0943-Manager VIII

Chief Financial Officer (0943 Manager VIII) - Department of Public Health

San Francisco Department of Public Health 238 subscribers

The Department of Public Health prioritizesequitableand 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:
  
  Friday, July 31, 2026
• Final date to receive applications:
  
  Application filing will close on or after Friday, August 7, 2026

Interviews for this role will be held on August 13-14, 2026.

The San Francisco Department of Public Health (DPH) operates one of the most 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.

The Department's budget, revenue, reimbursement, capital financing, and financial systems determine what care can be delivered, which programs can be sustained, and how the Department meets the needs of the residents who depend on it. The scale and complexity of these financial functions require strong executive leadership, disciplined stewardship, and the ability to connect financial strategy to performance across a large and highly interconnected organization.

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 both a financial and a strategic role, and a defining leadership opportunity: to secure the long-term financial sustainability of a modern, high-performing public health system. It calls for a leader with a strong vision for financial transformation, deep expertise in health care reimbursement and revenue optimization, and a demonstrated ability to deliver measurable outcomes through disciplined, end-to-end execution that translates strategy into results across the full length of a large and interconnected organization.

The Chief Financial Officer serves as the Department's senior financial executive, leading all functions of the Finance Division. The CFO reports to a member of the Department's executive leadership team and advises executive leadership, the Director of Health, and the Health Commission on the Department's financial position and the decisions needed to protect and improve it. This is a role for a builder and a driver: the mandate is to strengthen the Department's finances, not simply maintain them.

The CFO translates strategic priorities into sound financial plans and drives financial transformation across the Department, pairing financial discipline with strategic vision and owning delivery end to end so that funding, revenue, and investments produce measurable outcomes. Effective leadership requires a deep understanding of how financing, clinical services, and public health programs intersect to sustain DPH's mission across a complex system.

Success requires sound judgment, political acumen, and the ability to build alignment and drive results in a highly visible public-sector environment.
The position provides leadership for a Finance Division of more than 500 employees across functions including:

• Financial Planning, Budget, and Forecasting
• Accounting and Financial Reporting
• Revenue Cycle, Reimbursement, and Billing
• Payer Contracting and Managed Care Finance
• Capital Financing and Financial Systems

Together, these functions provide the financial foundation that sustains every program, facility, and service location across DPH.

• 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…