Reimbursement Manager (Hybrid) - UCLA : Job Details

Description

Take on a significant leadership 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.

You will be responsible for overseeing financial and statistical information for Medicare and Medi-Cal cost reports. You will serve as a primary contact for Medicare and Medi-Cal audits as well as support auditors in the review of cost report reimbursement and third-party accounts. You will:

• Prepare, review, and analyze financial and statistical information
• Calculate contractual expenses for Medicare, Medi-Cal, and other third-party payors
• Review the annual AB915 Medi-Cal Outpatient Supplemental Reimbursement forms and certification
• Prepare and file annual GPP reporting
• Analyze our hospital accounts receivable model, bad debt model, and accounts receivable roll-forward reports
• Prepare Medi-Cal P14 waiver reports and respond to waiver audits/questions
• Analyze each hospital's net patient revenue budget
• Support financial, federal, and state audit requests
• Calculate annual PPS Medicare rates for internal hospital coding

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

We're seeking a self-motivated, detail-oriented, and highly-analytical leader with:

• Bachelor's degree in accounting, business, economics, math, or a related field
• Five or more years of directly-related experience
• Background with net revenue and contractual expense calculations
• Strong critical thinking and problem-solving abilities
• Computer proficiency with Microsoft Office
• Background in report writing and working with large data preferred
• Knowledge of third-party payer regulations and contracts
• Excellent communication and leadership skills

UCLA Health is a world-renowned health system with four award-winning hospitals and more than 250 community clinics throughout metro Los Angeles as well as 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.