City and County of San Francisco Visa Sponsorship Jobs USA
The City and County of San Francisco is a large public sector employer known for hiring across a wide range of technical, administrative, and professional roles. It sponsors select visa categories including H-1B visa, making it a viable target for international job seekers pursuing stable, mission-driven government work in the Bay Area.
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INTRODUCTION
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. This is a Position-Based Test conducted in accordance with CSC Rule 111A.
Application Opening: Friday, 10/16/2026
Application Deadline: On or after Friday, 10/23/2026
Annual Salary: $171,158 - $215,306
Appointment Type: Permanent Civil Service
Recruitment ID: PBT-1070-167230
Work Arrangement: 100% 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 (SFDPH) 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 SFDPH. 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.
✅START with this Required Questionnaire form.jotform.com/262575167445162 Then, submit an online application.
ROLE DESCRIPTION
Responsibilities
The San Francisco Department of Public Health (DPH) utilizes the Epic Electronic Health Record (EHR). Manager effectively collaborates with analysts assigned to the Epic teams, to build and implement Epic applications and integration with other EHR systems. The Epic Manager is responsible for the definition, coordination, implementation, maintenance and support of Epic application(s) within DPH. Epic Applications include:
- Epic Ambulatory
- Epic Cupid – Cardiology
- Epic Radiant – Radiology
- Epic Beaker – Lab
The Epic Application, Integration, and Reporting Teams are responsible for designing, implementing, testing, and supporting the clinical and financial aspects of the San Francisco Department of Public Health Electronic Health Record. This includes integration and interoperability with other third party clinical and financial systems and devices. The ideal candidate will have an understanding of the use of Electronic Health Records in the hospital, ambulatory, revenue cycle and population health areas.
Duties Include
- Provides direct ongoing guidance and supervision of IS Business Analysts
- To support the design, implementation, support and optimization of the Epic enterprise Electronic Health Record (EHR) for the San Francisco Department of Public Health
- To collect information from departments, clinicians, health workers, vendors, and internal and external customers regarding electronic system development, implementation, issues, recommendations and utilization of best practices
- As a member of a multi-disciplinary team, translate functional requirements into application build
- Communicate effectively both orally and in writing with a diverse set of clients; establish and maintain good working relations with department personnel, staff, vendors, peers and management
- Maintains all system configuration and build parameters for application modules
- Use logic and analysis to solve computer and application module problems
- Exercise judgment, decisiveness and creativity in an environment subject to frequent change
- Research, analyze, and develop proposed solutions for regulatory requirements
- Prepare test plans, documentation and training materials; work with vendors to prepare technical specifications and scopes of work
- Prioritize competing requests for services
- Application module optimization in conjunction with stakeholders
- Project management of small projects
- Manage critical timelines effectively
- Manage communication between applications
- Application/module implementation and testing
- Clearly document work and adhere to change control procedures
- Maintains and updates Service Now, Sherlock, Orion, Nova, or other Epic build trackers or Epic project plans
- The 1070 may perform other duties as assigned/required
HOW TO QUALIFY
Minimum Qualifications
Certification
- Possession of current Epic software module certification*
Education
- An associate degree in computer science, information systems, business administration, UX/UI design or a closely related field from an accredited college or university OR its equivalent in terms of total course credits/units [i.e., at least sixty (60) semester or ninety (90) quarter credits/units with a minimum of twenty (20) semester or thirty (30) quarter credits/units in one of the fields above or a closely-related field].
Experience
- Five (5) years of experience in digital product management, system administration, information systems development, maintenance and support, software engineering, or information technology project management, including
- Two (2) years of experience leading a major technology product, system, or project involving cross-functional teams and multiple stakeholders.
Substitution
- One year of additional experience as described above may be substituted for the required degree.
- The above minimum qualifications reflect special conditions associated with the position(s) to be filled. They may differ from the standard minimum qualifications associated with this classification. 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).
Desirable Qualifications
These qualifications may be considered at the end of the selection process when candidates are referred for hiring
- Experience with full lifecycle of Epic implementation and/or Epic upgrade.
- Knowledge of Lean fundamentals including, but not limited to, A3 thinking, Value Stream Mapping and Kaizen events
- Proficiency with basic word processing and presentation applications (i.e. MS Office: Word, Excel, PowerPoint).
- Knowledge of flow diagramming applications (e.g., Visio) and collaboration platforms, SharePoint.
- Prior experience in software application support
- Prior experience in a healthcare setting
- Experience maintaining HL7 integrations with Rhapsody
- Experience with Data Courier
- Experience with data visualizations (e.g., PowerBI)
- Experience with complex healthcare and/or population health reporting
- Knowledge of healthcare regulations and state/federal mandated reporting
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.
What else should I know?
Selection Procedures
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.
Behavioral Consistency Questionnaire (BCQ): (Weight: 100%)
Skills
The BCQ is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of: Project management and information systems development and maintenance; principles and practices of digital product management and service delivery technical, operational, and problem solving analysis; computer languages; systems design and software development lifecycle concepts; user-centered and data-informed approaches to product or system improvement common operating systems and relational database systems; interactive or macro-based applications; agile and iterative methodologies; practices and techniques of supervision; training techniques; job flow within a large scale data processing environment; and data processing methods; budgeting, procurement, resource management, and vendor coordination; and change management and communication strategies for introducing new systems or service models.
Ability or Skill to:
- Supervise and direct a group of technical employees, including the ability to provide counseling, guidance, and mediation; persuade, convince and train others; advise and interpret regarding the application of policies, procedures and standards to specific situations; exercise judgement, decisiveness and creativity required in situations involving the direction, control and planning of projects, programs, and products; modify existing policies, strategies and/or methods to meet unusual conditions within the context of existing management principles; communicate effectively orally and in writing; establish and maintain good working relationships with department personnel, staff, vendors, and peers; use logic and analysis to solve problems; produce complex reports and presentations; prioritize competing requests for service in a dynamic, multi-stakeholder environment.
Candidates must achieve a passing score on the BCQ to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Certification
The certification rule for the eligible list resulting from this examination will be the Rule of the List.
Eligible List/Score Report
A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. The duration of the eligible list resulting from this examination process will be of 12 months and may be extended with the approval of the Human Resources Director. The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments.
Terms Of Announcement And Appeal Rights
Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.
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
- Veterans Preference
- Seniority Credit in Promotional Exams
- 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 notification@smartrecruiters.com 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, Eliot.Watt@sfdph.org 628-271-6704.
We may use text messaging to communicate with you on the phone number provided in your application. By applying, you accept the Trust and Privacy Policy and you may opt out of text messaging anytime.
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.
Job Roles at City and County of San Francisco
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Get Access To All JobsTips for Finding City and County of San Francisco Visa Sponsorship Jobs USA
Target technical and specialized roles
San Francisco city government tends to sponsor visas for roles requiring specialized expertise, think IT, engineering, public health, and planning. Focus your search on departments where your technical or professional credentials are directly relevant to the city's operational needs.
Understand the government hiring timeline
Public sector hiring moves slower than the private sector. San Francisco city roles often involve civil service processes, examinations, and multi-stage approvals. Start your application well ahead of any visa deadline to account for the longer onboarding and sponsorship processing timeline.
Check which visa types the city supports
San Francisco sponsors H-1B visas along with F-1 OPT, CPT, TN, and J-1, a broader range than many government employers. If you're on a student or exchange visa, there may be entry-level or internship pathways worth exploring before pursuing full H-1B sponsorship.
Look for roles tied to city-funded programs
Departments like the Department of Public Health, the Municipal Transportation Agency, and the Office of Economic and Workforce Development frequently hire specialized talent. These program-driven teams are more likely to justify visa sponsorship when candidates have hard-to-find skills.
Use Migrate Mate to filter for verified government sponsors
Government employers that sponsor aren't always easy to identify. Migrate Mate surfaces verified sponsors so you can filter by real sponsorship history and find San Francisco city roles without wading through listings that don't lead anywhere for visa holders.
Emphasize public service alignment in your application
San Francisco city hiring panels assess candidate fit with public sector values. Highlighting experience serving diverse communities, working within regulated environments, or contributing to civic outcomes can meaningfully strengthen your application for roles where sponsorship is on the table.
Frequently Asked Questions
Does City and County of San Francisco sponsor H-1B visas?
Yes, the City and County of San Francisco does sponsor H-1B visas. Sponsorship is generally reserved for specialized professional roles where the city cannot readily fill the position with a U.S. worker. Roles in technology, public health, engineering, and urban planning tend to be the most common pathways for H-1B sponsorship within the city's various departments.
Which visa types does City and County of San Francisco sponsor?
San Francisco sponsors H-1B visas and also accommodates workers on F-1 OPT, F-1 CPT, TN visa, and J-1 visa status. This makes it one of the more visa-inclusive government employers in the country. If you're currently on a student or exchange program visa, there may be opportunities to gain experience with the city before transitioning to a longer-term sponsored status.
Which departments or roles at City and County of San Francisco are most likely to offer visa sponsorship?
Visa sponsorship at San Francisco's city government tends to be concentrated in departments with strong technical or specialized staffing needs. The Department of Public Health, the Department of Technology, and infrastructure-focused agencies like the Public Utilities Commission are among the more active hiring departments. Roles in software development, data analysis, clinical services, and civil engineering are typically stronger candidates for sponsorship consideration.
How do I apply for a sponsored role at City and County of San Francisco?
Start by browsing open positions through the city's official job portal, but be prepared for a process that differs from private sector hiring. Many roles require passing a civil service examination or meeting specific minimum qualifications before your application advances. Once you receive an offer, the sponsoring department works with the city's HR and legal teams to initiate the visa petition, so confirm sponsorship intent with the hiring manager before accepting.
How do I find open visa-sponsored jobs at City and County of San Francisco?
Migrate Mate is the most efficient way to find sponsored roles at San Francisco's city government. Rather than manually reviewing job listings with no indication of sponsorship willingness, Migrate Mate surfaces employers with a verified sponsorship track record, including public sector employers like San Francisco, so you can focus your applications where they're most likely to lead somewhere as an international candidate.