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 : Friday, March 7, 2025 

Application Deadline : Application filing will close on or after Friday, March 21, 2025

Salary: $176,878 - $274,430 (https://careers.sf.gov/classifications/index.php?classCode=9978)  Annually

Appointment Type: Permanent Exempt  

Recruitment ID: PEX-9978-EXEMPT

This role will require in-person work at least 80% of the time. 

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, 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. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.

The EHR Program Director is responsible for managing the program budget, build, integrated areas and functional utilization of all Epic and 3rd party Epic-related systems as well as other tightly integrated clinical systems for this 10-year project. The EHR Program Director will ensure operational readiness, implementation, adoption and success of the Epic enterprise suite of products as well as the related 3rd party and critical clinical systems. Additionally, this resource will be responsible for facilitating and managing the cultural change for employees via advisory committees, Lean processing gap analysis, coordination with the CNIO and CHIO and Human Resources. The EHR Program Director will directly and indirectly manage a team of 70 individuals working to meet these goals. There are five direct reports to the EHR Program Director: 1) Epic Inpatient Applications Manager 2) Epic Access Revenue Applications Manager 3) Epic Ambulatory Applications Manager 4) Epic Ancillary Applications Manager 5) Avatar, Epic Security, and MyChart HelpDesk Manager. The EHR Program Director reports to the Deputy CIO. 

SFDPH is currently live with the Epic enterprise suite of applications across our physical health segments including inpatient, outpatient primary care, outpatient specialty care, long-term SNF, care coordination, and financials. The initial go-live was August 3, 2019. We are also live on Epic for Mental Health Services. We use Netsmart, myAvatar, and Methasoft as our EHRs for Substance Use Treatment. Our Epic project has continuing implementation efforts to install specialty modules (i.e. Beaker LIS, Lumens endoscopy, Mammography, Welcome, and more).  

ESSENTIAL DUTIES:

Manage a large-scale live Epic implementation in an integrated delivery system 

Oversee cross-team relationships, monitor project progress, and ensure timely deliverables  

Manage budget, authorize invoices, and ensure project remains within scope  

Supervise external contractors and negotiate vendor contracts for compliance 

Present new clinical applications contracts to the Health Commission Finance Committee in close collaboration with the CHIO, CMIO, and line of business as well as contracts teams 

Analyze risks and interdependencies, developing contingency plans with stakeholders 

Direct clinical applications staff, assign tasks, and ensure quality and timeline adherence  

Produce monthly performance dashboards and utilize Lean Daily Management with visual Kanban 

Update program status reports, escalating issues as needed 

Define staffing needs and KPIs for all Epic and Clinical Applications teams 

Maintain professional relationships with stakeholders and IT leadership 

Assist IT leadership, IT Managers, and business in developing, executing and communicating the DPH and IT initiatives 

Develop program strategy to optimize Epic tools for departmental needs 

Coordinate with legal, security and technical teams to develop appropriate agreements and policies 

Stay informed on industry trends, EHR updates, and initiatives that would affect defined requirements 

Maintain knowledge of major vendor announcements and product capabilities 

Advocate for process changes to leverage Epic’s workflows and functionalities 

Collaborate with project leads on operational readiness, project status, team recommendations, deliverables, and risk management 

Apply change management methodology to facilitate changes to the system and process 

Champion Epic’s implementation methodology and navigate competing project risks 

Identify operational risks and develop mitigation strategies relative to resource contention and timeline impacts 

Develop and maintain communication frameworks, ensuring effective governance  

Lead governance processes and track EHR-related requests and deliverables 

Act as a change agent for Epic program initiatives 

Perform all other duties as assigned 

EDUCATION: Possession of a Bachelor’s degree from an accredited college or university; AND 

EXPERIENCE: Eight (8) years of professional experience in information technology, of which: 

Three (3) of the years must include experience supervising professionals; AND

Five (5) of the years must include verifiable experience in Electronic Health Record (EHR) program management 

Education Substitution: Additional qualifying experience may substitute for the degree requirement on a year-for-year basis for up to two (2) years. One (1) year of qualifying experience will be considered equivalent to 30 semester units/45 quarter units 

One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).

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

DESIRABLE QUALIFICATIONS: 

Epic Certification 

Experience managing large teams in a complex integrated environment 

Project management and process leadership 

Strong communication skills 

Knowledge of hospital, skilled nursing facility, and jail health processes with end-to-end clinical information systems communication 

Familiarity with healthcare clinical terminology (e.g., leave of absence, observation vs. admission, expected discharge date, etc.) 

Working knowledge of applicable laws and regulations for electronic health records 

Proficiency in 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 

The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.

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 online at careers.sf.gov .

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. Please consider using a personal email address that you check regularly rather than a work or school account.

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.

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

Information about the Hiring Process  

Conviction History  

Employee Benefits Overview  

Equal Employment Opportunity  

Disaster Service Workers

Reasonable Accommodation

Right to Work (https://sfdhr.org/recruitment-details#identification)

Copies of Application Documents

Diversity Statement (https://sfdhr.org/recruitment-details#diversitystatement)

If you have any questions regarding this recruitment or application process, please contact the analyst, Elaine Adams at [email protected] or (628) 271-6974.

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.

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.