Job Description

Payroll Title:
Salary Range
Commensurate with Experience
La Jolla Medical Center
Appointment Type:
Appointment Percent:
Total Openings:
Work Schedule:
Days, 8 hrs/day, Monday-Friday

As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.

#116885 Administrative Director, Orthopedic Service Line

Extended Review Date: Thu 9/15/2022

For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy

Special Selection Applicants: Apply by 06/24/2022. Eligible Special Selection clients should contact their Disability Counselor for assistance.


Reporting to the Chief Administrative Officer (CAO) and in collaboration with the Department Chair and Vice-Chair and Physician Leaders, the Administrative Director, Orthopaedic Service Line coordinates all operational activities related to providing efficient quality care across the orthopaedic service line continuum. Areas of direct supervision include all faculty practice ambulatory clinics, outpatient programs, clinic ambulatory care areas in La Jolla, Encinitas, Rancho Bernardo, Scripps Ranch, Hillcrest and offsite locations including all future clinical affiliated sites managed by UC San Diego Health. The Director will lead strategic oversight of the financial, patient experience, and clinical outcomes of the UCSDH's Orthopaedic Service Line, which will entail a dyad partnership with all inpatient nursing clinical directors and leaders, all perioperative leaders including ambulatory surgical center affiliates and service line strategic planning efforts. The role will oversee the operations of our sports affiliations, including the San Diego Padres, San Diego Seals, and the UC San Diego Health athletic department.

POSITION OVERVIEW - Clinic Operations, Strategy and Financial Management

Clinical Operations Management
* The Director ensures physicians and staff have the processes, supplies and technology necessary to deliver the highest quality patient-centered clinical care every day.
* Performance metrics are established, tracked and shared with physicians and staff on a regular basis to improve clinical services and celebrate successes
* Works with managers to determine staffing, supplies, equipment and other resources necessary to establish and maintain top quality clinical programs and patient care services
* Hires the best people, trains appropriately and coaches to achieve maximum results
* Staff are properly licensed, credentialed and trained to provide excellent clinical care with an emphasis on outstanding customer service
* Patients are scheduled in a timely and efficient manner by service-oriented staff utilizing existing technology to the fullest extent possible
* Ensures policies and procedures are up to date, develops new ones as necessary* Work flow is efficient and cost-effective, free of waste
* Ensures compliance with federal, state and local regulations for patient care and represents The Orthopaedic service line during regulatory surveys and licensing visits
* Fosters trusted working relationships with other managers throughout the organization
* Collaborates with the Clinical Council and Quality Council Groups to understand and improve clinical quality metrics whenever possible
* Partners with the medical directors to achieve annual quality, growth and cost objectives
* With IT department, oversees the performance and effectiveness of information technologies: including implementation and optimization of EPIC work streams for clinical documentation, billing, and all other related workflows
* Through associations with national organizations and other UC medical centers, keeps up to date on trends in care delivery
* Monitors patient satisfaction through NPS, identifies opportunities for improvement, leads improvement teams, and celebrates successes
* Participates in implementation and execution of quality initiatives related to Orthpaedics in collaboration with the Medical Directors

Strategic Management
* In partnership with Department Chair, serves as the administrative leader for the Orthopaedic service line. Responsibilities include setting and achieving Center goals and objectives across all services and sites
* Responsible for identifying, pursuing, and implementing strategic opportunities for growth and innovation including new technologies and services.
* Develops and evaluates new program business plans to ensure accuracy and thoroughness of volume projections, space needs and inputs.
* Provides strategic direction across all sports affiliations in which UCSD is the official health care provider.
* Responsible for the meeting or exceeding strategic growth goals of the service line and leading initiatives to optimize performance across UCSD.
* Collaborates with operational leaders on performance of staff and resources of multiple inpatient, outpatient and procedural areas, promoting teamwork between/among all clinical areas within the service line.
* Assures alignment of performance, service, and economic incentives across the entire service line* Responsible for leading efforts to meet and exceed external reporting agencies metrics as defined by service line leadership and UCSDH.
* Partners with administrative and clinical leaders to develop appropriate measures with proper benchmarks that will be tracked and reported to improve care, operations, and patient engagement. Leads service line report-outs to UCSDH system leadership.
* Cooperates with clinicians, departments, hospitals, and the orthopaedic department to provide an appropriate environment for education and research.
* Ensures compliance with Medical Center, University, State, and federal policies for all areas such as privacy, confidentiality, billing, etc.
* Serves as a role model for the corporate and cultural values of UCSDH and of the service line.

Financial Management
* The Director ensures that patient revenue is captured appropriately and care is delivered in a cost effective manner across the service line.
* Ensures the proper and efficient utilization of assets including equipment, supplies and facilities across the service line (i.e., includes inpatient and outpatient units)
* Analyzes the financial performance of various program elements, determining the impact of new and existing programs on both the UCSD portfolio and health system
* In conjunction with Supply Chain management, ensures cost-competitive acquisition of supplies and other resources required for the provision of patient care services across the service line
* Clinical units are appropriately staffed utilizing industry benchmarks and productivity ratios as guidelines
* Collaborates with Revenue Cycle team to ensure that charge master and codes are up to date, denials are kept to industry standard levels and patients are properly registered and authorized for treatment
* Regularly benchmarks MSDRG financial performance and clinical unit specific productivity and costs to assess reasonableness
* Supports the Contracting Department during annual rate negotiations and requests for cash pricing
* Develops annual capital and operating budgets in conjunction with the managers and medical directors
* Manages finances on a monthly basis, including budget variance analyses and development of action plans to stay at or below budget.
* Leads efforts in reviewing organizational structure and suggesting new models of restructuring resources available to deliver patient care.


  • Bachelor's Degree in business, health administration or related area, and eight (8+) or more years of relevant experience; OR equivalent combination of experience, education and training.

  • A Bachelor's Degree in business, health administration or related field, and a minimum of seven years progressive experience in clinical healthcare and/or hospital operations, with at least five years in a management role.

  • Proven clinic/health center management experience, with progressive expertise in practice management, scheduling, customer-service methods, incident reporting, regulatory compliance, accreditation requirements, information technology, and the policies, principles, best practices, and standards involved with effective clinic administration.

  • Experience developing and implementing short and long range plans and strategies by applying trends, projections, growth and anticipated clinic goals. Experience performing complex analyses involving programmatic and fiscal considerations, formation of action plans, and independently making decisions.

  • Experience managing budgets, coordinating multiple projects, and adapting programmatic objectives to changes in resources as affected by budgetary issues. Experience with strategic, financial and operational management in a healthcare setting.

  • Demonstrated experience managing monthly clinic finances, including budget variance analyses and development of action plans to stay within budget. Knowledge of Best Practices in clinical operations.

  • Strong leadership skills in personnel management, including experience providing direction, knowledge of sound management practices, team building techniques, providing recommendations in hiring and performance appraisals, providing guidance and instruction, communicating in an effective, professional and direct manner, and conducting appropriate disciplinary action if needed.

  • Proven track record of successful leadership with attention to fiscal matters including profit margins, enhancing revenues, and controlling expenses. Detailed understanding of clinical facility fee billing, Health care reform law and how it affects clinic revenue and operations.

  • Experience overseeing large number of staff across multiple sites. Effectively work with clinic managers to determine staffing, supplies, equipment and other resources necessary to establish and maintain top quality clinical programs and patient care services.

  • Demonstrated knowledge of CG-CHAPS and HCAPS surveys and how they affect clinical revenue, how to measure the results, how to create a performance improvement plan to address issues with the scores.

  • Mastery of analytic tools including Excel, Access, Pivot tables, Cognos, Financial Link, clinical databases, clinical forecasting required. Ability to operate additional financial and personnel electronic systems such as EPSI, InfoPac, Press Ganey, iReport.

  • Exceptional communicator - ability to communicate clearly and effectively in verbal and written formats and to convey complex concepts in a professional and effective manner.


  • Advanced degree in business, health administration or relevant field.
  • Significant experience working in Orthopedic specialty clinical operations.
  • Experience in an academic medical center.
  • LEAN Six Sigma certification and experience leading large-scale change initiatives.


  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.

Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

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