• Job Description

  Req#: 21813
  General Information
  
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  Work Location: Los Angeles, CA, USA
  
  Onsite or Remote
  
  Flexible Hybrid
  
  Work Schedule
  
  Monday - Friday 8am-5pm; weekend days may be required depending on business needs
  
  Posted Date
  
  01/28/2025
  
  Salary Range: $78500 - 163600 Annually
  
  Employment Type
  
  2 - Staff: Career
  
  Duration
  
  Indefinite
  
  Job #
  
  21728
  
  Primary Duties and Responsibilities
  
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  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
  
  Job Qualifications
  
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  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.
  
  
  As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.

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