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Director, Fiscal Affairs - 139301

University of California - San Diego Medical Centers
United States, California, San Diego
9500 Gilman Drive (Show on map)
Apr 17, 2026

Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance.

DESCRIPTION

The Department of Orthopaedic Surgery at UC San Diego School of Medicine is a diverse patient, research, education, and academia focused, high-performing Department with a commitment to quality, collaboration, innovation, and continuous improvement. Orthopaedic Surgery provides treatment for disorders of the musculoskeletal system, offering comprehensive and innovative services. The Department offers a full spectrum of musculoskeletal clinical care, specializing in foot and ankle, hand and microvascular surgery, joint reconstruction, physical medicine and rehabilitation, spine, sports medicine, orthopaedic oncology, and trauma. Research expertise includes advancements in muscle metabolism and physiology, neuromuscular bioengineering, intervertebral disc, and musculoskeletal physiology and epidemiology. The Department supports an ACGME accredited residency program and fellowship in hand and microvascular surgery, as well as fellowship programs in joint reconstruction, spine, and trauma.

The Director, Fiscal Affairs serves as a principal financial leader for the Department of Orthopaedic Surgery, reporting to the Vice Chair for Administration. The position provides comprehensive financial oversight for a large, complex academic, clinical, and research enterprise, managing and monitoring departmental resources in alignment with institutional objectives and regulatory requirements. Director exercises a high degree of independent judgment in developing and implementing financial strategies that support the department's operational and strategic goals, and serves as a key advisor to leadership on fiscal planning, resource allocation, productivity, and risk management. Responsibilities include oversight of clinical, academic, and research budgeting and forecasting; faculty compensation plan administration; variance reporting; FTE and productivity management; recruitment financial planning; and management of all funding sources, including programmatic, federal, and unrestricted funds.

Role includes preparing complex financial analyses and reports, identifying financial risks and mitigation strategies, supporting strategic and business planning through financial modeling and scenario analysis, and ensuring compliance with UCOP, state, federal, and external policies. Director represents the department with Health Sciences finance, central campus offices, and other stakeholders, and supervises a team of budget, financial, and resource analysts while directly overseeing the most complex financial projects.

Receives assignments in the form of objectives with goals and the process by which to meet those goals. Responsible for supervising the day-to-day unit activities. Normally directs a section or group of budget/financial/resources analysts. Oversees and participates in the most complex projects and deals directly with major department managers. Provides direction according to established policies and management guidance.

MINIMUM QUALIFICATIONS
  • Bachelor's degree in related area and five or more years of relevant financial experience, or equivalent combination of experience, education and training.

  • Extensive knowledge of finance policies, practices and systems, budgeting and reporting techniques, accounting and bookkeeping.

  • Solid understanding of financial and resource planning concepts as well as how to control organizational budgeting.

  • Ability to prepare and present materials to internal and external constituents.

  • Extensive knowledge of human resource policies, practices, and planning.

  • Demonstrated ability to effectively communicate both verbally and in writing.

  • Advanced skills in the use of spreadsheet and database software.

  • Demonstrated interpersonal skills and ability to work effectively across the organization at all levels.

  • Proven ability to deal with changing priorities and direct the work of others accordingly. Ability to multi-task.

  • Prior supervisory experience. Demonstrated ability to screen applications, interview candidates, and either make selection decisions or recommend individuals for hire.

  • Thorough knowledge and understanding of internal control practices and their impact on protecting University resources.

  • Client services oriented; has good listening, communication, critical thinking, and analytical skills.

  • Advanced skills in short- and long-term strategic planning, analysis, problem-solving and customer service

  • Ability to effectively and efficiently manage the daily operations of a large, complex department responsible for the teaching, clinical and research missions of the University.

  • In-depth knowledge of clinical revenue cycles, physician practice plans, clinical productivity metrics (e.g., wRVUs, FTE normalization), and benchmarking methodologies.

  • Working knowledge of faculty compensation plans, including clinical and academic compensation models, incentive structures, and compliance considerations.

  • Knowledge of variance analysis, forecasting methodologies, and financial modeling techniques used in strategic and operational planning.

PREFERRED QUALIFICATIONS
  • Master's degree in business administration, accounting or leadership.

  • Experience working in an academic medical center and/or School of Medicine.

  • Advanced knowledge of University rules and regulations, processes, protocols and procedures for budget, accounting and fund management, and/or key controls.

SPECIAL CONDITIONS
  • Employment is subject to a criminal background check.

Pay Transparency Act

Annual Full Pay Range: $97,200 - $182,000 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $46.55 - $87.16

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

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