Maternal, Child, and Adolescent Health (MCAH) Director (0942 Manager VII)

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, September 25, 2026    Application Deadline:  Application filing will close on or after Friday, October 2, 2026  Job class: 0942 – Manager VII Salary:   $214,890 - $274,196 Annually  Appointment Type:   Permanent Exempt     Recruitment ID:  PEX-0942-EXEMPT Work Arrangement: Onsite Becoming a City employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for the City, you’re choosing a job with purpose.  The Mission of the San Francisco Department of Public Health (DPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings. The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of DPH. 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 Maternal, Child and Adolescent Health (MCAH) division promotes equitable health outcomes through coordinated public health interventions, data-driven strategies, accountable administration, and community partnership. The MCAH Director provides executive-level administrative leadership for MCAH programs, including Black Infant Health, the Comprehensive Perinatal Services Program, the Office of Family Planning, Children's Medical Services, MCAH Nutrition Services, Public Health Nursing, and additional strategic initiatives. The Director serves as the division’s chief administrator and strategist and is accountable for overall direction, policy implementation, operational performance, fiscal stewardship, workforce leadership, compliance, and external representation. The position works closely with DPH leadership, City departments, state and federal agencies, health systems, managed care plans, community-based organizations, and regulatory and funding partners to advance MCAH priorities and improve outcomes for pregnant people, infants, children, adolescents, and families in San Francisco. Key Responsibilities Executive Leadership and Administration Set division priorities and translate DPH, City, state, and federal requirements into goals, work plans, policies, and measurable results. Provide administrative oversight and guidance to MCAH programs through program managers; assign resources; and oversee the administrative infrastructure, facilities, technology, records, procurement, and business processes needed for reliable and efficient operations. Advise DPH leadership and partner agencies on MCAH needs, service gaps, policy implications, and recommended actions. Stay current with research, emerging practice, and changes in the field, and apply relevant evidence to local policy and program direction. Ensure continuity of essential services during staffing shortages, funding disruptions, public health emergencies, facility incidents, or other operational disruptions. Assessment, Planning, Performance, and Quality Improvement Monitor local health status indicators and inequities affecting pregnant people, infants, children, children and youth with special health care needs (CYSHCN), adolescents, and families. Direct epidemiologic, scientific, and program analysis to identify needs, set priorities, and guide resource decisions. Establish section performance measures, dashboards, reporting cycles, and review processes to assess program reach, quality, equity, fiscal performance, and outcomes. Approve major assessments, annual plans, reports, and public documents, and ensure accurate and timely reporting to DPH leadership, the Health Commission, City leadership, funders, regulators, and governing bodies. Lead continuous quality improvement by identifying performance gaps, testing solutions, monitoring corrective actions, and spreading effective practices across programs. Promote responsible data governance, including data quality, appropriate access, confidentiality, privacy, security, and compliant data-sharing arrangements. Policy, Compliance, and Risk Management Ensure compliance with applicable City, state, and federal laws, regulations, grant conditions, contract requirements, program standards, privacy rules, and DPH policies. Coordinate audits, monitoring visits, complaints, records requests, and corrective action plans, and maintain programmatic and fiscal accountability. Identify operational, fiscal, legal, safety, privacy, and service risks, and elevate clinical or other specialized matters to the appropriate authority. Analyze proposed state and federal legislation, regulations, and policy changes affecting MCAH, and recommend DPH positions, operational responses, and implementation strategies. Budget, Grants, Contracts, and Resource Stewardship Direct budget development, forecasting, revenue, and resource a