• Director of Reimbursement

    UCLA Health (Los Angeles, CA)


    Description

    Shape the Future of Healthcare Finance at UCLA Health

     

    Take your career to the next level in a key financial leadership role at one of the nation's top academic health systems. As Director of Reimbursement, you'll play a pivotal role in maximizing reimbursement and ensuring compliance for a world-class organization with a $5 billion net patient revenue portfolio. Join us at UCLA Health and make a lasting impact on healthcare finance.

     

    Why UCLA Health?

     

    UCLA Health is consistently ranked among the top healthcare systems in the country and is recognized for its commitment to innovation, excellence, and patient-centered care. With four award-winning hospitals-Ronald Reagan UCLA Medical Center, UCLA Santa Monica Medical Center, UCLA Mattel Children's Hospital, and Resnick Neuropsychiatric Hospital-as well as a vast network of primary and specialty care clinics, we are dedicated to improving health outcomes across California and beyond.

     

    As a leader in healthcare finance at UCLA Health, you will work alongside renowned medical professionals, researchers, and administrators, contributing to a collaborative environment that drives both financial and clinical success.

     

    Your Impact

    Reporting to the Chief Financial Officer of the Hospital System, you will:

    * Lead a team and serve as system subject matter expert and advisor responsible for all regulatory reimbursement functions and trends. Ensure compliance with Medicare, Medi-Cal, and other regulatory requirements.

    * Optimize reimbursement strategies to support UCLA Health's financial strength and growth and partner with finance leadership to perform reimbursement strategic financial modeling (long-term planning, new partnerships, expansion, etc.)

    * Drive accurate financial reporting, planning and decision-making by properly valuing accounts receivable, net patient revenue and supplemental governmental funding. Analyze and use KPIs for accounts receivable, bad debt, denials and collection rates.

    * Collaborate with leaders across UCLA Health, Schools of Medicine and Dentistry, and the University of California Office of the President.

    Qualifications

    What You Bring

     

    We're looking for a strategic, analytical finance leader who thrives in a complex healthcare environment. The ideal candidate will have:

     

    * A bachelor's degree in business, finance, economics, or a related field (advanced degree preferred).

    * Seven or more years of experience of comprehensive knowledge of CMS and Medicaid regulations, cost reporting principles and preparation, and coordination of associated audits. Knowledge of California Medi-Cal reimbursement strongly preferred.

    * Proficiency in academic medical center reimbursement structures and processes including General Medical Education reimbursement compliance and cost-based transplant programs.

    * Demonstrated experience in accounting principles for accounts receivable and patient revenue valuation. Experience in preparing net patient revenue budget preferred.

    * Working knowledge of revenue cycle processes and patient account review. Strong partner and advisor with accounting and revenue cycle leadership to provide financial and analytic support to identify and escalate issues.

    * Proficiency in financial modeling and large data analysis, with advanced Excel skills.

    * Experience with electronic record systems and software for accounts receivable and net patient revenue valuation.

    * Exceptional leadership, communication, and negotiation skills.

    * Familiarity with CPT, HCPCS, revenue codes, hospital billing, and claims processing.

    Compensation & Benefits

    + Full salary range for this grade of position is $157,400 - $380,600 with an actual salary target of $290,000 - $330,000 depending on experience

    + Comprehensive benefits including retirement plans, healthcare, and career development opportunities

    + A mission-driven culture where you can make a difference in healthcare finance

     

    Ready to Lead?

     

    If you're a forward-thinking finance expert with a passion for healthcare and strategic impact, we'd love to hear from you!

     

    UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.