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Description

Take on a critical role within a renowned health

organization and help shape the financial and operational effectiveness of UC

Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while

making a meaningful impact on policy and compliance. You can do all this and

more at UCLA Health.

In this role, you will ensure precise home office

reimbursement for UC Academic Medical Centers. Reporting to the Director of

Reimbursement, you will conduct thorough reviews of cost statements, estimate

facility impacts, and lead critical discussions with key stakeholders. Your

responsibilities will include staying up-to-date on Medicare and Medi-Cal

rules, updating Medi-Cal Waiver models, and contributing to the development of

government reimbursement policies.

You will:

+ Prepare and analyze home office cost statement for UC Academic Medical Centers, identifying strengths, weaknesses, opportunities, and risks.

+ Monitor and ensure compliance with Medicare/Medi-Cal cost reporting rules and regulations, while staying updated on evolving policies.

+ Update and validate Medi-Cal Waiver models and address audit and data requests with precision.

+ Coordinate and lead weekly calls with Reimbursement Directors, ensuring effective communication and follow-through.

+ Draft government reimbursement policies related to home office costs and document recommendations for improvement.

+ Conduct deep-dive financial reviews of UCOP general ledgers, subsidiary ledgers, and other financial documents, providing actionable insights to leadership.

+ Collaborate with UC Controller Services, UC Reimbursement, and stakeholders to enhance reporting consistency and resolve compliance issues.

+ Present findings and recommendations clearly to Reimbursement Directors, driving system-wide improvements.

+ Leverage expertise in healthcare reimbursement, data management, financial reporting, and budgeting to optimize operational efficiency.

Salary Range: $76,200-$158,800 annually

Qualifications

We're seeking a highly skilled professional with:

+ A bachelor's degree in a related field (advanced degree preferred).

+ At least five years of experience in healthcare reimbursement or financial analysis, particularly with Medicare and Medi-Cal regulations.

+ Proven ability to assess cost statements and financial documents for strengths, risks, and areas of opportunity.

+ Exceptional leadership, communication, and interpersonal skills, with a talent for presenting findings clearly to diverse audiences.

+ In-depth knowledge of Medi-Cal financing rules, including Waiver reimbursement principles.

+ Expertise in data management, policy analysis, and financial reporting processes.

+ Strong project management, organizational, and problem-solving abilities.

+ Familiarity with UC system policies and healthcare reimbursement mechanisms.

+ The ability to work independently and collaboratively, staying current with changing regulations and implementing them effectively.

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.