Description

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