Job Function Summary:
Involves the provision of patient-level financial and clinical data and analysis to inform the medical center or health system's operational, financial and strategic decision making. Includes the development of a case-based operating budget for patient volume, detailed utilization projections and gross revenue. Oversees the service line profitability reporting, the cost accounting system, and the decision support system integration of clinical and financial data in a patient-centric repository. Provides for the measurement and benchmarking of business operations in relation to best business practices for the healthcare industry and internal business objectives.
Generic Scope
Technical leader with a high degree of knowledge in the overall field and recognized expertise in specific areas; problem-solving frequently requires analysis of unique issues / problems without precedent and / or structure. May manage programs that include formulating strategies and administering policies, processes, and resources; functions with a high degree of autonomy.
Custom Scope
The position serves as the lead technical expert for financial analytics, performance measurement, and revenue optimization reporting within the ZSFG Vice Dean's Office. The role is creating new analytics capabilities, methodologies, and decision-support frameworks to address complex financial challenges for the Vice Dean's Office. This is done by applying advanced knowledge of healthcare decision support, operational analytics, and financial performance measurement to lead complex projects that support strategic and operational decision making. Serves as a technical leader in the analysis, interpretation, and reporting of large and complex datasets derived from clinical, operational, financial, and administrative sources.
Leads the design, development, and continuous improvement of standardized performance reporting processes, dashboards, scorecards, and analytic frameworks that enable leaders to monitor organizational performance and identify opportunities for improvement. Develops and implements data governance, reporting methodologies, and performance measurement standards that ensure the integrity, reliability, and consistency of analytic outputs.
Performs advanced analyses of operational and financial trends, utilization patterns, productivity measures, service performance, and organizational outcomes. Applies internal and external benchmarks, industry standards, and best practices to evaluate performance, identify gaps, and generate actionable insights that support operational excellence and strategic initiatives.
Partners with operational, clinical, and administrative leaders to define business requirements, translate complex questions into analytic approaches, and communicate findings through meaningful reports, visualizations, and presentations. Leads cross-functional projects requiring sophisticated quantitative analysis, predictive modeling, and the integration of data from multiple systems to support evidence-based decision making.
Functions with a high degree of autonomy and serves as a subject matter expert in healthcare analytics, performance measurement, and decision support methodologies. Develops innovative metrics, reporting solutions, and analytical processes that improve organizational visibility, efficiency, and performance across departments and service lines.
Department Overview
The Zuckerberg San Francisco General has been a training hospital for UCSF since it opened in 1872. The first
formal Affiliation Agreement between the UCSF School of Medicine and the City/County of San Francisco was
implemented on July 1, 1959, to address UCSF’s role in the operation of ZSFG. The current written agreement
dates from August 1994.
The original Agreement called for the University to provide sufficient professional and support staff for the
departments of Anesthesia, Cardiology, Clinical Laboratories, and Anatomic Pathology, with the City reimbursing
the University for expenditures incurred. The Affiliation Agreement provides for an annual budget renegotiation.
Over the years, this Agreement has expanded to include services for:
Administration - Chief of Service, Medical Leadership
Neurosurgery
Anesthesia
Obstetrics & Gynecology
Biomedical Engineering
Ophthalmology
Clinical Laboratories
Oral Surgery
Dermatology
Orthopedic Surgery
Emergency Services
Otolaryngology
Family Practice
Pathology
Housestaff Benefits Administration
Pediatrics
Medical Library
Psychiatry - Main Contract
Medicine – Cardiology
Psychiatry - PES MDS
Medicine - Employee Health/Occupational Med
Psychiatry - ED Case Management
Medicine - GI Services
Psychiatry - Physician Specialists
Medicine - Hem/Oncology
Psychiatry – CASARC
Medicine - Hospital QA
Radiology
Medicine - Outpatient 1M
Rehabilitation Medicine
Medicine - Outpatient Dialysis
Respiratory Therapy
Medicine - Positive Health Clinic (AIDS)
Surgery – Outpatient
Medicine - Pulmonary Services
Surgery – ISIS
Medicine – Specialties
Surgery – Trauma
Neurology
Urology
UCSF –Administration
The Agreement also states that the University of California will provide all the professional medical staff at Zuckerberg San Francisco General. In 1959, there were 3 full-time attending physicians; currently, there are approximately 1,000 active and courtesy medical staff. UCSF also operates undergraduate and postgraduate medical training programs at ZSFG. More than 900 UCSF residents rotate at ZSFG each year. At any one time, there are 263 resident positions funded directly by the City/County monthly at an annual cost of $33 million dollars. There are many postgraduate and graduate positions assigned to ZSFG and paid by UCSF for patient care, training and research. UCSF has a major undergraduate teaching program at ZSFG; there are 350 third- or fourth-year medical students at the hospital as well as dental, pharmacy, and nursing students.
Over the years, UCSF has developed and largely paid for the non-academic infrastructure necessary to support research, teaching, and patient care activities. There are approximately 1,000 non-academic UCSF staff at the ZSFG campus, of which approximately 500 are paid for by the City through the Affiliation Agreement budget to provide patient care-related services.
UCSF manages both owned and leased assignable research space at ZSFG. The research grants/contracts under the management of the Chiefs of Service at ZSFG total approximately $178 million in annual direct and indirect dollars.
The total amount of UCSF professional fees and managed care collections from charges of $ 237 million at the ZSFG campus totaled more than $75 million in FY24. All revenues generated by professional fee billing are retained by the UCSF departments at ZSFG to support programs sited at ZSFG.
% of timeEssential Function (Yes/No)Key Responsibilities (To be completed by Supervisor)25YesDevelops and recommends new metrics, systems, and processes to improve the value of decision support activities and efficiencies50YesPerforms highly complex queries and may take the lead on producing regular analyses and investigations of performance, utilization, clinical programs, market trends, and financial analyses15YesLeads project teams to develop and optimize tools and sources for modeling data 10YesLeads projects and / or serves as an information resource on teams involved with business development planning and the implementation and integration of new programs
Knowledge, Skills and AbilitiesReq / PrefIn-depth understanding of decision support systems, with knowledge of business statistics, quantitative methods, relational databases, business development scorecards, data modeling, and performance and profitability analysis.ReqIn-depth knowledge of issues and aspects of clinical finance, planning, financial data management, budget development, and business development. Proficiency in utilizing the tools to produce comprehensive, studies and actionable intelligence.ReqDemonstrated proficiency in writing complex SQL queries with a minimum of 7+years in direct experience working with large data sets.ReqAdvanced organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.PrefAdvanced interpersonal skills, with the ability to lead projects and teams and collaborate productively on highly-complex projects with key personnel at all professional and technical levels.ReqAdvanced written and verbal communications skills, with the ability to interpret and convey highly sophisticated technical and financial information in a clear, concise manner, and to make cogent presentations of analyses, reports, and investigation results.ReqAdvanced problem-solving skills analytical ability, and in-depth knowledge of documentation and reporting, with the ability to run highly complex queries and studies, to collect and analyze financial and performance data, and to produce relevant, meaningful reports, analyses, and forecasts.ReqIn-depth ability to work with senior staff and managers across departments, serving as a technical leader and information resource in decision support, and providing recommendations and advice on decision support processes, business and financial issues,Req
Client service oriented – good listening, critical thinking and analytical skills. Required
Experience in a public or academic hospital, medical center or UCSF Preferred
Lean or A3 thinking and practice Preferred
Knowledge of revenue cycle operations and metrics used in best practice financial reporting. Preferred
