Description
UCLA HEALTH
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Description
Description
UCLA Health is seeking a Senior Reimbursement Manager to oversee complex
reimbursement activities that directly support the financial sustainability of
the hospital system. Reporting to the Director of Reimbursement, this role is
responsible for ensuring accurate financial reporting, maximizing Medi-Cal
Waiver reimbursement, managing regulatory cost reports, and providing critical
analysis for revenue and reserve estimates.
This position plays a key role in cross-functional
collaboration, working with budget, contracting, revenue cycle, operations, and
decision support teams to ensure financial accuracy and policy compliance. The
Senior Reimbursement Manager also leads audit response efforts, supports
strategic initiatives, and delivers insights that shape UCLA Health’s financial
planning and operations.
In this role, you will:
- Prepare
and file annual Medicare and Medi-Cal cost reports and lead audit
responses for intermediaries, PwC, and CMS - Analyze
net revenue reports, investigate trends and variances, and prepare journal
entries for Medicare, Medi-Cal, and third-party payors - Lead
the calculation and booking of contractual and bad debt reserve estimates
using Crowe RCA and AR models - Manage
Medi-Cal Waiver reimbursement, ensuring accuracy of FFS estimates and
Managed Care entitlements - Collaborate
across departments (Decision Support, SOM, Budget, GME, etc.) to improve
data accuracy, reimbursement strategies, and system mappings - Develop
UCLA Health’s net revenue budget in partnership with Contracting and
Budget teams - Monitor
regulatory changes, attend industry conferences, and provide training on
reimbursement topics - Conduct
ad hoc financial modeling and impact analysis to support policy and
operational decisions
Salary Range: $102,500 – $227,700 annually
Qualifications
We’re looking for a strategic and analytical reimbursement
expert with:
- A
bachelor’s degree in business, finance, economics, mathematics, or a
related field (required) - At
least seven years of experience in healthcare reimbursement, financial
analysis, or revenue cycle management (required) - In-depth
understanding of Medicare and Medi-Cal regulations, waiver reimbursement
programs, and hospital cost reporting - Proficiency
with Crowe RCA, revenue modeling, and financial systems such as Toyon
Absolute - Advanced
Excel and data analysis skills, with the ability to interpret large
datasets and prepare clear summaries - Strong
communication and presentation abilities for delivering insights to senior
leadership - A
track record of collaboration across finance, clinical, and administrative
teams to improve financial outcomes