Chief Fiscal Officer – Health Services SCVHHS

  • San Jose, California
  • Apr 05, 2021
Full Time Accounting and Finance Administration and Management Public Health
  • Salary: $192,471.24 - $246,982.06 Annually USD

Job Description

Under general direction, to plan, organize, coordinate, and direct the financial activities and overall fiscal operations of the Behavioral Health Department, Custody Health Services Department, Public Health Department, and the Emergency Services Agency.


This recruitment is continuous until filled. The first screening of applications will be Friday, April 16, 2021. You are encouraged to submit your application as soon as possible. The recruitment may be extended or closed as early as 10 days after issue date, therefore, it is critical to submit your application as soon as possible.

This recruitment requires the submission of an online application. No paper applications will be accepted. Applicants must apply online at

All qualified applications will be subject to a preliminary competitive rating to identify those candidates to be invited to the oral interview process. It is critical for applicants to submit an online application, resume and responses to the supplemental questionnaire. It is important that the following information be included in your application packet as it will be evaluated during the competitive review process:

1. Résumé
2. References contact information (minimum of 3)
3. Cover letter explaining why you are the ideal candidate including specific examples from your experience. (maximum of 3 pages)

If you have any questions, please contact Quynh Truong, Executive Services at (408) 299-5701 or at

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Typical Tasks

  • Manages and directs subordinate managers in the overall financial and fiscal operations of General Fund departments, including their budgets, revenue and reimbursement, contract and grants management, and ensuring integrity of federal/state billing practices and processes;
  • Coordinates and leads with other members of the executive management team in the business and financial performance of the various departments, including Behavioral Health, Custody Health, Public Health, and the Emergency Services Agency;
  • Assists Deputy County Executive and Director of the Health and Hospital System in the development of current and long-range objectives, plans, policies, and performance measures of various general fund departments;
  • Develops and approves operating policies and procedures to meet financial goals and objectives of the health system;
  • Oversees the preparation of business and financial reports regarding the financial status of the health system's general fund departments;
  • Coordinates closely with department heads to achieve specific budget performance targets and meet annual budget performance targets;
  • Coordinates with Chief Financial Officer for the Hospital and Health Clinics for overall monthly reporting;

  • Serves as administrative liaison to various Health and Hospital System departments, committees, and County agencies, including the County's Agency Budget Office as assigned;

  • Maintain relations with federal, state, and local government, third party payers and insurance companies, to meet various requirements including the filing of reports, negotiations and appeals;
  • Attends meetings of the Board of Supervisors and its committees as assigned;

  • Leads major initiatives and special projects to improve overall financial performance and viability, including ICD-10 project implementation, cost accounting rollout, HealthLink EPIC revenue cycle optimization and as assigned;
  • Lead major initiatives and special projects to improve overall financial performance and viability, including full implementation of technology improvements to enhance and maximize revenues;
  • Supervises and evaluates the performance of subordinate personnel;
  • May be assigned Disaster Service Worker responsibilities as needed; and
  • Assume related responsibilities as assigned.

Employment Standards
Considerable education, training and experience that would demonstrate the ability to perform the above management responsibilities and the possession of the following knowledge and abilities.

The required knowledge and abilities would typically be acquired through education and experience equivalent to a Bachelor's degree in Accounting or Business and five (5) years managerial/administrative fiscal experience in a healthcare organization, including experience in the non-profit hospital sector or Public Health Department. Fiscal experience in a teaching hospital and possession of a CPA certificate is highly desirable.

Knowledge of:
  • Principles, practices and techniques of current public and business administration as it relates to organization, personnel, management, and budgetary preparation, monitoring and control;
  • The fundamentals of hospital and health care services organization and administration;
  • Advanced accounting, auditing, and cost control methods applicable to hospital and clinic operations;
  • Principles and practices of modern financial planning and analysis;
  • Regulations and laws common to the operation of hospitals and health care organizations in California;
  • Laws and regulations governing public health care delivery organizations;
  • Hospital financial management and policies and procedures common to a teaching hospital, including Medicare and Medi-Cal cost reporting methods and third party contracts and mechanisms;
  • Principles of supervision;

    Ability to:
  • Effectively manage the financial operations of a large of a large health and hospital system;
  • Administer, coordinate and supervise the third party reimbursement accounting and control functions of a large health and hospital system;
  • Explain and interpret accounting procedures and financial reports to other officials;
  • Identify accounting system problems and devise procedural changes to resolve same;
  • Learn and apply the hospital and clinic policies, regulations, and administrative procedures in the context of the general accounting/controller function;
  • Understand the interface between electronic data processing systems and accounting functions and work effectively with EDP systems programmers;
  • Keep informed of current methods of automated and computerized accounting procedures;
  • Design and implement an effective financial control system, including developing long range forecasts;
  • Review and analyze legislation and evaluate the impact on the financial programs of SCVHHS;
  • Identify potential impact of policy and financial decision on racial and health equity;
  • Work effectively as a member of a management team in a large health and hospital system;
  • Effectively lead, coach, develop and motivate subordinate staff; and
  • Communicate effectively in both oral and written form.

Closing Date/Time:

Special Instructions

Please mention you found this employment opportunity on the job board.

Job Address

San Jose, California 95110 United States View Map