Division Manager

Job Summary:

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.

Required Qualifications:

• 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. REQ

• 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. REQ

• 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

Preferred Qualifications:

• 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

Required Qualifications:

• 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. REQ

• 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. REQ

• 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

Preferred Qualifications:

• 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