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County of San Mateo Tech Stack

County government operating health, safety, and social services across San Mateo

Government Administration Redwood City, CA 5,001–10,000 employees Government Agency

San Mateo County operates a 5,000+ person government agency delivering health care, public safety, and social services. The tech stack reflects a mature public-sector infrastructure: Palo Alto Networks XDR/SIEM for security, Epic Systems and eClinicalWorks for clinical operations, Active Directory and Okta for identity, and Microsoft 365 for internal collaboration. Hiring is accelerating across healthcare (114 open roles) and operations, with concurrent projects including Epic billing implementation and behavioral health integration — indicating active modernization of revenue cycle and clinical service delivery.

Tech Stack 48 technologies

Core StackPalo Alto Networks Active Directory Okta Epic Systems Power BI Power Automate Intune Zoom Canva Adobe Illustrator Adobe Creative Cloud eClinicalWorks XDR XSOAR SIEM SolarWinds Excel Microsoft Access Teams SharePoint Visio Configuration Manager Word PowerPoint Microsoft Office InDesign Photoshop Arista Aruba SD-WAN+18 more

What County of San Mateo Is Building

◆Challenges

Staffing shortages
Addressing race disparities
Reducing recidivism
Complex regulatory environments
Prevent revenue leakage
Serving underserved populations
Integrating behavioral health services into primary care
Coordinating services across agencies
Improve revenue cycle performance
Building new processes and partnerships

▲Active Projects

Senior project to strengthen environmental health field
Youth bhrs specialty programs
Forensic mental health services
Nursing unit policy development
Emergency response unit
Sb43 pilot program implementation
Building systems and partnerships
Microenterprise home kitchen operations (mehko)
Epic professional billing implementation
Tobacco program

Hiring Activity

Accelerating210 roles · 110 in 30d

Department

Healthcare

114

Ops

15

Finance

11

Legal

11

Support

9

Security

8

Engineering

6

Government

2

Seniority

Mid

95

Senior

48

Junior

30

Manager

16

Intern

5

Director

3

Staff

3

Principal

1

Notable leadership hires: Deputy Medical Director, Chief Financial Officer

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About County of San Mateo

The County of San Mateo is the local government authority for unincorporated areas within San Mateo County, California. It operates under a five-member elected Board of Supervisors and provides integrated health, human services, public safety, and administrative functions. Primary service lines include healthcare delivery (clinical and behavioral health), law enforcement and corrections, social services, tax collection, and elections administration. The organization maintains substantial clinical infrastructure (Epic Systems, eClinicalWorks) and manages complex interagency coordination across health, justice, and social-service domains.

HeadquartersRedwood City, CA

Company Size5,001–10,000 employees

Hiring MarketsUnited States

Frequently Asked Questions

What is San Mateo County's tech stack?

Epic Systems and eClinicalWorks for clinical operations; Palo Alto Networks XDR/SIEM for security; Okta and Active Directory for identity; Microsoft 365 (Teams, SharePoint, Power BI); SolarWinds for infrastructure monitoring; Arista and Aruba networking.

What major projects is San Mateo County working on?

Epic professional billing implementation, behavioral health service integration into primary care, forensic mental health services expansion, emergency response unit development, and SB43 pilot program implementation.