Executive Director, San Francisco Health Service System

Company Description

Application Opening: Monday, January 6, 2025
Application Deadline: This position will be considered “open” until final selection is made. Candidates must apply by February 3, 2025 at 11:59pm PST for first consideration.
Compensation Range: $213,018 - $271,778 annually.

The San Francisco Health Service System (SFHSS) is dedicated to negotiating and administering comprehensive health benefits for over 123,000 employees, retirees, and their dependents from the City and County of San Francisco, the San Francisco Unified School District, the Community College of San Francisco, and the San Francisco Superior Court. SFHSS is responsible for executing all phases of benefit operations and administration, ensuring that the programs are effective and meet the diverse needs of its members. The SFHSS manages a benefits budget of over $1.9 billion and an administrative/operations budget of $19 million, both of which are subject to approval by the Board of Supervisors. With a strong focus on Well-being and Data Analytics programs, SFHSS continuously reviews and improves the health and pharmacy utilization and performance of its insurance programs, including Accountable Care Organizations.

Job Description

Reporting to the San Francisco Health Service System Board, the Executive Director of SFHSS is the key executive and management leader responsible for the overall strategic planning, administrative, and operational effectiveness of SFHSS. The Director oversees all divisions within SFHSS, including Administration, Finance, Operations, Data Analytics, and Well-being. The Director's responsibilities include setting organizational objectives, monitoring performance, ensuring compliance with local, state, and federal laws, and managing relationships with various stakeholders, including city departments, elected officials, and external partners. The Director plays a crucial role in developing and implementing health benefit programs, ensuring they provide enhanced value while controlling healthcare costs and maintaining high-quality standards.

Duties include:

• Subject to the policy determinations of the Health Service Board, the Director is responsible to and works with the Board in developing, negotiating, and implementing employee benefit programs, including those required by the Charter, provided for in Memoranda of Understandings, and Voluntary benefits, for the City and County of San Francisco, the San Francisco Unified School District, the Community College of San Francisco and the San Francisco Superior Court, employees, retirees, and their dependents. The Director is responsible for the smooth overall functioning and management of all divisions within HSS: Administration, Finance, Operations, Data Analytics and Well-being.
• The Director is responsible for establishing and updating the operating budget and the Healthcare Sustainability Fund as defined in the Charter with the approval of the Health Service Board. The Director also works to obtain the Board of Supervisors’ approval of rates and benefits on an annual basis, as defined in the City Charter. The Director adheres to the budget and is focused on prudent fiscal management and accountability.
• The Director establishes a meaningful and realistic vision for the future of the System by developing, with HSS Board participation, a multi-year strategy for health benefits programs for employees and retirees (such as health insurance, wellness programming, long-term disability, and/or voluntary health benefits). The Director sets appropriate priorities, anticipates and prepares for future requirements, develops contingencies and realistic short and long-range plans to meet System objectives, and carries out the System’s mission.
• The Director is responsible for cultivating key relationships between the City and County of San Francisco elected officials, key departments, and the three other HSS participating employers, as well as with other public entities and strategic entities outside the organization.
• The Director ensures compliance with all local, state, and federal laws, including HIPAA, COBRA, IRS Section 125, and the ACA. The Director anticipates the need to change strategies in a changing legislative and regulatory environment. The Director ensures compliance with City contracting processes in end-to-end administration. The Director is responsible for directing the preparation, review, approval, and maintenance of important records and reports affecting SFHSS and ensures accurate financial reporting and unqualified external audits.
• The Director is responsible for ensuring excellent customer service and for resolving member complaints, grievances, and appeals in a timely manner. The Director communicates and makes presentations of policies, rules, and regulations with boards, administrative officials, representative groups, and memb