County of Alameda

Chief, Fiscal Services (#0154)

Bargaining Unit: Unrep - General Mgmt (U15)
$50.54-$61.45 Hourly / $4,043.20-$4,916.00 BiWeekly /
$8,760.27-$10,651.33 Monthly / $105,123.20-$127,816.00 Yearly

Under general direction, to plan, organize and coordinate the fiscal operations of a hospital, Public Health or Mental Health Services, Public Works Agency or General Services Agency; to advise and assist management in budgetary and related matters; to serve as liaison to the Accountant-Auditor and other County departments; to design proper accounting and fiscal systems and procedures; and to do related work as required.


Chief, Fiscal Services, positions are located in the Health Care Services Agency; three positions in Central Administration and one at each County hospital. The incumbents direct hospital accounting operations in the hospitals or direct accounting and billing operations for Health Care Services Agency departments in Central Finance. Incumbents are responsible for developing all costs and rates per unit of service, establishing accounting, billing, and budgetary procedures, performing fiscal planning functions, preparing management reports, and supervising a unit of professional and clerical staff. They report to the hospital administrator in the hospitals or the Director of Financial Services in Central Finance.

NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

1. Represents the hospital, Mental Health, Public Health, and Alcohol and Drug Abuse Services Departments of the Health Care Services Agency in contacts with the Auditor-Controller's Office, Central Collection, Data Processing, Medicare and Medi-Cal fiscal intermediaries and the State Department of Finance in all fiscal and related matters.

2. Plans, designs and coordinates accounting systems with budgetary procedures; advises the director and departmental administrative officers on budget preparation; directs preparation of divisional and department budgets for presentation to the Director of Health Care Services for his review; compiles all divisional budget requests into a total departmental request for review by the Director; assembles and develops additional supporting detail, as directed, for budget justification.

3. Plans, organizes, and directs the record maintenance, billing and initial collecting of accounts for services rendered through facilities of the Health Care Services Agency.

4. Confers with information systems unit personnel and data processing center personnel in designing new programs and revising established manual and automated accounting and billing procedures.

5. Prepares or supervises preparation of various cost reports to external funding agencies such as Medicare and Medi-Cal fiscal intermediaries, and various state and federal agencies.

6. Supervises department revenue and collection activities; develops and recommends patient care rates and prepares revenue estimates in conjunction with departmental administration; plans and coordinates methods and procedures for accounts receivable records; collections and cashiering functions; prepares contractual agreements with various agencies for reimbursement and support funds.

7. Plans, designs and installs accounting and/or billing methods and procedures within the agency; revises accounting records to meet statutes, budgetary, and departmental needs; standardizes and integrates new procedures within the departments and coordinates them with the Auditor-Controller's Department.

8. Reviews and makes recommendations on fiscal control activities; gathers and analyzes data and statistics such as operational costs; prepares financial statements, reports, summaries, charts and related materials for management use; and prepares fiscal and statistical data for reports to various agencies.

Either I

The equivalent of six years of experience with major fiscal responsibilities in the public accounting field.



Possession of a bachelor's degree from an accredited college or university in business administration, accounting, finance, economics, public administration or a related field which has included elementary and intermediate accounting and cost accounting coursework,



The equivalent of four years of increasingly responsible professional auditing, billing, or accounting experience, at least one year of which shall have been in a supervisory or managerial capacity.

NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.

NOTE: The level and scope of the following knowledge and abilities are related to duties listed under the "Examples of Duties" section of this specification.

Knowledge of:

• Commercial, governmental and cost accounting.
• Principles of supervision.
• Principles of complex billing and accounting.
• Budget preparation.
• Trends in health accounting and fiscal operations.


• Written communications.
• Oral communications.
• Budget analysis.
• Analysis and problem solving.
• Management control.
• Decision making.
• Leadership.
• Interpersonal sensitivity.
• Flexibility.

Revised: 10/84
Old document: 0018h
New document: Jobspecs/0154
CSC Date: 10/31/84


Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees)
  • Accidental Death and Dismemberment Insurance 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 11 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Management Paid Leave**
  • Catastrophic Sick Leave
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.

** Non-exempt management employees are entitled to up to three days of management paid leave. Exempt management employees are entitled to up to seven days of management paid leave.