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

Salary : $141,907.20 - $220,694.40 Annually
Location : Los Angeles County, CA
Job Type: Full time
Job Number: Y4608G
Department: HEALTH SERVICES
Opening Date: 04/30/2026

Position/Program Information
EXAM NUMBER

Y4608G
TYPE OF RECRUITMENT

We 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.

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.

Check Out Our Outstanding Benefits! to see a list of employee benefits!
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, 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 II:
Bachelor'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 - 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 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 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:

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 INFORMATION

Applications 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 INFORMATION:Appointees 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 NUMBER
Federal law requires that all employed persons have a Social Security Number, so include yours when applying.

COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES
For 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

NO SHARING OF USER ID, E-MAIL, AND PASSWORD
All 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 CONTACT:
Kendrea Shelvy, Exam Analyst
(213) 288-7000
CALIFORNIA RELAY SERVICES PHONE:
(800) 735-2922
COUNTY OF LOS ANGELES

Employment Information

Any 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.