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UCLA Health

Insurance Verifier

Los Angeles, CA · On-site

$30.47 - $47.85/hr

Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule a hybrid schedule, Monday ... Availability to work rotating weekends and holiday coverage Note: May subject to test qualifying ...

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Home Office Reimbursement Analyst

UCLA Health

Los Angeles, CA • On-site, Remote

$80K - $168K/yr

Full-time

Re-posted 5 days ago

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

6th of 893 rated healthcare providers

Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday 8am-5pm; weekend days may be required depending on business needs
Posted Date
01/28/2025
Salary Range: $80700 - 168500 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
21728
Primary Duties and Responsibilities
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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: $80,700-$168,500 annually
Job Qualifications
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We're seeking a highly skilled professional with:
  • A 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.

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

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UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955

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