Division Manager

The Division Manager serves as the Division's chief administrative officer and principal administrative partner to the Division Chief, providing administrative leadership for one of the Department of Medicine's largest and most operationally complex academic clinical enterprises. The position is responsible for integrating the Division's clinical, academic, research, financial, and administrative operations across multiple inpatient and specialty clinical service lines, faculty-led operational portfolios, and institutional partnerships to ensure coordinated execution of divisional priorities.

Working with substantial independence within a matrixed organization, the Division Manager exercises broad judgment in organizational planning, resource stewardship, governance, and operational improvement while developing the systems, relationships, and administrative infrastructure that enable the Division to achieve excellence across its clinical, educational, scholarly, and health system missions. Department Description: The Department of Medicine at Zuckerberg San Francisco General (ZSFG) seeks applicants who demonstrate a commitment to excellence, inclusion, opportunity, and advancing health equity through collaborative leadership in academic medicine.

We are seeking a Division Manager to serve as the Division's principal administrative partner to the Division Chief of Hospital Medicine, providing administrative leadership across the Division's clinical, research, educational, financial, and operational missions within a complex, multi-institutional environment. The Division encompasses multiple inpatient and specialty clinical service lines, including the Faculty Inpatient Service, Resident Inpatient Service, Acute Care for Elders (ACE), Addiction Care Team (ACT), and Palliative Care Service (PCS), together with a growing research enterprise, educational programs, faculty development initiatives, and health system improvement activities.

The Division Manager is responsible for integrating these operational portfolios into a coordinated academic clinical enterprise while ensuring alignment across clinical operations, finance, faculty affairs, research administration, education, quality, compliance, and institutional priorities. The position functions within a matrixed organization in which major clinical, educational, research, quality, and faculty development portfolios are led by designated faculty leaders.

As the Division's administrative leader, the Division Manager provides organizational leadership by coordinating execution across these portfolios through influence, shared governance, and independent judgment rather than direct supervisory authority alone. The position routinely aligns the work of faculty and other administrative leaders to ensure coordinated execution of divisional priorities while serving as the Division Chief's principal advisor on organizational planning, operational performance, financial stewardship, and administrative strategy.

Success in this role requires systems thinking, organizational leadership, and the ability to anticipate organizational needs, lead complex cross-functional initiatives, and develop sustainable solutions that strengthen organizational performance, faculty experience, and operational reliability. The Division Manager develops the organizational systems, governance structures, administrative infrastructure, and institutional partnerships that enable the Division to achieve its missions and continuously improve as a learning organization.

This position offers an opportunity to help shape one of the Department's largest and most dynamic divisions within a nationally recognized academic safety-net health system. We seek a leader who embodies UCSF PRIDE Values of professionalism, respect, integrity, diversity, and excellence and who is committed to fostering an inclusive, collaborative, and continuously improving organization where faculty, staff, learners, and patients can thrive.

This position is eligible for a flexible schedule including on-site and hybrid arrangements.

Day shift Responsibilities % of time Essential Function (Yes/No ) Key Responsibilities (To be completed by Supervisor) 25 Yes Clinical Operations and Strategic Planning Administrative services provided in this role include Clinical Operations and Revenue: Provide strategic and operational leadership for the Division's inpatient and specialty clinical service lines, including the Faculty Inpatient Service, Resident Inpatient Service, Acute Care for Elders, Addiction Care Team, and Palliative Care Service, ensuring high-quality clinical operations, regulatory compliance, hospital throughput, and financial performance.

Lead short- and long-range operational planning while coordinating execution across faculty-led operational portfolios and institutional partners to improve quality, patient flow, discharge processes, documentation, workforce planning, and operational performance. Oversee clinical revenue performance, physician documentation, coding optimization, and related operational metrics. Partner with faculty and administrative leaders to improve documentation, revenue capture, operational efficiency, and financial sustainability.

Oversee complex physician scheduling, workforce planning, and staffing across multiple 24/7 inpatient services, ensuring appropriate clinical coverage while balancing workforce sustainability, faculty development, operational needs, and strategic growth. Directly supervise staff supporting clinical operations, physician scheduling, discharge coordination, quality initiatives, and other operational activities. Develop systems that improve communication, accountability, operational reliability, and organizational effectiveness while reducing administrative burden.

Lead cross-functional operational improvement initiatives by identifying organizational risks, anticipating future needs, and developing sustainable solutions that strengthen organizational integration, clinical operations, faculty experience, and the Division's long-term operational capacity. Oversee faculty credentialing, reappointment, and clinical privileging processes in collaboration with hospital and departmental partners, ensuring timely appointments and uninterrupted clinical operations. 20 Yes Workforce Management & Administrative Leadership Provide direct supervision, coaching, performance management, and professional development for administrative staff supporting the Division's clinical, financial, operational, and administrative functions.

Develop administrative talent and foster a culture of accountability, collaboration, continuous learning, and organizational effectiveness. Provide indirect leadership and coordination for analytical, programmatic, and operational staff supporting quality improvement, research, clinical programs, and other Division initiatives, ensuring alignment with Division priorities and effective cross-functional collaboration.

Coordinate and align execution across faculty-led operational portfolios through a matrixed organization to ensure unified implementation of divisional priorities. Develop workforce strategies, including staffing models, FTE planning, and administrative structures that improve organizational capacity, efficiency, and scalability. Oversee performance management, employee relations, corrective actions, and personnel matters, including interpretation and application of University policies, Personnel Policies for Staff Members (PPSM), collective bargaining agreements, and applicable federal and state regulations while exercising sound judgment, discretion, and professionalism.

Continuously evaluates administrative systems supporting staff performance and organizational effectiveness, identifying opportunities to strengthen communication, clarify roles, improve processes, and develop future administrative leaders. Embrace, implement, and encourage the use of technologies and tools such as AI that decrease process overhead and expand innovation in workflow applications. [AT1] 20 Yes Academic Affairs, Faculty Administration & Organizational Development Oversee the faculty lifecycle, including recruitment, academic appointments, onboarding, credentialing, promotions, merits, compensation, leaves, professional development, and separation while ensuring compliance with the Academic Personnel Manual (APM), School of Medicine, Department, and University policies .

Oversee administrative processes supporting faculty recruitment, appointments, credentialing, academic personnel actions, payroll coordination, and faculty affairs while continuously improving systems that support the faculty lifecycle. Partner with faculty leaders across clinical operations, education, research, faculty development, quality improvement, and specialty clinical programs to align faculty administration with divisional priorities.

Develop administrative systems that reduce administrative burden and support faculty success. Collaborate with Division and Department leadership to develop organizational governance structures, faculty support models, and leadership development strategies that strengthen long-term organizational effectiveness and faculty success. [LT2] [NO3] 15 Yes Financial & Resource Management Provide oversight and stewardship of the Division's financial resources, including operating budgets, clinical revenue, grants and contracts, gifts, affiliation funds, and other funding sources.

Integrate financial planning with workforce planning, strategic priorities, and long-term organizational sustainability. Integrate financial planning across multiple clinical service lines and administrative portfolios while balancing competing operational, educational, research, and workforce priorities. Develop and manage operational budgets, financial forecasts, staffing plans, and resource allocation strategies across multiple operational portfolios while ensuring responsible stewardship of Division resources and compliance with University, sponsor, and regulatory requirements.

Oversee preparation and management of grant and contract proposals, gifts, affiliations, and other funding sources, and partner with investigators, research administrators, and Department leadership to develop administrative infrastructure supporting continued growth in research and programmatic activities. Oversee systems protecting Division assets, including financial resources, facilities, information technology, equipment, and space.

Directly supervise administrative staff supporting finance, facilities, information technology and space planning while coordinating with post-award research administration to ensure effective stewardship of Division resources. Provide financial analyses, scenario planning, and recommendations that support executive decision-making, organizational prioritization, and long-term sustainability. 10 Yes General Administration, Institutional Partnerships & Strategic Initiatives Establish organizational priorities and oversee the shared administrative infrastructure, including facilities, information technology, space planning, emergency preparedness, and other operational functions, required to support the Division's missions.

Serve as the Division's chief administrative representative for organizational governance, operational planning and institutional partnerships across Department, hospital, University, and health system initiatives. Lead complex cross-functional organizational initiatives requiring coordination across UCSF, Zuckerberg San Francisco General Hospital, the Department of Medicine, the San Francisco Health Network, San Francisco General Hospital Foundation, and external partners.

Interpret, develop, recommend and implement organizational policies, procedures, and practices that strengthen Division performance, improve operational effectiveness, ensure compliance, and align with Departmental and institutional priorities. 5 Yes Community, Opportunity, Recognition, & Engagement (CORE) & Organizational Culture Serve as the Division's administrative leader for advancing CORE and organizational culture by developing systems, practices, and policies that promote equitable recruitment, professional development, advancement, recognition, and engagement.

Serve as a role model and cultural steward by demonstrating the UCSF PRIDE Values in behaviors and actions Partner with Division leadership to cultivate a professional, collaborative and respectful workplace that promotes communication, teamwork, accountability, recognition, and employee engagement Develop and implement initiatives that strength organizational culture, support workforce engagement and development, improve communication, and reinforce the Division’s mission, values, and commitment to excellence 5 Yes Other duties as assigned [LT4] Required

Bachelor’s degree in related area or equivalent combination of education, training, and experience. Six or more years of progressively responsible administrative leadership experience, including five or more years of experience supervising and developing high-performing professional staff in a complex healthcare, academic, or similarly matrixed organization. Demonstrated ability to serve as a trusted strategic partner to physician leaders, providing executive-level counsel, synthesizing complex organizational information, and influencing high-impact decisions across clinical, academic, and administrative domains in a highly matrixed organization.

Demonstrated ability to exercise independent judgment by evaluating complex organizational issues, anticipating organizational needs, identifying risks and opportunities, developing multiple options for resolution, and implementing practical, sustainable solutions in a rapidly changing environment. Demonstrated experience leading organizational change, including building stakeholder alignment, navigating ambiguity, managing organizational resistance, and successfully implementing enterprise-wide strategic initiatives within a complex academic health system or similarly matrixed organization.

Broad knowledge and experience of clinical operations, healthcare administration, and the operational requirements of a complex academic medical center and integrated public safety-net health system. Broad knowledge of organizational planning, financial management, grants administration, human resources, faculty affairs, compliance, and administrative operations, with the ability to integrate these functions into organizational planning, operational decision-making, and resource stewardship.

Demonstrated systems-thinking skills with the ability to understand interactions among people, processes, technology, finances, organizational governance, and institutional priorities to design systems that improve organizational effectiveness Demonstrated ability to integrate multiple operational portfolios, balance competing organizational priorities, and achieve organizational objectives through influence, coordination, and shared governance within a complex matrixed organization.

Exceptional project management, organizational, and implementation skills with demonstrated ability to organize, prioritize, and coordinate multiple complex administrative and operational initiatives while ensuring accountability, operational reliability, and consistent follow-through. Demonstrated supervisory, coaching, matrix leadership, and conflict resolution skills, including the ability to achieve organizational objectives through influence, coordination, and shared governance within a complex matrixed organization.

Demonstrated experience leading organizational improvement, process redesign, quality improvement, or operational transformation initiatives using data, stakeholder engagement, and continuous improvement methodologies (e.g., Lean, Lean Six Sigma, A3 Thinking, implementation science, or comparable frameworks). Broad knowledge of enterprise information systems, data management tools, and emerging technologies supporting clinical, financial, human resources, and administrative operations, with the ability to leverage technology to improve operational performance and organizational effectiveness.

Excellent written, verbal, and interpersonal communication skills with demonstrated ability to build collaborative relationships, lead through influence within a matrixed organization, and communicate effectively with faculty, staff, trainees, senior leaders, and external partners across organizational boundaries Experience working effectively with individuals from diverse backgrounds and fostering an inclusive, collaborative workplace culture.

Ability and/or willingness to leverage AI to optimize efficiency, to adopt AI and AI tools, and to serve as AI champion within the division as needed

Master’s degree in business administration, Health Administration, Public Health, Organizational Leadership, or a related field Lean Six Sigma Yellow Belt (or higher), Lean certification, Project Management Professional (PMP), Certified Associate in Project Management (CAPM), or equivalent training in process improvement, organizational development, or project management Experience evaluating or implementing workflow automation, artificial intelligence, or other emerging technologies to improve administrative efficiency and organizational effectiveness Familiarity with UCSF, University of California, or comparable academic health system policies, systems, sponsored research administration, academic personnel processes, labor agreements, compliance requirements, and clinical operations Professional coaching certification