Home Office Reimbursement Analyst

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: $80,700-$168,500 annually

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.