Reimbursement Manager

Description

Take on a significant 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.

In this highly analytical role, you will lead the preparation and review of financial and statistical information for Medicare and Medi-Cal cost reports. You will collaborate across departments to ensure compliance, optimize reimbursement, and support audit processes. You will :

• Prepare, review, and analyze financial and statistical data for Medicare and Medi-Cal cost reports.
• Serve as the primary contact for Medicare and Medi-Cal audits, supporting auditors and resolving inquiries.
• Calculate net revenue, contractual allowances, and third-party payer expenses.
• Analyze hospital accounts receivable models and other financial data.
• Prepare Medi-Cal P14 waiver reports and respond to waiver audits / questions.
• Develop reports detailing reimbursement trends, regulatory impacts, and financial forecasts.
• Support audit requests from financial, federal, and state agencies.
• Calculate annual PPS Medicare rates for internal hospital coding.

Salary Range : $86,400 - $184,800 / annually

Qualifications

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

UCLA Health is a world-renowned health system with four award-winning hospitals and more than 250 community clinics throughout metro Los Angeles. We're also home to the world-class medical research and clinical education capabilities of 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.