CHIEF, REVENUE MANAGEMENT, HEALTH SERVICES (MEDICARE PROGRAMS DIRECTOR)

Chief, Revenue Management, Health ServicesThe Los Angeles County Department of Health Services (DHS) is the second largest municipal health systems in the nation. Through its unified system of twenty-three (23) health centers and four (4) hospitals - and expanded network of community partner clinics - DHS annually provides direct care for over 500,000 outstanding patients, employs over 23,000 staff, and has an annual budget of over $8.4 billion. Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), OHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, OHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings to supportive housing.MISSION: "To advance the health of our patients and our communities by providing extraordinary care".WHAT DOES A CHIEF, REVENUE MANAGEMENT, HEALTH SERVICES DO:Administers, plans, directs, and manages revenue and other finance functions of the Department of Health Services (DHS).Management Appraisal of Performance Plan (MAPP): This position is subject to the provisions of the Management Appraisal of Performance Plan (MAPP).

Initial salary placement and subsequent salary adjustments will be made in accordance with MAPP guidelines and regulations.ESSENTIAL JOB FUNCTIONS:Plans and directs the day-to-day centralized finance operations, including cost accounting, general accounting, or invoice processing.Directs the activities related to preparation and filing of the hospital Medicare cost reports, as well as the creation of amendments and/or reopening requests on timely basis, adhering to legal deadlines.Directs the facilitation of the Medicare cost reports and Wage Index audits, which includes participation in entrance/exit conferences and other engagements with the Medicare Administrative Contractor (MAC), ensuring adequate documentation is provided to address the auditors' questions/inquires to prevent audit adjustments.Directs the preparation and submission of timely appeals, participates in negotiating resolutions with the MAC, reviews tentative settlements.Collaborates with the legal counsel on strategies and documentation to support County's position during the appeal processes, both at an administrative and formal levels.Directs the development of technical analysis and financial models to support strategic initiatives, business ideas, and policy impacts involving Medicare add-on payments, such as Medicare Disproportionate Share Hospital (DSH), Indirect Medical Education (IME), Graduate Medical Education (GME), and other supplemental or special payment programs.Serves as a subject matter expert on Medicare reimbursement methodologies and supports hospitals' compliance with complex financial and regulatory requirements.Participates and assists in negotiations, contracting, and drafting of the Medical School Affiliation Agreements and GME Agreements.Meets with the legal and consultant teams to evaluate new/revised Medicare regulation requirements and the impact on the DHS' financial operations; develops strategies and action plans to implement the policies.Lead and manage teams, provides developmental feedback, and advances internal initiatives.Completes administrative requirements of the role in a punctual manner, including training, reporting, forecasting, and all other time-sensitive administrative duties.REQUIREMENTS:REQUIREMENTS TO QUALIFY: Option I : Bachelor's degree from an accredited college or university* in Finance, Accounting, Business Administration, Healthcare Administration, or related fields -AND - Three (3) years of experience in directing one or more of the following complex health care fiscal operations: budgetary projections or reporting; revenue programs; patient, general, or cost accounting; cost reporting; revenue enhancement strategy development; revenue cycle operations; or other major finance-related areas.-OR- Option II : Bachelor's degree from an accredited college or university* in Finance, Accounting, Business Administration, Healthcare Administration, or related fields -AND- One (1) year of experience at the level** of Revenue Manager l*** or higher within a finance division in the County of Los Angeles.**At the level of: You may still qualify even if your job title isn't exactly the same as the ones listed. What matters is that your experience is at a similar level — meaning your job involves similar responsibilities, requires comparable skills and knowledge, and takes place within a similar organizational structure. Please provide a clear explanation of your experience to demonstrate that it is at the appropriate level.***Revenue Manager I in the County of Los Angeles is defined as: Manages and evaluates the revenue generating and cost recovery activities for a 300-500 bed teaching hospital with outpatient clinics capable of 15,000-20,000 clinic visits per month and for the region of which the hospital is a part.PHYSICAL CLASS 2 – Light:This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.LICENSE: A valid California Class C Driver License or the ability to use an alternative method of transportation when needed to carry out job-related essential functions.DESIRABLE QUALIFICATIONS: Additional credit will be given to applicants that possess the following desirable qualifications:Additional experience in excess of the Requirements.Experience in Medicare reimbursement, Medicare cost reporting, Healthcare consulting, or Cost report auditing, including analyzing reimbursement methodologies, preparing or reviewing cost reports, and ensuring compliance with applicable regulatory requirements.Experience performing Medicare consulting or audit activities with a Medicare Administrative Contractor (MAC), including evaluating compliance, reviewing claims or reimbursement processes, and providing recommendations for operational or regulatory improvement.Master's degree* in Health Administration, Business Administration in Healthcare, Healthcare Management, or Public Health.No Out of Class experience or withholds are allowed for this examination. Required experience must be fully met at the time of filing and clearly indicated on the application.SPECIAL REQUIREMENT INFORMATION:*To receive credit for your education, include a legible copy of all relevant official documents, including your diploma, transcript, or letter/certificate from an accredited institution or email it to Kendrea Shelvy at within seven (7) calendar days of filing your application.

The document should show the date the degree was conferred and be in English. If not in English, then translation is required. International degrees must be evaluated for equivalency to U.S. standards if not listed in the International Handbook of Universities or World Higher Education Database. Documents marked as unofficial will not be accepted.ADDITIONAL INFORMATION:EXAMINATION CONTENT:This examination will consist of an Evaluation of Training & Experience (T&E): This assessment type will evaluate the training and experience you list on the online application and supplemental questionnaire and assign a score based on a standardized scoring system.

This part of the assessment is worth 100% of your total score and assesses: Requirements, Desirable Qualifications, and Supplemental Questionnaire. Applicants must achieve a passing score of 70% or above on the examination in order to be added to the eligible list.ELIGIBILITY AND VACANCY INFORMATIONApplications will be processed as they are received and added to the list accordingly.Applicants who passed the assessment(s) are placed on a list for a period of twelve (12) months. We will use this list to fill vacancies in the Department of Health Services as they occur.