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

Position/Program InformationEXAM NUMBERY4608GTYPE OF RECRUITMENTWe welcome applications from anyone.The application filing period will begin on Friday, May 1, 2026, at 8:00 a.m. (PT) - Continuous.We will keep accepting applications until the position is filled. The application window may close unexpectedly once we have enough qualified candidates.WHY WORK FOR US?The 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.For additional information regarding DHS please visit www.dhs.lacounty.gov .Mission"To advance the health of our patients and our communities by providing extraordinary care".What Does a Chief, Revenue Management, Health Services DoAdministers, 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.Check Out Our Outstanding Benefits! CLICK HERE to see a list of employee benefits!Essential Job FunctionsPlans 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 IBachelor’s degree from an accredited college or university* in Finance, Accounting, Business Administration, or Healthcare Administration -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 IIBachelor’s degree from an accredited college or university* in Finance, Accounting, Business Administration, or Healthcare Administration, -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 – LightThis 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.LicenseA 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 QualificationsAdditional 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 InformationTo receive credit for your education, include a legible copy of your official diploma, official transcript ( which shows proof of degree awarded), or letter/certificate from an accredited institution with 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. If you are unable to attach required/supporting documents at the time of filing, you must email the documents to Kendrea Shelvy at kshelvy@dhs.lacounty.gov within seven (7) calendar days of filing your online application or you will not receive credit. Please include your name (as it appears on your online application), the examination title and number in the subject of your email.For more information on our standards for educational documents, please visit: https://file.lacounty.gov/SDSInter/dhr/070812_PPG123.pdf (Download PDF reader)We do not accept password-protected documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst.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."We may use an alternative banding method in line with Civil Service Rule 11.01 (D)"Special InformationAppointees may be required to work any shift, including evenings, nights, weekends, and holidays.APPLICATION AND FILING INFORMATIONWe only accept applications filed online. Applications submitted by U.S. mail, fax, or in person are not accepted. Apply online by clicking on the green "Apply" button at the top right of this posting. This website can also be used to get application status updates.Please fill out the application completely. Provide relevant job experience including employer's name and address, job title, beginning and ending dates, number of hours worked per week, and description of work performed.We may verify information included in the application at any point during the examination and hiring process, including after an appointment has been made. Falsification of information could result in refusal of application or rescission of appointment. Copying verbiage from the Requirements or class specification as your work experience will not be sufficient to demonstrate meeting the requirements. Doing so may result in an incomplete application and may lead to disqualification. Comments such as “See Resume” or referencing other unsolicited materials/documents will not be considered a response.SOCIAL SECURITY NUMBERFederal law requires that all employed persons have a Social Security Number, so include yours when applying.COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIESFor candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. Please refer to their website for updated information https://lacountylibrary.org/library-locator .NO SHARING OF USER ID, E-MAIL, AND PASSWORDAll applicants must file their application using their own user ID and password. Using a family member's or friend's user ID and password may erase a candidate's original application record.ANTI-RACISM, DIVERSITY, AND INCLUSION (ARDI)The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. We are committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices.Department ContactKendrea Shelvy, Exam Analyst(213) 288-7000kshelvy@dhs.lacounty.govCalifornia Relay Services Phone(800) 735-2922COUNTY OF LOS ANGELES Employment InformationAny language contained in the job posting supersedes any language contained below.This document is intended to provide general information about the recruitment process of the County of Los Angeles. Applicants with questions about a specific job posting should contact the exam analyst listed on the posting.Equal Employment Opportunity/Non-Discrimination StatementThe County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non-discrimination in the County workforce, regardless of age (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic information; military and veteran status; national origin; race ; sex; gender; sexual orientation; or any other characteristic protected by State or federal law. For more information, please visit: https://employee.hr.lacounty.gov/eeo-programs/ .Testing Accommodations For ApplicantsThe County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. For more information on accommodations, please visit: https://hr.lacounty.gov/accessibility/ .Fair ChanceThe County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about conviction history unless you receive a conditional offer of employment. The County will make an individualized assessment of whether your conviction history has a direct and adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, which may include, but is not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. Qualified applicants with arrest or conviction records will be considered for employment in accordance with County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).Employment EligibilityFinal appointment is contingent upon verification of U.S. citizenship or the right to work in the United States.Career PathFinderResources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application at http://career-pathfinder.hr.lacounty.gov .Veteran’s CreditPursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.For more information on veteran’s credit, please visit: https://file.lacounty.gov/SDSInter/dhr/205102_PPG_115.pdfRevised September 2025