Job Description

Overall Job Objective

$114,254.40 - $142,833.59 Annually
San Mateo County, CA
Job Type
San Mateo Medical Center
Job Number

Note: This recruitment schedule was amended on October 29, 2018 to extend the Final Filing Date.  This recruitment has been changed to "Continuous."

The San Mateo Medical Center is seeking a well-qualified candidate to fill a vacancy for a Specialty Transformation Manager - Ambulatory Services.

Reporting to the Deputy Director - Ambulatory Services, the Specialty Transformation Manager is responsible for the following:

  • Providing project management of various improvement initiatives under the strategic initiative to reorganize the delivery of Specialty care.
  • Tracking progress of specific strategic initiatives that impact Specialty care delivery, and ensuring strategic initiatives are prioritized and realized.
  • Presenting monthly reports to executive management on whether the strategic improvements are moving the expected metrics, with strategy recommendations.
  • Managing the visual management of assigned Specialty-related strategic initiatives and doing PDSAs as needed on specific tests of change or experiments.
  • Ensuring full implementation of the daily management system in Specialty clinics to ensure sustenance of all improvement work.
  • Ensuring implementation of the Model Cell recommendations for both Specialty and Primary Care following the four Model Cell referral pathways that SMMC established.
  • Integrating Specialty services in primary care settings with the clear intent of increasing real-time access and meeting the needs of our patients.
  • Working with all stakeholders to develop a Specialty Care Team model suitable for effectively meeting the needs of our patients.
  • Ensuring full implementation of all piloted and/or experimented improvement work in Specialty.  

The ideal candidate will have:
  • Three years of full-time process improvement experience in ambulatory care; two years of which must have included project management, program planning and evaluation.
  • Prior experience with project management and/or Performance Improvement models (such as Lean, Six Sigma, and A3) is strongly preferred.
  • Two years of direct relevant experience can be substituted if candidate possesses a Master's degree in in Public Health, Health Administration or Business Administration.  
  • Knowledge of local, state, and federal health policy affecting care delivery operations.
  • Ability to establish and maintain effective working relationships with co-workers and employees at all levels in routine, emergency, and emotional situations. Demonstrated ability to work independently as well as facilitate team-based change is essential to this position.
  • Proficient with web-based information systems. Strong skills in Word processing, simulation software, spreadsheets, flow charting, PowerPoint presentations, project management, and statistical process control.
  • Previous experience in delivering project results using statistical methods and other formal problem-solving techniques with an intermediate to advance skill level with Excel is highly desired.
  • Knowledge of regulatory and specialty standards and requirements, i.e., Joint Commission, Title 22, OSHA, OBRA, and other appropriate standards.

This is a limited term, at-will position.  Limited Term Employees are assigned to assignments not to exceed three years. They receive medical and dental benefits, similar to regular employees, and a defined contribution retirement plan. The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.
Information for current county employees: Current and regular San Mateo County Employees who are interested in this assignment must submit an application and compete in the recruitment process. If you are successful in the recruitment and are being considered for the assignment, HR will work directly with you and/or your department for options. Please note that there is no guarantee that you will be allowed by your department to rotate into this assignment nor are your departments obligated to allow you to take on this assignment. The salary range for this position is "as is" and non-negotiable.

Examples Of Duties

Duties may include, but are not limited to, the following:

Functions and performance expectations:

  • Works with improvement teams in expanding our Specialty network to various regions of the County. This will involve working with management and clinic managers in embedding various Specialties in satellite primary care clinics.
  • Facilitates implementation of the San Mateo Medical Center's Model Cell recommendations for all four referral pathways.
  • Identifies and implements process improvements to continuously advance our work and the value that we deliver to patients.
  • Provide support for additional special projects, as needed, following leadership direction.
  • Produces reports and metrics data that show how the organization is doing with various Model Cell pilots or experiments.
  • Works with all Specialty and Ancillary services in producing data-informed scheduling templates, testing the templates, creating standard work and, rolling out the finished product to all primary care clinics.
  • Advises leadership on the development, communication and implementation of key issues related to Model Cell Pilots or experiments.
  • Coordinate efforts with other managers in managing specific pay for performance quality metrics that are specific to Specialty.


Knowledge of:

  • Principles and practices of public administration, and program management, including planning, implementation and evaluation and reporting.
  • Principles and methods of community health services, including current trends in education, research, treatment, prevention, rehabilitation, environmental health or related services.
  • Laws, codes and regulations governing community health care and knowledge of County, state and federal legislative developments applicable to contemporary health issues.
  • Organizational, personnel and fiscal management within a multi-faceted, community-based program setting.
  • Community resources and public/private services and funding sources.

Skill/Ability to:
  • Identify and analyze complex community health issues and problems.
  • Plan, organize, and coordinate programs and services on a comprehensive, county-wide level to meet community needs.
  • Integrate a variety of activities and services to achieve program goals, objectives, and priorities.
  • Apply principles and techniques of community organization.
  • Speak effectively to diverse audiences, including clinical, professional, civic and citizen groups.
  • Maintain cooperative working relationships with other program managers and staff, other agencies and the community; enlist and mobilize community support for programs.
  • Prepare complex and detailed written reports, program policies, procedures and contracts.
  • Train staff and coordinate activities of contractors, volunteer groups and staff.

Education and Experience:
Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

Education: Bachelor's degree in public health, nursing, social work, public administration or a related discipline.
Experience: Two years of administrative or managerial experience in a health, social or community services organization, including significant responsibility for one or more of the following: program and budget development, funding, utilization, coordination of community resources or program evaluation.


This is a limited term recruitment. Anyone may apply. Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California and applicants must participate at their own expense. 

This is a continuous recruitment which may close at any time. The final filing date will be posted five days in advance on this job announcement.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply Online" button above or below. If you are not on the County's website, please go to to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date.

Apply immediately. This recruitment is open on a continuous basis and selections may be made at any time within the process.

Final Filing Date:  Continuous
Application Screening: Week of November 5, 2018
Combined Panel/Department Interviews: Week of November 12, 2018


At the County of San Mateo, we take pride in the way our employees bring together their diverse backgrounds, experiences, and perspectives to serve our community's needs.  

The County is an Equal Employment Opportunity Employer.

Analyst: Wendy Young (101618) (Health Services Manager II - D033)

Application Instructions

To learn more about the position and/or to apply, please click the link below. If link is not available, please read the information above for detailed instructions on how to apply.

Apply Online