Reimbursement Manager - Government Reimbursement - ...

Reimbursement Manager - Government Reimbursement - HYBRID FTJoin to apply for the Reimbursement Manager - Government Reimbursement - HYBRID FT role at UCI HealthBase pay range$108,100.00/yr - $204,900.00/yrPosition Summary:The incumbent is responsible for ensuring the accuracy and maximization of government reimbursement to all UCI Health entities. Independently performs advanced level work in ongoing government reporting and analytic services in support of the Health System’s strategic missions. Charged with providing expert analytic services and consulting expertise to all levels of management. The position requires advanced level of Medicare/Medi-Cal reimbursement expertise, financial analysis, technical skills, creativity, organizational and project management ability. Background in understanding cost reports, financial modeling and general accounting principles is required. Coordinates Federal and State reporting activities to ensure that the Health System receives maximum reimbursement consistent with Federal and State regulations. Responsible for third party contractual allowance and prior year settlement schedules. Represents the Health System to state and federal agencies, prepares appeals and negotiates settlements for governmental audit disputes. Provides expert reimbursement consulting assistance to management at the Health System to promote financially sound decision making. Incumbent is a Health System liaison with agencies representing Medicare, Medi-Cal, Office of Statewide Health Planning and Development (HCAI), and CHAMPUS/Tricare. Position reports directly to the Director of Reimbursement.Required Qualifications:Strong technical knowledge and skills in financial analysisMust demonstrate customer service skills appropriate to the jobMust be fluent with Medicare/Medicaid regulationsMinimum of 5 years of Medicare Cost report preparation and audit experienceExperience working with large databasesExhibits excellent leadership and self-direction, good judgment in handling difficult situations and good organizational, time management, interpersonal and conflictEvidence of sound critical thinking skills and the ability to think creatively and strategicallyDemonstrates highly developed verbal and written communication skills, excellent analytical and problem-solving skills, the ability to assess and evaluate complex financial data, and the ability to manage multiple complex tasks. History of making recommendations using clear and concise presentations to senior leadershipDemonstrated knowledge of Excel, Outlook, PowerPoint, Word and fluency with industry technology/tools (cost statement software, accounting/ledger, etc).Demonstrate sound working knowledge of the contractual allowance, bad debt, financial statement reserve process.Demonstrate comprehensive knowledge of net revenue, patient accounting and accounts receivable management.Bachelor's Degree, or equivalent education and experienceAbility to establish and maintain effective working relationships across the Health SystemPreferred Qualifications:Strong analytical skills and the ability to apply sound judgment in ambiguous situationsMaster's Degree in Related FieldExperience in supervising or managing employees, including providing feedbackTotal CompensationWe offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.Conditions of Employment:The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:Background Check and Live ScanEmployment Misconduct*Legal Right to Work in the United StatesSmoking and Tobacco PolicyDrug Free Environment*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional 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; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.California Child Abuse and Neglect Reporting ActE-VerifyPre-Placement Health EvaluationDetails of each policy may be reviewed by visiting the following page: Statement:The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.Seniority level: Mid-Senior levelEmployment type: Full-timeJob function: FinanceIndustries: Hospitals and Health Care #J-18808-Ljbffr

Created: 2025-10-08