Deputy Director - Health Care Services - Fiscal (#EM0250)
$68.04-$82.71 Hourly / $11,794.13-$14,335.84 Monthly / $141,529.64-$172,030.16 Yearly


Under administrative direction, directs and manages the financial operations of the Health Care Services Agency or one of its major divisions; and does related or other work as required.


The class of Deputy Director – Health Care Services Fiscal is a single position, at-will class that is exempt from the San Joaquin County Civil Service System.  Direction is received from the Director of Health Care Services, and depending on the nature of the assignment, the Chief Deputy Director – Behavioral Health Services and the Chief Deputy Director – Public Health Services.   The incumbent interfaces extensively with internal and external agencies and is responsible for leading, managing, directing and administering assigned budgets, functions and activities and ensuring their compliance with all County, State, and Federal funding source regulations, as well as the policies established by the Director of Health Care Services, the Chief Deputy Director – Behavioral Health Services, the Chief Deputy Director - Public Health Services, the County Administrator, and the Board of Supervisors. The incumbent is expected to model a strong work ethic and leadership skills, including accountability for oneself and others.


This specification is a general guideline for the class.  The statements below are not restrictive, and the responsibilities and duties assigned to a position in this class may expand beyond those identified in the specification.

  • Plans, supervises and participates in the preparation and monitoring comprehensive annual budgets in compliance with County, State and Federal regulations.
  • Directs complex cost accounting systems which reflect a variety of funding sources; assures that costs are properly allocated; monitors revenues and expenditures to assure compliance with budget; assures that necessary adjustments are made.
  • Prepares annual cost reports; submits to various State and Federal agencies for review, justification of expenditures, and reimbursement; coordinates audit activities performed by County, State, and Federal agencies; analyzes results of audits and prepares appeals of audit exceptions.
  • Manages department insurance billing, credit, and collection functions through subordinate staff; ensures appropriate state realignment billing for medical block and substance abuse services grants.
  • Oversees and directs the posting of entries to sub-systems such as general ledger, accounts payable, and accounts receivable, and directs the examination of entries posted in ledgers and journals for accuracy in compliance with established accounting procedures and policies; assures the application of appropriate internal accounting controls; provides executive-level support and accountability for audits and other financial reviews.
  • May participates in the preparation, maintenance and monitoring of contracts, leases, inter-agency agreements, and rental agreements between the department and outside agencies.
  • Maintains liaison with the Health Care Services Agency IT Division to assure appropriateness of data processing programs related to fiscally oriented management information systems.
  • Through subordinate managers and supervisors, oversees and directs staff engaged in fiscal and administrative services; monitors staff work activities and responsibilities; directs and administers personnel matters, including employee selection, assignment, and evaluation; directs employee discipline as required; directs and oversees staff development training.
  • Acts as liaison with State and Federal agencies, the County Auditor-Controller, County departments, and other agencies as required relating to the financial operations of the department. 


Education: Possession of a master’s degree in business or public administration, accounting, economics, or closely related field.

Experience: Five years of fiscal management experience in a public health care agency or program, which included the preparation and analysis of complex cost reports and/or budgets.  Experience as a Controller or as a CPA in a health care agency is highly desirable.

License:  Possession of a valid California driver’s license.


Principles, practices, methods and techniques of accounting, financial management, public administration and management analysis; electronic data processing as applied to a computerized general ledger system; financial forecasting; preparation financial statements; public agency operating budgets; regulatory practices in county, state, and federal jurisdictions and their impact on public agency accounting; principles of office management.


Plan, organize, direct and control the financial activities of a complex organization; develop sound financial strategy; develop and implement complex accounting systems and fiscal controls; train and supervise professional and non-professional staff; gather and analyze data; prepare complex financial and statistical reports; interpret and apply complex rules and regulations; prepare directives, manuals, correspondence, and other materials; analyze situations accurately and develop an effective course of action; prepare contracts, leases and other agreements; establish and maintain effective working relationships with others; express oneself clearly and concisely both orally and in writing.


Physical and Mental Requirements:  Mobility:  frequent sitting for long periods; frequent use of a computer; some walking; occasional standing, pushing, pulling, bending, squatting, climbing; Lifting:  frequent lifting of 5 pounds or less; occasional lifting of 5-30 pounds; Visual:  constant need for good, overall vision and reading/close-up work; frequent need for color perception and use of hand/eye coordination; occasional use of depth perception and peripheral vision; Hearing/Talking:  frequent need to hear normal speech, talk/hear on the telephone and talk in person;  Emotional/Psychological:  frequent decision making, concentration, and public contact;  Special Requirements:  may require working nights and weekends; Environmental:  occasional exposure to varied weather conditions.

San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.

CLASS: EM0250; EST: 2/12/2019;