ZSFG Department of Medicine (DOM) Clinical Operations Manager

MED-ZSFG-ADMIN-GENERAL

Full Time

83260BR

Job Summary

The Clinical Operations Manager oversees the revenue cycle team at the Department of Medicine at Zuckerberg San Francisco General Hospital (ZSFG DOM). This includes managing human resources, resource management, policy implementation, and fiscal oversight. The role ensures compliance with regulatory standards, standardizes rate structures, develops encounter forms, and maximizes revenue through proper coding and denial follow-up.
The Manager maintains communication with CPG Business Service clients and works with various chiefs and division managers to ensure efficient service operations and compliance with reimbursement regulations. As the principal administrative representative of the Department of Medicine, the Manager leads committees and task forces, fostering communication and problem resolution. A strong knowledge of physician billing, reimbursement, and relevant healthcare industry issues is essential.

In collaboration with department leaders, the Manager develops and implements strategic plans, setting and achieving financial goals. The role involves designing and implementing workflows for new or modified clinical services, identifying billing opportunities, analyzing trends, and resolving denials. The Manager oversees the DOM Professional Fee Coders and directly supervises the Patient Billing and Collections Supervisor. The Manager acts as a liaison between department coders and the Business Office to optimize professional fee reimbursement.

The Manager actively participates in billing, coding, and compliance activities, staying informed of healthcare standards and regulatory changes. They provide feedback and ensure the implementation of payer requirements, aligning clinical and administrative processes to support revenue generation and regulatory compliance.

The Manager supervises the Housestaff Coordinator, ensuring smooth onboarding and offboarding of residents and medical students, managing facility operations, and coordinating access to resources. This collaboration with institutional departments supports an efficient learning environment for trainees.

The Clinical Operations Manager also supervises the Department of Medicine Quality Improvement Specialist. In conjunction with Departmental Leaders, this specialist helps establish and support a growing portfolio of quality initiatives (e.g., length of stay reduction), allocates necessary resources for successful implementation, manages hospital data, and develops QI projects.

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $151,600 - $227,400 (Annual Rate).

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description

The Department of Medicine is the largest department at Zuckerberg San Francisco General (ZSFG) with an annual budget of over $205 million. The Department is divided into 13 divisions and 3 centers. There are 148 fulltime faculty members, and 111 without-salary faculty affiliated with the Department. In addition, there are 420 staff employees, 73 MSP physician appointments, 31 non-faculty academics, 39 post- doctoral scholars, 10 clinical fellows, 67 fellow and resident FTEs, including 3.0 FTE chief residents. The Department operates more than 13 clinics, 4 inpatient medicine services with 9 teams (Resident Inpatient Service -5 teams, Faculty Inpatient Service - 3 teams, Cardiology Service -1 team and MICU Service -1 team), and 15 consultation services. The ZSFG Medicine Service has an annual volume of ~5600 hospital discharges, 52,000 clinical visits, 31,000 specialty care visits, and 18,000 eConsults. In terms of extramural funding, in 2023, ZSFG DOM principal investigators received new awards totaling $166M and earned research revenue of $135M.

Required Qualifications

• Bachelor's degree in related area and six or more years of relevant experience which includes five or more years of managerial experience and / or equivalent experience / training.
• Strong knowledge of healthcare revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture.
• Strong project management skills with the ability to organize, manage multiple priorities, meet deadlines, and delegate assignments efficiently.
• Demonstrated leadership and managerial skills, with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of targets and objectives
• Strong critical-thinking, project-management, and problem-solving skills, with the ability to troubleshoot, analyze, and interpret complex data and systems, to quickly identify problems and implement solutions.
• Ability to work effectively with leadership on establishing operational goals and providing for technological upgrades, tools and systems to maximize revenues.
• Strong written, verbal, and interpersonal communications skills to prepare and present reports and convey complex information and instructions in a clear, concise, and specific manner. Ability to cultivate a strong commitment to quality, teamwork, collaborative problem-solving, and achievement of objectives.

Preferred Qualifications

• Certified Professional Coder (CPC) certification or equivalent
• Strong knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management and their use to identify trends, produce reliable forecasts and projections, and create reports, dashboards, and presentations.
• Strong knowledge of all relevant of all relevant information technology, including systems, tools, applications, processes, and methodologies.

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Organization

Campus

Job Code and Payroll Title

006618 REVENUE CYCLE HC MGR 1

Job Category

Financial, Supervisory / Management

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%

Location

San Francisco, CA

Campus

Zuckerberg San Francisco General (ZSFG)

Work Style

Hybrid

Shift

Days

Shift Length

8 Hours

Additional Shift Details

Monday-Friday, 8-5