What are the responsibilities and job description for the Reimbursement Manager position at University of California - Los Angeles Health?
Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health.
In this highly analytical role, you will lead the preparation and review of financial and statistical information for Medicare and Medi-Cal cost reports. You will collaborate across departments to ensure compliance, optimize reimbursement, and support audit processes. You will:
- Prepare, review, and analyze financial and statistical data for Medicare and Medi-Cal cost reports.
- Serve as the primary contact for Medicare and Medi-Cal audits, supporting auditors and resolving inquiries.
- Calculate net revenue, contractual allowances, and third-party payer expenses.
- Analyze hospital accounts receivable models and other financial data.
- Prepare Medi-Cal P14 waiver reports and respond to waiver audits/questions.
- Develop reports detailing reimbursement trends, regulatory impacts, and financial forecasts.
- Support audit requests from financial, federal, and state agencies.
- Calculate annual PPS Medicare rates for internal hospital coding.
Salary Range: $83,800-$179,400/annually
We're seeking a self-motivated, detail-oriented, highly analytical professional with:
- Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field, or equivalent experience.
- 8 years of experience in healthcare reimbursement, financial analysis, or a related field.
- Advanced knowledge of Medicare, Medi-Cal, and third-party payer reimbursement systems and regulations.
- Expertise in financial modeling, data analysis, and statistical reporting techniques.
- Strong knowledge of regulatory compliance and cost report preparation.
- Advanced proficiency with financial analysis tools, including Excel and healthcare-specific software.
- Excellent communication skills, with the ability to present complex financial data to diverse audiences.
- Strategic thinking and problem-solving abilities.
- Demonstrated ability to mentor and lead teams in a dynamic healthcare environment.
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 250 community clinics throughout metro Los Angeles. We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. For the complete University of California nondiscrimination and affirmative action policy, see: UC Nondiscrimination & Affirmative Action Policy.
Salary : $83,800 - $179,400
