SFHSS Divisions

The San Francisco Health Service Systems' (SFHSS) core functions are providing efficient and accurate benefits administration, managing cost-effective health vendor contracts, establishing annual rates and benefits via health vendor negotiations, ensuring legal compliance, maintaining accurate financial and demographic records, ensuring eligible members and dependents have access to quality healthcare, and educating employees and retirees about health and well-being benefits.

We remain steadfast in our commitment to constantly improve the quality of health care available to our members that are affordable, sustainable and in compliance with the legal requirements of the City and County of San Francisco.

Mission: Ensuring Equitable, Sustainable, Quality Benefits that enhance the well-being, of our members and their families throughout their lifecycle.

The Member Services division fulfills essential responsibilities mandated by the San Francisco City Charter, serving as the front line for all benefit enrollment and administration activities. The division manages eligibility, enrollment, and data reconciliation between the SFHSS, employing departments, and benefit providers. Member Services also oversees premium coordination, life event updates, and the annual Open Enrollment process where they handle tens of thousands of transactions to ensure accuracy and compliance. The team upholds the City’s commitment to precision, transparency, and member support, ensuring employees and retirees receive the full value of their health benefits.

Olga Stavinskaya-Velasquez, Operations Manager

The Well-Being division supports the health and vitality of City and County of San Francisco employees, retirees, and their families through comprehensive, evidence-based programs. We promote whole-person well-being—physical, emotional, and social—through initiatives that encourage preventive care, resilience, and healthy lifestyles. Our services include health coaching, physical activity and nutrition programs, stress management, workshops, and the Employee Assistance Program (EAP). In partnership with City departments and health plans, we foster a culture of health and shared responsibility, empowering employees and retirees to thrive at work, in retirement, and throughout every stage of life.

Carrie Beshears, Well-Being Manager

Operations comprises of three divisions including Member Services, Communications, and Information Systems divisions. Operations ensure compliance with city, state, and federal regulations regarding protected health information, labor laws, privacy and records retention, and IRS requirements for pre-tax benefit contributions. Operations implement and apply the San Francisco Health Service System rules that govern membership, conducts ongoing eligibility audits, and adjudicates member appeals. Operations ensure service levels are met by our health plan partners, ensure service levels are met with our client organizations, and advise on plan design and member contribution models.

Rin Coleridge, Chief Operating and Experience Officer

The Information Systems (IS) division delivers the technology foundation that powers SFHSS. Its enterprise systems include Cisco Contact Center for call management, Hyland Perceptive Content for digital member files, Salesforce as the record of member interactions, and PeopleSoft Human Capital Management for benefit administration. The extremely versatile IS team provides a range of services, including application programming, configuration, design, development, and process monitoring. In addition, the team manages systems procurement and their integration verification, compliance reports, audit support, and cybersecurity protection with immediate attention to critical and high vulnerabilities—ensuring secure, reliable, and efficient technology delivery that supports all SFHSS programs and members.

Vacant, Information Systems Manager

The health benefits and services provided by SFHSS to its members are often broad, complex, and nuanced. The Communications division develops creative solutions to educate and inform members about their benefit options, costs, critical deadlines, and changes to their benefits. Under the San Francisco City Charter (Section A8.423), the Communications division educates members about their benefits throughout their journey with SFHSS from new hire through life events, annual open enrollments, and into retirement. Communications works to advance the mission of SFHSS by engaging members in preventative care services and promoting healthy lifestyles. 

Jessica Shih, Communications Director

The Finance division consists of Accounting, Budgeting, and Procurement. The Accounting team ensures the timeliness and accuracy of all SFHSS financial transactions, conducts the Charter-mandated 10-County survey, calculates annual premium rates, oversees the annual external audit of the Health Service Trust Fund, reports to the Health Service Board, and is responsible for developing and monitoring the Employee Benefit Trust Fund.

The Budgeting and Procurement team is responsible for the development and monitoring of the General Fund Administration and Healthcare Sustainability Fund budgets and the management of the procurement of goods and services for the department.

Teresa Tan, Chief Financial and Affordability Officer

The Contracts Administration division oversees the negotiation, execution, and performance of all contractual agreements that support employee and retiree benefit programs. Guided by San Francisco City Charter (Section A8.423), the Contracts division leads competitive procurements for health, dental, vision, and life and disability, and other non-pension benefit plans and related services, ensuring transparency, fiscal responsibility, and continuity of benefits for more than 136,000 active and retired employee members and their eligible dependent family members. Working collaboratively across SFHSS Operations and Finance divisions and with City oversight and compliance agencies, the Contracts division advances the department’s Strategic Plan goals of affordability, accountability, and operational excellence while ensuring equitable, sustainable, and high-quality benefits for our members.

Michael Visconti, Contracts Administration Manager

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