CHIEF, REVENUE MANAGEMENT, HEALTH SERVICES (MEDICARE PROGRAMS DIRECTOR)

Chief, Revenue Management, Health ServicesLA Health Services is LA County's integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20 community health centers, Emergency Medical Services (EMS), Correctional Health Services, and community-based programs that connect people to care where they are. We serve as the safety net for more than 10 million residents, providing care regardless of ability to pay, insurance coverage, or immigration status. As one connected system, we deliver extraordinary care—from prevention and primary care to emergency, specialty, trauma, and recovery services across Los Angeles County. With more than 2.9 million visits annually and a workforce of over 23,000 dedicated staff, LA Health Services is proud to deliver high-quality, compassionate, and accessible care to everyone, no matter how they come through our doors.To advance the health of our patients and our communities by providing extraordinary care.Administers, plans, directs, and manages revenue and other finance functions of the LA Health Services.Plans and directs the day-to-day centralized finance operations, including cost accounting, general accounting, or invoice processing.Directs the activities related to preparation and filing of the hospital Medicare cost reports, as well as the creation of amendments and/or reopening requests on timely basis, adhering to legal deadlines.Directs the facilitation of the Medicare cost reports and Wage Index audits, which includes participation in entrance/exit conferences and other engagements with the Medicare Administrative Contractor (MAC), ensuring adequate documentation is provided to address the auditors' questions/inquires to prevent audit adjustments.Directs the preparation and submission of timely appeals, participates in negotiating resolutions with the MAC, reviews tentative settlements.Collaborates with the legal counsel on strategies and documentation to support County's position during the appeal processes, both at an administrative and formal levels.Directs the development of technical analysis and financial models to support strategic initiatives, business ideas, and policy impacts involving Medicare add-on payments, such as Medicare Disproportionate Share Hospital (DSH), Indirect Medical Education (IME), Graduate Medical Education (GME), and other supplemental or special payment programs.Serves as a subject matter expert on Medicare reimbursement methodologies and supports hospitals' compliance with complex financial and regulatory requirements.Participates and assists in negotiations, contracting, and drafting of the Medical School Affiliation Agreements and GME Agreements.Meets with the legal and consultant teams to evaluate new/revised Medicare regulation requirements and the impact on the DHS' financial operations; develops strategies and action plans to implement the policies.Lead and manage teams, provides developmental feedback, and advances internal initiatives.Completes administrative requirements of the role in a punctual manner, including training, reporting, forecasting, and all other time-sensitive administrative duties.Requirements to qualify:Option I: Bachelor's degree from an accredited college or university in Finance, Accounting, Business Administration, Healthcare Administration, or related fields -AND- Three (3) years of experience in directing one or more of the following complex health care fiscal operations: budgetary projections or reporting; revenue programs; patient, general, or cost accounting; cost reporting; revenue enhancement strategy development; revenue cycle operations; or other major finance-related areas.-OR- Option II: Bachelor's degree from an accredited college or university in Finance, Accounting, Business Administration, Healthcare Administration, or related fields -AND- One (1) year of experience at the level of Revenue Manager I or higher within a finance division in the County of Los Angeles.Physical Class 2 – Light: This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.A valid California Class C Driver License or the ability to use an alternative method of transportation when needed to carry out job-related essential functions.Desirable qualifications: Additional credit will be given to applicants that possess the following desirable qualifications:Additional experience in excess of the requirements.Experience in Medicare reimbursement, Medicare cost reporting, Healthcare consulting, or Cost report auditing, including analyzing reimbursement methodologies, preparing or reviewing cost reports, and ensuring compliance with applicable regulatory requirements.Experience performing Medicare consulting or audit activities with a Medicare Administrative Contractor (MAC), including evaluating compliance, reviewing claims or reimbursement processes, and providing recommendations for operational or regulatory improvement.Master's degree* in Health Administration, Business Administration in Healthcare, Healthcare Management, or Public Health.This examination will consist of an Evaluation of Training & Experience (T&E): This assessment type will evaluate the training and experience you list on the online application and supplemental questionnaire and assign a score based on a standardized scoring system. This part of the assessment is worth 100% of your total score and assesses: Requirements, Desirable Qualifications, and Supplemental Questionnaire. Applicants must achieve a passing score of 70% or above on the examination in order to be added to the eligible list.Applications will be processed as they are received and added to the list accordingly.Applicants who passed the assessment(s) are placed on a list for a period of twelve (12) months. We will use this list to fill vacancies in the Department of Health Services as they occur.