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

About the Role

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.

Responsibilities

• 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 support of strategic goals
• Implement and monitor budgeted expenditures and revenues, connecting spending directly to performance and outcomes
• Advise Executive Leadership, the Director of Health, and Health Commission on resource allocation, revenue opportunities, and the fiscal impact of policy decisions
• Direct accounting, reimbursement, billing, and collections, and direct capital financing programs, including the repair and replacement of facilities
• Guide modernization of financial information systems so that data is timely, reliable, and decision ready
• Ensure compliance with federal, state, and local standards, and lead responses to audits and financial reviews
• Promote data-informed decision-making and disciplined stewardship of public resources, and direct financial reporting to executive leaders, the Mayor's Office, and the Controller's Office
• Represent the Department before the Board of Supervisors, Health Commission, and other stakeholders on financial matters
• Build alignment across divisions so that financial planning supports consistent execution and the Department's strategic goals

Qualifications

Education and Experience:

• Possession of a Bachelor's degree from an accredited college or university AND five (5) years of financial managerial experience in a large public health department, public agency, academic medical center, teaching hospital, or private non-profit hospital or health plan, all of which must include supervising employees. Experience must include budget planning and development, accounting, revenue, reimbursement, capital planning and financing, and/or financial information technology systems.
• OR Possession of a Master's degree from an accredited college or university AND four (4) years of financial managerial experience in a large public health department, public agency, academic medical center, teaching hospital, or private non-profit hospital or health plan, all of which must include supervising employees. Experience must include budget planning and development, accounting, revenue, reimbursement, capital planning and financing, and/or financial information technology systems.
• Education Substitution: Additional experience as described above may be substituted for the required degree on a year-for-year basis (up to a maximum of two (2) years). Thirty (30) semester units or forty-five (45) quarter units equal one (1) year.

Pay and Schedule

• Salary: $243,100 - $310,206 Annually
• Appointment Type: Permanent Exempt
• Work Arrangement: Onsite
• Interviews for this role will be held on August 13-14, 2026
• Application filing will close on or after Friday, August 7, 2026