Senior Reimbursement Manager

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