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.
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University of California - Los Angeles Health
Jan 29, 2025