Health Services Manager - Public Authority

Health Services Manager I - Public Authority

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).

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.

Established by the San Mateo County Board of Supervisors in 1993, the Public Authority administers the care provider components of the County’s IHSS program.

IHSS supports Medi‑Cal eligible individuals who are aged, blind or disabled of any age so they can safely remain in their homes as an alternative to institutional care.

The Public Authority:

• Serves as the employer of record for approximately 9,000 IHSS care providers
• Operates a Registry that recruits, screens, and refers care providers
• Conducts background checks in accordance with IHSS regulations
• Provides training opportunities to enhance provider skills
• Offers support to both consumers and providers to promote successful working relationships
• Administers payroll, personnel services, health benefits, and COBRA
• Maintains employment records, conducts verifications, and responds to subpoenas

The PA is advised by the Public Authority Advisory Committee, appointed by the Board of Supervisors, with a majority of the members being current or former IHSS consumers.

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.

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 skills 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,…