Hospital Budget Reimbursement Officer - Budget & Reimbursements Division
Apply NowCompany: Riverside County, CA
Location: Riverside, CA 92503
Description:
Salary : $96,940.33 - $153,861.66 Annually
Location : Riverside
Job Type: Regular
Remote Employment: Flexible/Hybrid
Job Number: 25-74211-JE
Department: RUHS-Medical Center
Division: Budget & Reimbursements
Opening Date: 03/03/2025
Closing Date: 3/3/2025 11:59 PM Pacific
ABOUT THE POSITION
The County of Riverside's Budget and Reimbursement Division with Riverside University Health System's (RUHS) Medical Center seeks a Hospital Budget and Reimbursement Officer to join our team in Riverside. Please note that while the incumbent will provide services to the Medical Center, the position is located in Riverside.
This position will oversee and direct the budget and reimbursement programs at Riverside University Health System-Medical Center (RUHS-MC). Key duties include developing cost reimbursement strategies, preparing third-party reimbursement reports (such as for Medicare and Medi-Cal), compiling data for various reporting needs, responding to audit requests, and managing staff. The role requires analyzing financial data to ensure maximum reimbursements from governmental and third-party agencies, as well as reviewing regulations and making recommendations for financial improvements. The Hospital Budget Reimbursement Officer will also participate in strategic planning and represent the Medical Center at meetings, conferences, and with external agencies.
Desired Qualifications:
Schedule:
This position offers a choice between 5/40 or 9/80 working day shift hours. A hybrid schedule, with a combination of in-office and remote work, may be available after the applicable training period, at the manager's discretion.
Meet the Team!
RUHS Website
EXAMPLES OF ESSENTIAL DUTIES
Supervise the preparation of all third party cost reimbursement reports such as those required for Medicare and Medi-Cal; review third party contracts and direct the development of new agreements to maximize RUHS-MC's financial rate of return.
Monitor and analyze the Medical Center department's budget performance and accounting techniques to determine actual versus budget costs.
Participate in the development of new programs which increase the Medical Center's financial viability; recommend cost shift or accounting strategies to maximize reimbursements.
Review current regulations regarding reimbursement for the Medical Center, clinic healthcare services, and medical education, and make suggestions for maximizing participation in available reimbursement schemes.
Keep abreast of new standards and proposed changes in healthcare rules and regulations which may have a financial impact on the operation of the Medical Center; analyze and report on the potential financial impact of legislative proposals and recommend a medical center policy position for use in legislative lobbying.
Provide information to the Medical Center CFO and management team as a basis for strategic planning discussions; perform special financial studies as assigned by the Medical Center Comptroller.
May represent the Medical Center CFO or Medical Center Comptroller at meetings and conferences; prepare a variety of correspondence and agency reports as required.
MINIMUM QUALIFICATIONS
Education: Graduation from an accredited college or university with a Bachelor's degree preferably with a major in finance, accounting, business administration, or a closely related field to the assignment.
Experience: Four years of fiscal experience in a medical center or healthcare agency which included responsibility for budgets and reimbursements. A minimum of two years of this experience must have been in a supervisory capacity. (Possession of a Master's degree from an accredited college or university in finance, accounting, business or public administration, or a closely related field to the assignment may substitute for a maximum of one year of the required non-supervisory experience.)
SUPPLEMENTAL INFORMATION
For questions regarding this recruitment please contact the recruiter, Jill Eastman at
APPLICATION INFORMATION
Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. The Veterans Preference Policy, C-3 is available here:
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at:
Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.
If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services () or Association of International Credential Evaluators, Inc. ().
Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.
Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.
Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.
General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.
Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.
Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site,
If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.
MEDICAL/DENTAL INSURANCE: A Flexible Benefit Credit is provided on a monthly basis as governed by the Management Resolution or applicable bargaining unit. Vision coverage is provided through Vision Service Plan (VSP) at no cost to employee or eligible dependents.
Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).
A new member is defined as any of the following:
A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System. A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS. A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".
Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:
This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at (951) 955-4981,
Option 2.
If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.
401(a) MONEY PURCHASE PLAN: County contribution of $50 per pay period towards choice between two 401(a) plan providers.
ANNUAL LEAVE (Bi-Weekly Accrual):
0 < 36 months = 8.92 Hours
36 to 108 or more months = 12.00 Hours
Maximum Annual Leave accumulation is 1,800 hours. Employee may receive pay in lieu of up to 80 hours per calendar year. Agency/Department Head may approve an additional 80 hours.
-Annual Leave for Unrepresented Management Attorneys:
Maximum Annual Leave accumulation is 2,000 hours. Refer to Article 22 of the Management Resolution for a list of job classifications included.
HOLIDAYS: Normally 12 paid holidays per year.
BEREAVEMENT LEAVE: 5 days (3 days are County paid; 2 days can be taken through use of accrued leave balances).
BASIC LIFE INSURANCE: $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.
LONG-TERM DISABILITY (LTD): Benefit pays 66.67% of earnings to a maximum of $10,000 per month; 30-day waiting period; pays to age 65. Benefit can be coordinated with other available leave balances to provide up to 100% of pay.
POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the Management Resolution or applicable bargaining unit.
OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding, Management Resolution, or Salary Ordinance. Please contact the recruiter listed on the job posting directly for more information..
01
I understand that my application may not be considered further if my resume does not include specific examples that align with the answers provided in the screening questions.
02
What is the highest level of education you have from an accredited college or university in finance, accounting, business administration, or a closely related field?
03
How many years of experience do you have in fiscal management within a medical center or healthcare agency, specifically involving budgets and reimbursements?
04
How many years of your fiscal management experience have been in a supervisory capacity, overseeing budgets and reimbursements?
05
How many years of experience do you have in fiscal reporting, including preparing and analyzing financial statements and reports?
06
How many years of experience do you have analyzing financial trends, budgets, and variances to ensure regulatory adherence and optimize financial outcomes?
07
How many years of experience do you have ensuring financial compliance with healthcare regulations such as Medicare, Medi-Cal, OSHPD, and DHCS?
Required Question
Location : Riverside
Job Type: Regular
Remote Employment: Flexible/Hybrid
Job Number: 25-74211-JE
Department: RUHS-Medical Center
Division: Budget & Reimbursements
Opening Date: 03/03/2025
Closing Date: 3/3/2025 11:59 PM Pacific
ABOUT THE POSITION
The County of Riverside's Budget and Reimbursement Division with Riverside University Health System's (RUHS) Medical Center seeks a Hospital Budget and Reimbursement Officer to join our team in Riverside. Please note that while the incumbent will provide services to the Medical Center, the position is located in Riverside.
This position will oversee and direct the budget and reimbursement programs at Riverside University Health System-Medical Center (RUHS-MC). Key duties include developing cost reimbursement strategies, preparing third-party reimbursement reports (such as for Medicare and Medi-Cal), compiling data for various reporting needs, responding to audit requests, and managing staff. The role requires analyzing financial data to ensure maximum reimbursements from governmental and third-party agencies, as well as reviewing regulations and making recommendations for financial improvements. The Hospital Budget Reimbursement Officer will also participate in strategic planning and represent the Medical Center at meetings, conferences, and with external agencies.
Desired Qualifications:
- Strong background in finance, accounting, and healthcare reimbursements with expertise in fiscal reporting and compliance.
- Proficient in preparing Medicare, Medi-Cal, OSHPD, and DHCS reports, and analyzing financial data for audits and reimbursements.
- Experienced in team management, staff training, and leading financial analysis efforts.
- Advanced proficiency in EPIC & PeopleSoft
- Skilled in analyzing financial trends, budgets, and variances to ensure regulatory adherence and optimize financial outcomes.
Schedule:
This position offers a choice between 5/40 or 9/80 working day shift hours. A hybrid schedule, with a combination of in-office and remote work, may be available after the applicable training period, at the manager's discretion.
Meet the Team!
RUHS Website
EXAMPLES OF ESSENTIAL DUTIES
Supervise the preparation of all third party cost reimbursement reports such as those required for Medicare and Medi-Cal; review third party contracts and direct the development of new agreements to maximize RUHS-MC's financial rate of return.
Monitor and analyze the Medical Center department's budget performance and accounting techniques to determine actual versus budget costs.
Participate in the development of new programs which increase the Medical Center's financial viability; recommend cost shift or accounting strategies to maximize reimbursements.
Review current regulations regarding reimbursement for the Medical Center, clinic healthcare services, and medical education, and make suggestions for maximizing participation in available reimbursement schemes.
Keep abreast of new standards and proposed changes in healthcare rules and regulations which may have a financial impact on the operation of the Medical Center; analyze and report on the potential financial impact of legislative proposals and recommend a medical center policy position for use in legislative lobbying.
Provide information to the Medical Center CFO and management team as a basis for strategic planning discussions; perform special financial studies as assigned by the Medical Center Comptroller.
May represent the Medical Center CFO or Medical Center Comptroller at meetings and conferences; prepare a variety of correspondence and agency reports as required.
MINIMUM QUALIFICATIONS
Education: Graduation from an accredited college or university with a Bachelor's degree preferably with a major in finance, accounting, business administration, or a closely related field to the assignment.
Experience: Four years of fiscal experience in a medical center or healthcare agency which included responsibility for budgets and reimbursements. A minimum of two years of this experience must have been in a supervisory capacity. (Possession of a Master's degree from an accredited college or university in finance, accounting, business or public administration, or a closely related field to the assignment may substitute for a maximum of one year of the required non-supervisory experience.)
SUPPLEMENTAL INFORMATION
For questions regarding this recruitment please contact the recruiter, Jill Eastman at
APPLICATION INFORMATION
Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. The Veterans Preference Policy, C-3 is available here:
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at:
Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.
If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services () or Association of International Credential Evaluators, Inc. ().
Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.
Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.
Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.
General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.
Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.
Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site,
If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.
MEDICAL/DENTAL INSURANCE: A Flexible Benefit Credit is provided on a monthly basis as governed by the Management Resolution or applicable bargaining unit. Vision coverage is provided through Vision Service Plan (VSP) at no cost to employee or eligible dependents.
Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).
- Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
- Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
- Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023, the employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.
A new member is defined as any of the following:
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".
Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:
This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at (951) 955-4981,
Option 2.
If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.
401(a) MONEY PURCHASE PLAN: County contribution of $50 per pay period towards choice between two 401(a) plan providers.
ANNUAL LEAVE (Bi-Weekly Accrual):
0 < 36 months = 8.92 Hours
36 to 108 or more months = 12.00 Hours
Maximum Annual Leave accumulation is 1,800 hours. Employee may receive pay in lieu of up to 80 hours per calendar year. Agency/Department Head may approve an additional 80 hours.
-Annual Leave for Unrepresented Management Attorneys:
Maximum Annual Leave accumulation is 2,000 hours. Refer to Article 22 of the Management Resolution for a list of job classifications included.
HOLIDAYS: Normally 12 paid holidays per year.
BEREAVEMENT LEAVE: 5 days (3 days are County paid; 2 days can be taken through use of accrued leave balances).
BASIC LIFE INSURANCE: $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.
LONG-TERM DISABILITY (LTD): Benefit pays 66.67% of earnings to a maximum of $10,000 per month; 30-day waiting period; pays to age 65. Benefit can be coordinated with other available leave balances to provide up to 100% of pay.
POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the Management Resolution or applicable bargaining unit.
OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding, Management Resolution, or Salary Ordinance. Please contact the recruiter listed on the job posting directly for more information..
01
I understand that my application may not be considered further if my resume does not include specific examples that align with the answers provided in the screening questions.
- Yes
- No
02
What is the highest level of education you have from an accredited college or university in finance, accounting, business administration, or a closely related field?
- None of these
- Less than 30 semester or 45 quarter units
- At least 30 semester or 45 quarter units
- At least 60 semester or 90 quarter units
- At least 90 semester or 135 quarter units
- At least 120 semester or 180 units
- I have my Associates degree
- I have my Bachelors degree
- I have my Masters degree
- I have my Doctorate degree
03
How many years of experience do you have in fiscal management within a medical center or healthcare agency, specifically involving budgets and reimbursements?
- No Experience
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
04
How many years of your fiscal management experience have been in a supervisory capacity, overseeing budgets and reimbursements?
- None
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
05
How many years of experience do you have in fiscal reporting, including preparing and analyzing financial statements and reports?
- No Experience
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
06
How many years of experience do you have analyzing financial trends, budgets, and variances to ensure regulatory adherence and optimize financial outcomes?
- No Experience
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
07
How many years of experience do you have ensuring financial compliance with healthcare regulations such as Medicare, Medi-Cal, OSHPD, and DHCS?
- No Experience
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
Required Question