CSCHS-Deputy Chief Financial Officer
Under general direction from the CSCHS-Chief Financial Officer (CSCHS-CFO), the CSCHS-Deputy Chief Financial Officer (CSCHS-Deputy CFO) oversees financial operations of one or more parts of the Health System. This role is critical in ensuring the fiscal integrity of the organization and maintaining compliance with public healthcare funding and regulatory requirements. The CSCHS-Deputy CFO provides leadership in accounting, financial planning and performance, budgeting, revenue cycle operations, managed care and supplemental directed payment revenues, and the management of financial staff, ensuring the Health System’s financial goals are met.
Brochure
To learn more about this position, click here!
Filing Period and Application Procedure
This recruitment is continuous until filled; the first initial review is: Friday, April 11, 2025. The recruitment may be extended or closed as early as 10 days after issue date. You are encouraged to apply as soon as possible and to monitor this site for updated closing information.
This recruitment requires the submission of an online application. No paper applications will be accepted. Applicants must apply online at www.sccjobs.org.
It is important that the following information be included in your application packet as it will be evaluated during the competitive review process:
Résumé;
References contact information (minimum of 3);
Cover letter explaining why you are the ideal candidate including specific examples from your experience (maximum of 3 pages);
Complete responses to the supplemental questions.?
Questions regarding this Executive recruitment may be directed to Adrian Cudal, Executive Services at (408) 299-5851 or adrian.cudal@esa.sccgov.org
Stay Informed On Our Latest Executive Leadership Recruitments:
Subscribe to our Executive Leadership Careers Newsletter! Click here
Requirements
- Develops and implements financial strategies, policies, and procedures to support Health System’s mission and objectives;
- Assists the CSCHS-CFO in overseeing the Revenue Cycle Management (RCM) operations, including billing, collections, and reimbursement processes;
- Monitors revenue streams, including managed care capitation payments, supplemental payments, and other healthcare revenues, ensuring accurate recording and reporting;
- Works closely with the Revenue Cycle Director in developing and implementing strategies aimed at enhancing net revenue from patient billing;
- Ensures timely and accurate preparation of financial reports, including monthly financial statements, budget reports, and external audits;
- Collaborates with the CSCHS-CFO in implementing process improvements to optimize revenue generation and collection efficiency;
- Serves as acting CSCHS-CFO in their absence, providing continuity in leadership and decision-making;
- Oversees the preparation of operating and capital budgets, working closely with department heads to ensure alignment with hospital priorities;
- Participates in capital planning and ensures proper financial controls are in place for hospital investments and projects;
- Conducts financial forecasting and variance analysis, providing recommendations to improve financial performance;
- Directs the long-term financial planning and participates in developing strategies to ensure fiscal sustainability;
- Oversees compliance with federal, state, and local regulations, including public healthcare funding requirements and hospital financial reporting obligations;
- Leads in the development, implementation, and management of initiatives to improve the operational and financial performance of operating departments;
- Collaborates with department heads, clinical staff, and operational leaders to provide financial insights that support operational and strategic decision-making;
- Works with medical and operational leaders throughout the Health System to drive the adoption of financial management practices which improve efficiency;
- Assists the CSCHS-CFO in identifying and implementing cost-reduction initiatives, including optimizing operational efficiencies and managing expenses;
- Monitors cash flows, and financial risks, recommending strategies to improve financial stability;
- Represents the Department and the CSCHS-CFO on committees and other ad-hoc teams of operational, administrative and medical leaders within the Health System;
- Responsible for development and maintenance of administrative policies and procedures, reporting systems, and controls to ensure the effective operation of all aspects of the Health System Finance;
- Takes a leading role in training and professional development programs for Health System Finance staff and for Health System staff with financial oversight responsibilities;
- Engages with external partners, including public funding agencies, auditors, and regulators, to ensure financial compliance and transparency;
- Represents Health System Finance and the County on state and federal-level boards and commissions that administer funding under Medicare, Medicaid, and other government funding programs;
- May assume Disaster Service Worker duties, as required; and
- Assumes other related responsibilities, as assigned.
Qualifications
Considerable education, training, and experience to demonstrate the ability to perform the above tasks and possession and application of the knowledge and abilities listed below.
Note: The knowledge and abilities required to perform this function are normally acquired through attainment of a Bachelor's degree in accounting, finance, or business administration and approximately 5 to 10 years of responsible senior level experience managing staff and functions within the accounting department or financial administration in a complex health care organization. Experience within a teaching hospital and a CPA are highly desirable.
SPECIAL REQUIREMENTS:
- Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization.
Knowledge of:
- Hospital financial and operational management and polices and procedures common to large health systems spanning multiple hospitals and outpatient facilities;
- General and governmental accounting principles sufficient to oversee production of financial accounts; and
- Laws and regulations governing public health care delivery organizations.
- Manage and supervise the overall financial operations of a large public health care organization which includes teaching hospitals;
- Supervise, support and improve the activities of key teams within Health System Finance including Accounting, Financial Planning and Performance, Budgeting, Managed Care and Supplemental Revenues, and Revenue Cycle Operations, and
- Design and implement systems and processes including financial controls, financial and operational reporting, and performance management.
Connect with Local, State, and Territorial Health Departments
To find local governmental public health jurisdictions, see - www.naccho.org