living with HIV.

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

How to apply:

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. 

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. 

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 

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. 

DPH Health Critical Requirements and Information: (https://www.sfdph.org/dph/comupg/aboutdph/jobs/requirements.asp) Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

  • COVID-19 Policies (https://www.sfdph.org/dph/comupg/aboutdph/jobs/requirements.asp)  

  • Personal Protective Equipment (PPE)

  • Medical Examination Prior to Hiring

  • Electronic Health Record (EHR (https://www.sfdph.org/dph/comupg/aboutdph/jobs/requirements.asp) )

  • Licensure/Certification/Registration

  • Note on ICARE 

Additional information regarding Employment with the City and County of San Francisco: 

  • Information about the Hiring Process (https://sfdhr.org/information-about-hiring-process)  

  • Conviction History (https://sfdhr.org/conviction-history-faq)  

  • Employee Benefits Overview (https://sfdhr.org/benefits-overview)  

  • Equal Employment Opportunity (https://sfdhr.org/equal-employment-opportunity)  

  • Disaster Service Workers (https://sfdhr.org/disaster-service-workers)

  • Reasonable Accommodation

  • Right to Work (https://sfdhr.org/information-about-hiring-process#identification)

  • Copies of Application Documents

  • Diversity Statement (https://sfdhr.org/information-about-hiring-process#diversitystatement)

If you have any questions regarding this recruitment or application process, please contact the analyst, Steven Scoles at steven.scoles@sfdph.org or 628-271-6828.

We may use text messaging to communicate with you on the phone number provided 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.

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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.

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