Health Services Manager I - Public Authority (20714913)

San Mateo County Health is seeking a dynamic and experienced leader to serve as the Health Services Manager I - Public Authority within Aging and Disability Services (ADS).

About the Role
This position oversees the administration of the Public Authority (PA) for In Home Supportive Services (IHSS) in San Mateo County.

Important Note: The PA Health Services Manager (HSM) is not a County classified position; however, the role reports directly within ADS. The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified and regular classified vacancies.

This is a full-time position working Monday–Friday. A hybrid schedule may be available; however, approximately four on-site workdays per week are anticipated based on operational needs and County requirements.

The position is currently located in San Mateo, CA, but will relocate to South San Francisco, CA, planned for December 2026. The role requires travel throughout the County and periodic travel within the State of California.

There is currently one vacancy.

About the Position

The Health Services Manager I provides leadership and oversight of all Public Authority operations. Current staff includes Supervisors, Payroll/Personnel staff, Registry and Training Specialists, Social Workers, and Office Specialists, along with extra-help staff assigned to special projects.

The HSM:

• Provides staffing and strategic support to the Public Authority Advisory Committee
• Works collaboratively with County Board of Supervisors staff
• Represents the PA at meetings with other collateral agencies, including the Health Plan of San Mateo
• Participates in State and Regional Public Authority meetings
• Represents ADS on broader County initiatives, performance measures, and cross departmental projects, as needed
• Provides managerial support to other areas of ADS, as assigned

This leader must bring strong systems-thinking, collaboration and political acumen. The role requires the ability to analyze and interpret data; remain current with County, State and Federal regulations; and anticipate trends affecting homecare, IHSS, and Public Authority operations.

As the homecare field and IHSS program continue to evolve, the HSM must demonstrate confident leadership during periods of ambiguity, regulatory change, and organizational transition.

Key Responsibilities
The Health Services Manager I - Public Authority will:

• Provide strategic direction for budgeting, operations, quality assurance, quality improvement, and emerging priorities
• Oversee program performance and ensure compliance with applicable regulations, agreements and policies
• Apply strong critical thinking and analytical to translate data, metrics, and measurable outcomes into operational improvements
• Lead process improvement efforts and modernize workflows through adoption of new technologies and automated systems
• Communicate persuasively, clearly, and professionally with diverse audiences, including staff, advisory boards, County leadership, and external partners
• Represent ADS in broader County projects, initiatives, performance measurement efforts
• Provide managerial support to other areas as assigned.

The ideal candidate will be:

• An experienced manager medium to large health and/or human service programs
• Knowledgeable about social services, health services, IHSS, and Public Authority operations. Experienced in applying process improvement strategies such as LEAN to examine workflows and enhance services for consumers and care providers
• A courageous and independent thinker who is curious, project-management focused, and comfortable implementing new technologies and processes
• Politically astute, with experience working effectively with County and State officials and Board-appointed advisory committees
• A strategic thinker who identifies opportunities to enhance or expand services while aligning operations with available resources
• A collaborative leader promotes integrated system of service across agencies and partners
• Adept at prioritizing competing responsibilities and synthesizing complex issues into clear, actionable direction

Examples Of Duties

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

• Plan organize, supervise, and evaluate specialized services and program activities.
• Participate in the development and implementation of program goals, objectives, policies, procedures and priorities.
• Prepare budget recommendations, cost estimates, and justifications; monitor expenditures to ensure objectives are achieved within approved funding levels.
• Assist in negotiating, administering, and evaluating contracts with vendors, consultants, and partner organizations.
• Develop and maintain effective working relationship with public and private organizations, County departments, and community stakeholders.
• Provide information to the public and ensure compliance with applicable health-related issues.
• Provide staff support and policy guidance to executive leadership on program-related issues.
• Select, supervise, train and evaluate professional, technical and clerical staff.
• Perform related duties as assigned.

Tentative Recruitment Timeline
Final Filing Date: Friday, March 13, 2026, at 11:59PM PST
Application Screening: Week of March 16, 2026
Panel Interviews: Week of April 6, 2026