Health Services Manager I - Public Authority (Open)

County of San Mateo•San Mateo, CA

12d•Hybrid

About The Position

San Mateo County Health is seeking a dynamic, experienced leader to oversee the Public Authority (PA) for In-Home Supportive Services (IHSS) within Aging and Disability Services (ADS). The position leads Public Authority operations, including staff and program oversight, budgeting, quality assurance and improvement, regulatory compliance, and operational modernization. The PA is the employer of record for approximately 10,000 IHSS care providers and also operates a provider registry, conducts background checks, offers training, supports consumers and providers, and administers payroll, personnel services, health benefits, COBRA, and employment records. The Health Services Manager I provides strategic and managerial support to the Public Authority Advisory Committee, collaborates with County leadership and external agencies, participates in State and regional Public Authority meetings, and represents ADS in County initiatives and cross-departmental projects. The role also provides complex consultations supporting consumers’ access to services and managerial support to other ADS areas as assigned. The position calls for systems thinking, collaboration, political acumen, data analysis, knowledge of evolving regulations, and confident leadership through ambiguity and organizational change. The position is full-time, Monday through Friday. A hybrid schedule may be available, with approximately four on-site workdays per week anticipated based on operational needs and County requirements. It is currently located in San Mateo, California, and is planned to relocate to South San Francisco in March 2027. Travel throughout the County and periodic travel within California are required. The PA Health Services Manager is not a County classified position, although the role reports directly within ADS. The eligible list may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Requirements

A bachelor's degree with a major in public health, social work, public administration, or a related field applicable to the area of specialization; equivalent qualifying combinations of education and experience may be considered.
One year of supervisory experience in a health, social services, or community-based program, including responsibility for program planning, client services, program evaluation, budget administration, or community resource coordination.
Knowledge of public administration and program-management principles and practices, including planning, implementation, and evaluation.
Knowledge of community health care principles and practices, including current trends in research, treatment, prevention, education, and related services.
Knowledge of budget preparation and monitoring.
Knowledge of personnel training, supervision, and evaluation.
Ability to apply community-organization techniques, including community awareness, resource coordination, and mobilization of diverse community groups.
Ability to organize, direct, and coordinate program services.
Ability to work cooperatively with County departments and public and private organizations.
Ability to analyze problems accurately, develop recommendations, and take appropriate action to resolve them.
Ability to prepare complex, detailed written reports, procedures, and contracts.
Ability to speak effectively to diverse audiences, including professional, clinical, and citizen groups.
Ability to train staff and coordinate the activities of contractors, volunteer groups, and staff.

Nice To Haves

Experience managing medium-to-large health or human services programs.
Demonstrated experience working with at-risk and diverse populations, including people with complex care challenges.
Knowledge of social services, health services, IHSS, and Public Authority operations.
Experience applying process-improvement strategies such as Lean Methodology.
Experience working effectively with County and State officials and Board-appointed advisory committees.
Ability to implement new technologies and processes and manage projects.
Ability to identify opportunities to enhance or expand services while aligning operations with available resources.
Experience promoting integrated service systems across agencies and partners.
Ability to prioritize competing responsibilities and synthesize complex issues into clear, actionable direction.

Responsibilities

Provide strategic direction for budgeting, operations, quality assurance, quality improvement, and emerging priorities.
Oversee program performance and ensure compliance with applicable regulations, agreements, and policies.
Analyze data, metrics, and measurable outcomes and translate findings into operational improvements.
Lead process-improvement efforts and modernize workflows through new technologies and automated systems.
Guide staff and provide direct support to consumers experiencing complex psychosocial challenges that hinder connection to care providers.
Communicate clearly, persuasively, and professionally with staff, advisory boards, County leadership, and external partners.
Represent ADS in County projects, initiatives, and performance-measurement efforts.
Provide managerial support to other areas as assigned.
Plan, organize, supervise, and evaluate specialized services and program activities.
Participate in developing and implementing program goals, objectives, policies, procedures, and priorities.
Prepare budget recommendations, cost estimates, and justifications, and monitor expenditures against approved funding levels.
Assist in negotiating, administering, and evaluating contracts with vendors, consultants, and partner organizations.
Develop and maintain effective working relationships with public and private organizations, County departments, and community stakeholders.
Provide consultation and guidance to staff assisting consumers and care providers with complex care issues and barriers to program use.
Provide information to the public and ensure compliance with applicable health-related requirements.
Provide staff support and policy guidance to executive leadership on program-related issues.
Select, supervise, train, and evaluate professional, technical, and clerical staff.
Perform related duties as assigned.