Home Office Reimbursement Analyst

Description

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 : $76,200-$158,800 annually

Qualifications

We're seeking a highly skilled professional with :

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.