• Full-time
  • Exam Type: Position Based Test
  • Eligible List Type: Combined Promotive and Entrance
  • Certification Rule: Rule of the List
  • Fill Type: Permanent Civil Service
  • Work Hours: Regular
  • Job Code and Title: 0931-Manager III

Company Description

Application Opening - Wednesday, November 30, 2022

Application Closing - Thursday, January 6, 2023

**Interested applicants are encouraged to apply immediately as this job ad may close at any time but no sooner than December 15, 2022.**

This is a Position-Based Test conducted in accordance with Civil Service Rule 111A.

Compensation Range: $141,492 and $180,622 annually. For more details see comp and class.

The Department of Public Health is accepting applications for a Director of Performance Improvement (0931 Manager III).

Job Description

Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) is the only Level 1 trauma center providing acute care and outpatient services for the San Francisco community.  The Quality Management Department is responsible for the development, oversight, and evaluation of Performance Improvement Strategy, Medical Staff Services, Infection Control, Patient Safety, Regulatory Affairs and Risk Management programs at ZSFG.

The Director of Performance Improvement at Zuckerberg San Francisco General Hospital & Trauma Center, under the general direction of the Chief Quality Officer, serves as the primary knowledge expert for performance improvement strategy and regulatory data compliance for the organization. The position supervises the development, coordination, implementation, and evaluation of all Performance Improvement activities coordinated by the Quality Management Department and the Quality Data Center. This oversight includes submission of publicly reported and regulatory required data.

The Director of Performance Improvement (0931 Manager III) performs the following essential functions:

  1. Coordinates, manages, and monitors crucial external quality data reporting requirements, including, but not limited to the submission of Joint Commission eCQM, and Centers for Medicare and Medicaid Services (CMS) quality measures, California Quality Improvement Program (QIP) and other regulatory and publicly reported data sets
  2. Maintains experience and expertise in the use of Clinical databases and other quality data programs.
  3. Directs and supervises Performance Improvement and Quality Data Center staff in areas including, but not limited to data collection, analytics, dissemination (internal), submission of reports (external), and facilitating follow-up and development of action plans
  4. Provides strategic planning and coaching for hospital leadership in performance improvement concepts and practical assistance with implementing performance improvement strategies (e.g., PDSA: Plan, Do, Study, Act).
  5. Works with hospital departments and the medical staff to develop, manage, and monitor complex performance improvement programs 5 including conducting detailed studies and preparing reports with recommendations for new systems and procedures that impact multiple departments.
  6. Negotiates and resolves issues related to the implementation and evaluation of performance improvement projects.
  7. Analyzes Joint Commission and other external regulations related to performance improvement for departments and committees.
  8. Monitors and analyzes reports and presents results to hospital executive committees and the governing body.
  9. Represents the Quality Management Department on hospital and medical staff committees; represents ZSFG and the Department of Public Health (DPH) at external meetings.
  10. Collaborates with San Francisco Health Network (SFHN) quality leaders to promote alignment with performance improvement strategic priorities.

The Director of Performance Improvement (0931 Manager III) performs other duties as assigned or required.


REQUIRED MINIMUM QUALIFICATIONS (all candidates must verify that they meet all elements below—education, and length, type, and level of experience including supervision of professionals):

  1. EDUCATION: Possession of a bachelor’s degree from an accredited college or university;


  1. EXPERIENCE: Five (5) years of verifiable professional performance improvement and/or quality management experience in a medical setting or health-related institution, organization, or agency, which must include three (3) years of supervisory experience.

Note: One year of full-time employment is equivalent to 2,000 hours of qualifying work experience (one year if performed full-time at 40 hours per week). Any overtime hours that were worked above 40 hours per week are not included in the calculation to determine qualifying hours worked.

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

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

  • Possession of a master’s degree from an accredited college or university
  • Knowledge of regulations and requirements related to: Title XXII, The Joint Commission, CMS Conditions of Participation, and other healthcare quality organizations
  • Verifiable work experience in hospital-based Performance Improvement
  • LEAN Certification or an in-depth knowledge of A3 Thinking.
  • Advanced level skills with the Microsoft Office suite: Word, Excel, Access, and PowerPoint
  • Intermediate level skills with Power BI and Tableau data management programs

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.

Verification of Education
Verification of Experience


Minimum Qualification Supplemental Questionnaire (MQSQ) (Weight: Qualifying): Applicants will be required to complete a Minimum Qualification Supplemental Questionnaire by email after your submit your application. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position. Applicants must also complete the official application. It is essential that applicants provide complete information identifying their education, experience, and training. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications.

Management Test Battery (Weight: 40%)
Candidates will be invited to participate in a computer-based examination designed to measure competencies in job-related areas which may include but are not limited to:  Problem Solving; Leadership; Decision Making; Interpersonal skill; Human Resources Management; Team Building; Communication & Conflict Management. For more information about this Management Test (and a suggested reading list) please visit: Please note: this examination is only held in San Francisco. A passing score must be achieved on the Management Test Battery in order to continue in the selection process. This is a standardized examination, and, therefore, test questions and answers are not available for public inspection or review. Scores attained on the Management Test Battery will be valid and 'banked' for three years, starting from the date of the examination. This means that, during this three-year time period, you will not be required to take the Management Test Battery. The Management Test Battery may be used for many other classes; therefore, your test score may be applied to one or more of these classes if you choose to apply to future recruitments. If the selection process for the future announcement is held within one year of the date of this examination and it includes the Management Test Battery, your score will be automatically applied to that announcement, However, after one year, you have the option to either (a) apply your test score to the other announcement or (b) re-take the Management Test Battery. Re-testing is permitted no sooner than one year from the date of the examination and only in association with your eligibility for another announcement for which the Management Test Battery is used. Please note that, should you re-test, your retest score would become your official score since it is the most recent.  

Supplemental Questionnaire (SQ) Examination (Weight: 60%): Candidates who achieve a passing score on the Management Test Battery (MTB) will be emailed a Supplemental Questionnaire (SQ) that is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of quality data processes required for regulatory requirements, ability to acquire, analyze, and critically evaluate and structure information to formulate plans, solve problems, and make sound decisions, ability to organize and assign work and develop others, ability to inspire and motivate others. The SQ will be emailed to the address listed on the candidate’s online application. Candidates will be required to respond to the SQ in the time frame indicated and must submit the completed questionnaire as directed in order to have it evaluated. Responses cannot be changed once submitted. Candidates will be evaluated based on their SQ responses. Candidates must achieve a passing score on the SQ in order to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score. A passing score must be achieved on each of the above-described exams in order to be included on the confidential eligible list. After the confidential eligible list is adopted the department may administer additional selection procedures to make a final hiring decision.  

Eligible List/Score Report: 
A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only. The duration of the eligible list resulting from this examination process will be of six (6) months, and may be extended with the approval of the Human Resources Program Director. The list will be used to fill current and future vacancies within the next six (6) months.

Certification: The certification rule for the eligible list resulting from this examination will be Rule of the List. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Additional Information

Exam Type: Combined Promotive and Entrance (CPE)

Confidentiality: All personal information will be kept confidential according to EEO guidelines.

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

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 Face Fitting 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.

Equity, Diversity, and Inclusion:
All employees are required to participate in the Department of Public Health's work in equity, diversity, and inclusion through:

  • Commitment to providing first-class care and service to all members of the DPH service population, with heightened sensitivity and awareness to racial, ethnic, and culturally diverse members of the DPH’s workforce and patient populations.
  • Desire and commitment to lead and participate in antiracism, racial justice, and equity work that impacts quality of patient care, and improvements in employee experiences; along with the commitment and fortitude to push and drive change in these areas.
  • Desire to work with, relate to, serve, and support a diverse workforce and patient population.
  • Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

Other useful information:

Exam Analyst
Beata Chapman
[email protected]

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.

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.