Skip to content
 
SF Careers Logo with City Seal
 
 

Career Opportunity

0941 Revenue Cycle Director

Recruitment: REF43268B

Published: August 14, 2024

Contact:

Marielle Francine Saldajeno - marielle.saldajeno@sfdph.org

Apply using SmartRecruiters, the City and County of San Francisco's application portal Learn More

Share

Department: Public Health
Job class: 0941-Manager VI
Starting salary range: $187,070.00 - $238,810.00 (Range A)
Role type: Permanent Exempt What does this mean?
Hours: Full-time
 

About:

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. 

  • Application Opening – July 26, 2024
  • Application Deadline – The application filing will be open continuously at least through August 16, 2024, and will close any time thereafter.
  • Salary:  Range A Salary between $187,070 and $238,810 Annually
  • Appointment Type: Permanent Exempt. This is a Permanent Exempt (PEX) recruitment in accordance with San Francisco Charter Section 10.104.13 and is exempt from Civil Service.
  • Recruitment ID: PEX-0941-EXEMPT

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. 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.  

Role description

Under general direction of the Chief Financial Officer, the Revenue Cycle Director is responsible for overseeing all reimbursement programs in multiple divisions within the San Francisco Health Network (SFHN), including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, primary care clinics, ambulatory care services, Behavioral Health Services (BHS), and Population Health Division (PHD). Overall, this position oversees the claiming and projection for all of SFDPH’s operating revenue of approximately $2 billion. The Revenue Cycle Director provides vision and leadership in managing complex state and federal healthcare safety net financing programs in alignment with the mission of SFDPH and SFHN and ensuring alignment with expected reimbursement rates and contracted rates awarded to providers. This position works closely with SFHN, BHS and PHD executive leadership to develop revenue and reimbursement strategies; oversees compliance with various financial reporting requirements and financial audits; designs and oversees complex financial analyses of costs and revenue to inform policy and operational changes; plays a leadership role in the optimization and management of the department’s EPIC electronic health record, including supervising the cash management and accounting functions for the EPIC single billing office; represents SFDPH in working with the Mayor’s Budget Office and Controller’s Office on financial planning and budgeting for health revenue; and serves on key external decision making bodies influencing State policies and laws affecting reimbursement including the San Francisco Health Plan and the California Association of Public Hospitals.

The Revenue Cycle Director performs the following essential job functions:

  • Plans, monitors, evaluates, supervises, and coordinates the activities of multiple functions related to revenue and reimbursement for SFDPH including the Revenue/Reimbursement Department, EPIC Single Billing Office Cash Management, and associated accounting functions. 
  • Serves as principal advisor on revenue projections and variance analysis to SFDPH executive, clinical, finance, and operational leaders on issues affecting revenue and reimbursement; recommends policy and operational changes to increase reimbursement levels.
  • Represents the department in interactions with senior leadership in the Controller’s Office, Mayor’s Budget Office, State agencies, and other key stakeholders on revenue and reimbursement issues affecting the City’s Five-Year Financial Plan, annual budgets, and citywide quarterly financial reporting.
  • Plays a leadership role in executive and policy making committees affecting the implementation, optimization, and operation of the EPIC electronic health records system; develops strategies to improve data collection and analysis to increase revenue.
  • Plans and oversees highly complex cost and revenue analyses of programs affecting multiple service areas within the department, requiring coordination of multiple branches within SFDPH Finance.
  • Plans and supervises compliance with various financial reporting requirements and participation in audits for Medicare, Medi-Cal, the Office of Statewide Health Planning and Development (OSHPD), and other agencies.
  • Oversees reporting and reimbursement activities associated with specialized State and Federal healthcare safety net financing programs, such as the CalAIM, Global Payment Program, Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program, Quality Incentive Program, Enhanced Payment Program, and other supplemental funding programs. 
  • Oversees new or changes to BHS lines of business, including transition to EPIC and other changes within the County Medi-Cal Mental Health (MH) and Substance Use Disorder (SUD) Managed Care Plans; Performs planning, design, and implementation of encounter data reporting, billing, and claims processing.
  • Supervises the cash management and general accounting functions related to EPIC, SFHN’s enterprise electronic health record and billing system. Oversees integration and reconciliation between EPIC and the City’s PeopleSoft financial system, collection and payment posting of patient liabilities, and reconciliation of bank records to the EPIC system.
  • Represents SFDPH on policy and technical decision-making bodies affecting state and federal revenue, including executive level representation with the California Association of Public Hospital Hospitals and Health Systems; advises SFDPH and citywide leaders on policy and advocacy strategies to increase reimbursement.
  • The Revenue Cycle Director may perform other duties as assigned/required.

How to qualify

Required Minimum Qualifications (all applicants must verify that they meet all elements below):

Education: Possession of a Bachelor’s degree from an accredited college or university, AND

Experience: Four (4) years of managerial experience in revenue and reimbursement management, optimization, and accounting in a hospital or healthcare system. All of which must include supervising professionals.

Education Substitution: Additional qualifying 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. One year is equivalent to thirty (30) semester or forty-five (45) quarter units.

Note: One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

Desirable Qualifications (the stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.):

  • Master’s degree in Business Administration, Accounting, Finance, Healthcare Administration, Public Policy, Economics, or a closely related field.
  • Qualifying experience obtained in a large public or safety net hospital.

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Selection Procedures: The selection procedure will include evaluation of the application packet in relation to minimum requirements. Depending on the number of applicants, the Department may establish and implement additional screening mechanisms to comparatively evaluate qualifications of candidates.   

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.  

What else should I know?

How to apply:

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. 

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. 

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 

Applicants will receive a confirmation email 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. 

DPH Health Critical Requirements and Information: Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

Additional information regarding Employment with the City and County of San Francisco: 

If you have any questions regarding this recruitment or application process, please contact the analyst, Marielle Saldajeno at marielle.saldajeno@sfdph.org or (628) 271-6820.

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT: 

All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

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.

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.