Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
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
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
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