University of California San Francisco (UCSF) Health UCSF Health is internationally renowned for providing highly specialized and innovative care. Its family of care includes UCSF Helen Diller Medical Center at Parnassus Heights, UCSF Medical Center at Mount Zion and UCSF Medical Center at Mission Bay; UCSF Benioff Children's Hospitals and clinics; Langley Porter Psychiatric Hospital and Clinics; UCSF Benioff Children's Physicians; and the UCSF Faculty Practice. UCSF Health is a part of UC San Francisco, one of the top universities in the nation for health sciences research and higher education. By bringing together the world's leading experts in nearly every area of health, UCSF Health can drive advancements in treatment and technology that benefit patients everywhere. Led by President and CEO, UCSF Health has approximately 18,000 staff and physicians, maintains 1,290 beds, admits 41,000 patients and has over 2.5 million outpatient visits yearly, and has annual revenue of more than $8.7 billion. U.S. News & World Report consistently ranks UCSF Medical Center among the country's top 10 hospitals and UCSF Benioff Children's Hospitals among the nation's best pediatric medical centers. UCSF Health’s goal is to provide the highest quality to all patients. Performance measurements are tracked and compared against other top medical centers nationwide and UCSF’s high standards. High quality is defined as:

UCSF Health is divided into four business units: adult services, pediatric services, ambulatory services, and UCSF affiliated network. Each business unit has its own president and chief financial officer.

Historically, the ambulatory business unit was the faculty practice plan and its affiliated clinics. This business unit has expanded to include all sites of care in San Francisco focused on adult or pediatric care including clinics, infusion care, outpatient pharmacy operations, and ambulatory surgical centers. Today, there are over 600 unique ambulatory clinics in 37 different locations.

UCSF Medical Group

UCSF Medical Group represents the physicians who care for patients at UCSF Medical Center and UCSF Benioff Children's Hospitals and who are full-time faculty at the University of California, San Francisco. The medical group provides a structure to enhance and facilitate clinical care, teaching, research and community service for the faculty of the UCSF School of Medicine. UCSF Medical Group has an elected board of directors that defines standards of care and sets strategy for the clinical practices, defines new program opportunities and has authority over medical group management. The board also acts on recommendations of its committees to address issues such as contracting, billing, credentialing, quality of care, incentives and oversight of outpatient programs. The group's purpose includes the following:

▪ Facilitate the delivery of healthcare services in a quality, cost-effective, coordinated and patient-friendly manner.

▪ Provide a unified structure for clinical departments to participate in contracts with third-party payers for clinical services and to facilitate contracting jointly with UCSF Medical Center.

▪ Enhance clinical practices through coordinated planning, marketing and delivery of clinical services.

▪ Facilitate UCSF's ability to maintain its academic and clinical programs in support of the faculty and medical school.

▪ Ensure compliance with regulatory agency requirements and quality standards.

▪ Optimize primary and specialty care.

▪ Develop alliances with other healthcare providers to support the mission of the medical group and medical school.

▪ Evaluate, negotiate and monitor all contracts for clinical services, including managed care contracts, fee for service contracts and specialty packages on behalf of medical group members.

▪ Market the medical group and medical center clinical services to patients, referring physicians, third-party payers and others, as appropriate.

▪ Facilitate communication between medical group members, departments and medical group leadership.

UCSF Benioff Children’s Physicians

UCSF Benioff Children’s Physicians (UBCP) is a multispecialty physician foundation connecting physicians and group practices throughout the greater Bay Area. UBCP is jointly operated by two internationally recognized healthcare organizations:

▪ UCSF Benioff Children’s Hospital San Francisco

▪ UCSF Benioff Children’s Hospital Oakland

UBCP’s primary goal is to foster physician collaboration to deliver the most advanced pediatric and maternal care throughout Northern California. It supports more than 250 physicians and more than 30 practices providing a range of services such as EMR, revenue cycle management, payor contracting, HR, after-hours clinics and advice line and CME programs. UBCP offers both employment and partner models to pediatricians and pediatric sub-specialists across the Bay Area.

UCSF Health's mission, vision and values convey the reasons they exist as an organization, what they aspire to as an organization and the way they will work to get there. The mission, vision and values are a unifying force that link all UCSF employees together.

Mission — the reason UCSF exists — is Caring, Healing, Teaching and Discovering.

Vision — what UCSF wants to be — is to be the best provider of healthcare services, the best place to work and the best environment for teaching and research.

Values UCSG’s values statement — the guide to the individual and organizational behavior UCSF expects — is embodied in the acronym PRIDE:

P for Professionalism, how UCSF employees conduct themselves and their business

R for Respect for the patients, families, themselves and each other

I for Integrity, always doing the honest, right thing

D for Diversity, understanding and embracing the diverse beliefs, needs and expectations of the patients, community and employees

E for Excellence, what they strive for in everything they do

UCSF Health treats all patients who require services, without regard to race, color, religion, national origin, citizenship or other protected characteristics. UCSF is committed to these responsibilities and vigorously enforces UC nondiscrimination and privacy policies. UCSF does not release immigration related information to federal agencies or others without a warrant or subpoena or as otherwise required by law.

Position: Vice President / Chief Financial Officer, Physician Organizations & Ambulatory Services, UCSF Health

Location: San Francisco, CA

Reporting Relationship: Senior Vice President and Chief Financial Officer, UCSF Health

Reporting to the CFO of UCSF Health, the UCSF VP/CFO, Physician Organizations & Ambulatory Services (VP/CFO) is the lead financial executive and Chief Finance Business Officer over UCSF Faculty Practice/SOM Physicians, UCSF/Benioff Children’s Physicians Joint Operations, and other community physicians as affiliated with UCSF Health, totaling approximately $2.9B in current year expenditures. Of the four business units at UCSF Health, Ambulatory Services is the fastest growing and represents a major strategic priority for the organization moving forward. The CFO will serve as a strategic thought leader to help drive institutional growth while monitoring and maintaining a strong financial position within clinical operations.

This executive will enhance the role that strategic finance will play in developing new capabilities, while also ensuring standardization and accurate reporting capabilities are embedded within the organization. They are responsible for the planning, execution and monitoring of all financial operations including the establishment of financial goals and priorities, budget development, decision support, funds flow, alternative payment arrangements and reporting. The CFO also serves as a strategic advisor for all financial planning and governance as well as serves to proactively contribute to UCSF Health mission and vision through appropriately working closely executive leadership in developing strategic plans for physician network development and monitoring its execution.

The CFO is responsible for financial and clinical data and analysis to inform the medical center and health system leadership team on operational, financial and strategic decisions. The CFO will have oversight of annual capital and operations budgets, funds flow between the SOM and UCSF Health, finance, financial planning and analysis, accounting and physician contracting. The CFO will establish collaborative partnerships across UCSF Health to help solve multiple large and complex critical programs impacting broad constituencies across major portions of the organization.

The VP/CFO – Physician Organizations and Ambulatory Services’ success in this position will be measured by ongoing excellence in the following areas:

▪ Building and maintaining trusting relationships with FPO/Ambulatory leadership, peers and key leaders across the health system and UC.

▪ Serving a leader to a high-performing team, and having evaluated their skills, knowledge and abilities and mentoring them to future successes. Creating development plans for direct reports and ensuring all members of the FPO & Ambulatory Services have in place such that the FPO/Ambulatory finance team embodies what it means to be a learning organization.

▪ Serve as a trusted advisor on the CFO’s team.

▪ Gain and maintain a clear understanding of UCSF’s commitments, opportunities, what is required, and anticipate the needs of the FPO & Ambulatory Services.

▪ Establishing self as a key leader and advisor to the FPO/Ambulatory leadership, providing counsel and making key financial recommendations.

▪ Oversee funds flow between the SOM and Health.

▪ Providing solid and valuable financial advisement on key strategic transactions.

▪ Leading a full financial cycle, identifying, and advancing improvements as relates to annual capital and operation budgets and ten-year plans.

▪ Providing guidance for how members of the hospital management team can have the analytical framework and timely information required to evaluate their operational performance.

The UCSF VP/CFO reports directly to the CFO of UCSF Health with a dyad reporting relationship to the President of the Ambulatory Business Unit. The UCSF Health System brings clinical service capabilities into a unified management structure and single operating unit, achieving strategic, operational and financial alignment between the School of Medicine, Medical Group and the Medical Center as well as provider affiliates. Its structure streamlines decision-making strengthens the ability to act with one voice and ensures accountability at every point to execute collectively agreed upon commitment to excellence and efficiency.

▪ Director, Financial Operations

▪ Principal Accountant/ FPO/SFJVA Controller

▪ Funds Flow Manager

▪ Accounting Supervisor/ FPO/SFJVA Assistant Controller

▪ Accountant (1)

▪ Financial Analyst

▪ Analyst (4) Decision Support Spec 4

▪ Executive Assistant (0.8)

▪ Manager FPRMO (Dotted Line reporting) and team of 115 FTEs

▪ VP/CFO UCSF Health Medical Center & Adult Services

▪ VP/CFO Benioff Children’s Hospitals & Children’s Services

▪ VP/CFO Network and Affiliations

▪ Shared Services Accounting, Revenue Cycle, Finance and Decision Support

▪ School of Medicine (SOM)

▪ UCSF Medical Center

▪ UCSF Benioff Children’s Hospitals

▪ Joint Ventures/Affiliations

▪ UCSF Health Leadership

▪ Campus Finance Leadership

Leads budgeting, planning, analysis and decision support for all physician organizations:

▪ Develops and manages operating and capital budget; continuously improves the budgeting process working with UCSF Health operations, School of Medicine leadership and department administrators, MSO’s and practice managers.

▪ Develops and implements mechanisms to assist faculty practice and clinical department leaders of multiple locations in annual budgeting for provider time.

▪ Coordinates and provides key physician performance information in support of department evaluation and management of department and physician performance.

▪ Aligns operating budget with other UCSF entities and works with leadership to analyze impact of physician organizations on campus, hospital, network and other affiliate operations.

▪ Supervises the development of proformas that forecast the probable financial performance of the organization’s growth initiatives.

▪ Drives efficiency and profitability through effective partnering and conducting of ongoing financial analysis and the delivery of timely and accurate reporting and financial tools.

▪ Collaborates with leadership on staffing models, best practices, benchmarking, etc. and coordinates and provides operational performance information in support of department evaluation and management of department and physician performance.

▪ Serves as the financial leader for faculty practice advisory committee.

▪ Oversees the continuous review and management of the funds flow agreement between SOM and Health.

▪ Coordinates the oversight of all physician organization analytical databases that support health system operational reporting tools, including but not limited to, medical direction, funds flow agreements, pass through agreements, backstops and purchased services.

▪ Ensures appropriate documentation exists to govern payments.

▪ Negotiates new agreements or changes to existing agreements including modeling of impact analysis with institutional leaders.

▪ Reviews and maintains all benchmarking information and evaluates and updates physician payments rates as appropriate through review of benchmarking data (MGMA, other).

▪ Manages team that monitors and generates payments from the health system to the school departments and reconciles discrepancies as necessary.

▪ Prepares, distributes and analyses monthly and annual financial statements and the distribution thereof.

▪ Develops and delivers timely metrics that depict the financial status and ensure the accurate collection of supporting financial data.

▪ Provides the analytical oversight required to improve the understanding of UCSF’s financial and operating results, and refinement of related initiatives as needed.

▪ Develops mechanisms to measure and report on organization performance on health plan, medical group and government incentive programs that are targeted to physician practices.

▪ Develops and maintains effective internal control systems.

▪ Develops and supervises finance support staff while fostering strong employee relations.

▪ Manages tax, audit and consulting engagements that support the organization’s financial activities.

▪ Assures timely preparation and filing of external financial reports to comply with regulatory requirements.

▪ Develops and facilitates forum to enable executive and senior management to collaborate in developing a ten-year strategic financial plan. Works closely with cross-functional teams including school and health system to support the development of long-term strategic priorities.

▪ Brings information analysis and builds financial models and business cases to help guide prioritization and performance, set goals, and demonstrate alternative scenarios and sensitivity analyses to support critical decision making to support key organizational initiatives and planning efforts.

▪ Collaborates with UCSF Health and Campus to ensure appropriate financing for new initiatives and projects.

▪ Is a member of the health plan contracting committee and represents the physician organizations in health plan contracting decisions and serves as a key member providing finance leadership in other board meetings, ad hoc committees and/or task forces.

▪ Conducts financial analyses and makes recommendations about business development opportunities, e.g., affiliations, alliances, acquisitions related to physician organizations.

▪ Supports presentation development and delivery to convey strategies.

▪ Collaborates with UCSF Health, VP of revenue cycle and director of reimbursement to monitor and recommend enhancements to revenue cycle and reimbursement systems and procedures.

▪ Monitors and reviews payer mix and collection performance.

▪ Liaises and collaborates with management billing services (MGBS) and other outside vendors providing the coding, billing and collection services to the physician organization’s affiliated physician practices.

▪ Oversees the net revenue calculations and measurements.

▪ Leads process improvement, standardization and policy development in partnership with FPRMO and MGBS.

▪ Bachelor's degree in accounting, finance or related field and master’s degree and/CPA required.

▪ 10+ years of progressive accounting, finance, and leadership experience skills with a high level of conceptual and strategic thinking.

▪ Strong administrative leadership experience in an academic medical center and/or large complex healthcare setting with demonstrated experience with physician payment models within a medical group or IPA and academic funds flow.

▪ In depth knowledge and leadership of accounting, reporting, budgeting and benchmarking practices and procedures as they apply to physician organizations and related supported entities.

▪ Must have a sound understanding of financial operations with experience with planning, execution, and monitoring of all financial operations including the establishment of financial goals and priorities, budget development, decision support and reporting.

▪ Must be able to apply wide ranging understanding of finance and health system operations to think critically and identify areas for improvement.

▪ Leadership skills in communication and presentation including demonstrated ability to present to senior level executives and confidence in providing input and opinion on key subject matter.

▪ Proven ability to identify process improvements and lead process owners through successful change management.

▪ Demonstrated success influencing diverse partners and leading teams that include direct and non-direct reports in cross-functional settings.

▪ Possesses a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the mission, vision, goals and values of UCSF.

▪ Excellent critical thinking, facilitation, problem solving and analytical skills.

▪ Experience managing strategic initiatives across multiple missions and in concert with external institutional partners.

▪ Familiarity with UCSF (institution, individuals, culture), the Bay Area region and with California’s rapidly evolving healthcare environment.

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.