Government Cost Report Analyst - Hybrid - 139367

UC San Diego Health; San Diego (CA); Hybrid; USD 100,000 - 127,000; Full time

Job summary

UC San Diego Health is seeking a Reimbursement Analyst to provide analysis of government reimbursement, including Medicare, Medi-Cal, and HCAI. You will prepare monthly AR valuations and assess net revenue impacts while supporting regulatory reporting and audit responses.

The role requires extensive knowledge of healthcare reimbursement, data analysis, and project management, with a hybrid work arrangement and a 100% appointment. Join our academic health system in the San Diego area.

Qualifications

• Nine (9) years of related experience, education/training, OR a Bachelor’s degree in related area plus five (5) years of related experience/training.
• Maintains advanced knowledge in healthcare reimbursement revenue cycle workflow, financial reporting concepts and industry best practices.
• In-depth knowledge of Medicare, Medi-Cal, and third party payer regulations.
• Advanced skills in data management and analysis.
• Project management skills to lead a team and see projects through.

Responsibilities

• Support and analysis of government reimbursement for the hospital, including Medicare, Medi-Cal, and HCAI.
• Prepare monthly Accounts Receivable Valuation and Net Revenue Impacts.
• Assist with audits such as Medicare, Medi-Cal, HCAI, OIG, and annual financial audits.

Skills

Advanced data analysis

Project management

Interpersonal skills

Effective communication

Policy knowledge

Education

Bachelor’s degree in related area

Job description

Department

Payroll Title: FINANCIAL SERVICES

Hiring Pay Scale: $100,000 - $127,000 / Year

Worksite: Greenwich Drive

Appointment Type: Career

Appointment Percent: 100%

Union: Uncovered

Total Openings: 1

Work Schedule: Days, 8-Hour Shifts, Monday-Friday

#139367 Reimbursement Analyst - Hybrid

Extended Deadline: Tue 8/25/2026

Description

The Reimbursement Analyst provides support and analysis of government reimbursement for the hospital, this includes Medicare, Medi-Cal, and HCAI, etc. The Reimbursement Analyst prepares monthly Accounts Receivable Valuation and Net Revenue Impacts. This role ensures timely and accurate financial and governmental reporting such as Annual Medicare Cost Reports, Annual and Quarterly HCAI reports. Prepares audit responses for all relevant external and internal audit reviews, including those conducted by Medicare, Medi-Cal, HCAI, OIG, and other agencies, as well as the health system’s annual financial audit. The Analyst is responsible for monitoring of state and federal regulatory proposals related to healthcare payment policies with the ability to perform impact assessments.

Minimum Qualifications

• Nine (9) years of related experience, education/training, OR a Bachelor’s degree in related area plus five (5) years of related experience/training. Related experience includes: Medicare, Medi-Cal, HCAI, OSHPD, P14, Medi-Cal Waiver cost report preparation or audit. Accounts Receivable Valuation and performing complex financial analysis. Hospital finance and budgets.
• Maintains advanced knowledge in healthcare reimbursement revenue cycle workflow, financial reporting concepts and industry best practices. Proven ability to apply knowledge and skills to identify improvements.
• Comprehensive knowledge of relevant department, medical center, and UC policies and processes. In-depth knowledge of relevant Medicare, Medi-Cal, and third party payer regulations. Ability to apply policy knowledge to proactively identify potential risk areas.
• Advanced skills in data management and analysis.
• Project management skills to lead a team, prioritize personal and team tasks and see projects through from inception to completion on schedule. Demonstrates adaptability and flexibility to effectively handle change.
• Advanced knowledge of financial analysis, research, and reporting, particularly as it applies to reimbursement in healthcare settings.
• Advanced interpersonal skills, with the ability to collaborate effectively on highly-complex projects in a team environment with a wide variety of business and clinical areas.
• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations to all levels of staff and management.
• Ability to perform all commonly applicable functions in word processing and spreadsheet software. Advanced knowledge of organization's Reimbursement Healthcare application programs to troubleshoot issues and recommend improvements in convenience and efficiency.

Preferred Qualifications

• Experience working within a Health Insurance Company.
• Experience working within a Medicare Intermediary.
• Performed Impact Analysis of government regulations.
• History with academic medical center, organ transplant hospital, Medicare Intermediary, Healthcare Consulting.
• Experience demonstrating process improvement.

Special Conditions

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: Unclassified - No data available (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: Unclassified - No data available

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

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 status under state or federal law.

For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.

Misconduct Disclosure Requirement

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.

• "Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct:
• UC Sexual Violence and Sexual Harassment Policy
• UC Anti-Discrimination Policy
• Abusive Conduct in the Workplace