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

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 allocation across City, state, and federal funding sources. Approve expenditure plans; monitor spending, projections, revenue, vacancies, and variances; and take timely corrective action as needed.
• Oversee local Title V and other MCAH grant requirements, including applications, workplans, budgets, needs assessments, reports, amendments, and closeout.
• Oversee contracts and agreements from procurement through monitoring, including scopes of work, performance measures, budgets, amendments, and contractor accountability.
• Maximize allowable revenue and administrative claiming while maintaining internal controls and audit-ready documentation.
• Evaluate resource needs and recommend investments, efficiencies, service redesign, or reductions while assessing impacts on equity, access, workforce capacity, compliance, and outcomes.

Workforce and Organizational Leadership

• Maintain an effective organizational structure and staffing plan; lead recruitment, onboarding, retention, succession planning, and performance management.
• Supervise and coach senior managers, and work with Human Resources, Labor Relations, Finance, Compliance, and other administrative partners on workforce and organizational matters.
• Build an inclusive and accountable workplace, and ensure staff have the training, tools, and supervision needed to perform their duties safely and effectively.
• Oversee workplace safety and emergency preparedness activities, including staff communication and coordination with appropriate DPH response teams.

Equity, Community Partnership, and Systems Coordination

• Center racial, health, and social equity in policy, budgeting, staffing, program design, contracting, performance review, and community engagement.
• Build partnerships with health systems, managed care plans, community organizations, academic and research institutions, coalitions, families, and people with lived experience.
• Provide administrative guidance and technical assistance to MCAH partners, and coordinate services to improve access, continuity, and efficient use of resources.
• Use community input to identify barriers and strengthen culturally and linguistically responsive outreach, referral, navigation, and support systems.

Communications, Representation, and Intergovernmental Affairs

• Represent DPH and MCAH in local, regional, statewide, and national meetings, coalitions, advisory groups, and public forums, and communicate the division's priorities and positions with clarity and credibility.
• Prepare or oversee executive briefings, presentations, reports, correspondence, and responses for DPH leadership, the Health Commission, City leadership, funders, regulators, partners, and the public.
• Serve as a senior point of coordination with CDPH and other government agencies.
• Coordinate sensitive or high-visibility communications with DPH communications, legal, policy, clinical, and executive leadership, as appropriate.

Perform other related duties consistent with the 0942 classification and the administrative leadership needs of DPH and MCAH. 0942-Manager VII | City and County of San Francisco

Education: Possession of a bachelor’s degree from an accredited college or university; AND

Experience: Four (4) years of managerial experience in public health, healthcare administration, social services, or a related field, which must include supervision of professional staff.

Education Substitution: Additional professional experience as described above may be substituted for the required degree on a year-for-year basis up to a maximum of two (2) years. One (1) year is equivalent to thirty (30) semester units/forty-five (45) quarter units.

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

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).

VERIFICATION OF EDUCATION AND EXPERIENCE: 

Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications.

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/.

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.

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 Worker
• ADA Accommodation
• Right to Work
• Copies of Application Documents
• Diversity Statement

Where to Apply

All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process.

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.

Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110.

Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues.

Applicants will receive a confirmation email from [email protected] 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. 

If you have any questions regarding this recruitment or application process, please contact the analyst, Rashida Taylor at [email protected] or (628) 271-6875  

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.