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County of Los Angeles
Y4608G
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.
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.
"To advance the health of our patients and our communities by providing extraordinary care".
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! CLICK HERE to see a list of employee benefits!
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.
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-
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.
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.
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.
Additional credit will be given to applicants that possess the following desirable qualifications:
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.
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.
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.
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)"
Appointees may be required to work any shift, including evenings, nights, weekends, and holidays.
We 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.
Federal law requires that all employed persons have a Social Security Number, so include yours when applying.
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 https://lacountylibrary.org/library-locator.
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.
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.
Kendrea Shelvy, Exam Analyst
(213) 288-7000
(800) 735-2922
Matched to your profile
We surface this role because it matches profiles like yours, not because we vet the employer. Always confirm the pay, location, and remote details on County of Los Angeles's official site before you apply.