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About the Role

The Department of Public Health (DPH) is seeking an impact-driven Chief Financial Officer (CFO) to lead the financial strategy and operations of one of the nation's premier and most complex integrated public health systems. This is a defining leadership opportunity to secure the long-term financial sustainability of a modern, high-performing public health system.

Responsibilities

• Lead long-range financial planning, forecasting, and strategy that safeguard the Department's long-term financial sustainability and set clear, multi-year direction
• Develop and execute strategies that strengthen revenue, reimbursement, and financial performance, aligning funding and investments to the Department's highest priorities
• Give executive leadership early warning of financial risk and practical options to address cost overruns before they affect care
• Direct department-wide budget development, controls, and negotiations with City stakeholders, and determine resource allocation in support of strategic goals
• Implement and monitor budgeted expenditures and revenues, connecting spending directly to performance and outcomes
• Advise Executive Leadership, the Director of Health, and Health Commission on resource allocation, revenue opportunities, and the fiscal impact of policy decisions
• Direct accounting, reimbursement, billing, and collections, and direct capital financing programs, including the repair and replacement of facilities
• Guide modernization of financial information systems so that data is timely, reliable, and decision ready
• Ensure compliance with federal, state, and local standards, and lead responses to audits and financial reviews
• Promote data-informed decision-making and disciplined stewardship of public resources, and direct financial reporting to executive leaders, the Mayor's Office, and the Controller's Office
• Represent the Department before the Board of Supervisors, Health Commission, and other stakeholders on financial matters
• Build alignment across divisions so that financial planning supports consistent execution and the Department's strategic goals

Requirements

• Possession of a Bachelor’s degree from an accredited college or university AND five (5) years of financial managerial experience in a large public health department, public agency, academic medical center, teaching hospital, or private non-profit hospital or health plan, all of which must include supervising employees.
• Experience must include budget planning and development, accounting, revenue, reimbursement, capital planning and financing, and/or financial information technology systems
• Possession of a Master’s degree from an accredited college or university AND four (4) years of financial managerial experience in a large public health department, public agency, academic medical center, teaching hospital, or private non-profit hospital or health plan, all of which must include supervising employees.
• Experience must include budget planning and development, accounting, revenue, reimbursement, capital planning and financing, and/or financial information technology systems
• Additional experience as described above may be substituted for the required degree on a year-for-year basis (up to a maximum of two (2) years).
• Thirty (30) semester units or forty-five (45) quarter units equal one (1) year.
• 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).
• 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.

Skills

• Financial strategy
• Financial operations
• Health care reimbursement
• Revenue optimization
• Financial transformation
• Budget planning
• Budget development
• Accounting
• Financial reporting
• Revenue cycle management
• Reimbursement
• Billing
• Payer contracting
• Managed care finance
• Capital financing
• Financial systems
• Forecasting
• Data-informed decision-making
• Stewardship
• Financial reporting
• Supervising employees

Location

• Onsite

Work Type

• Permanent Exempt
• Onsite

Experience Level

• Five (5) years of financial managerial experience
• Four (4) years of financial managerial experience
• Supervising employees

Education Level

• Bachelor’s degree
• Master’s degree

Salary/Compensations

• $243,100 - $310,206 Annually

Benefits

• Employee Benefits Overview

About the Company

• 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.
• The San Francisco Department of Public Health (DPH) operates one of the complex and integrated public health systems in the nation, encompassing approximately $3.6 billion in annual funding, a workforce of nearly 9,000 employees, and services delivered through two hospitals, Zuckerberg San Francisco General Hospital and Trauma Center and Laguna Honda Hospital and Rehabilitation Center, more than 45 primary and specialty care clinics, behavioral health programs, population health services, emergency preparedness, managed care, and a broad network of community-based partners.
• SFDPH is intentionally evolving toward a department-wide, performance-managed operating model, requiring senior leaders who can set direction, drive execution, and deliver results across a highly complex public health and healthcare environment.

Equal Opportunity

• 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.