• Ensure timely and accurate filing of annual government cost reports, including Medicare, Medi-Cal, and HCAI submissions. • Maintain comprehensive knowledge of federal and state reimbursement laws and regulations to maximize reimbursement. • Develop, implement, and maintain internal policies and procedures to ensure complete and accurate capture of all legitimate reimbursement opportunities. • Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when necessary (e.g., CMS disputes). • Review third-party contractual allowances, settlements, and variances (actual vs. budget) to support accurate financial reporting. • Participate in the annual budget development process by providing detailed analysis and projections related to government payor net income. • Prepare and respond to year-end financial audits, specifically related to third-party liabilities and balance sheet reserves. • Serve as the subject matter expert on regulatory compliance reporting, including Medicare and Medi-Cal cost reports • Lead alignment of compliance reporting processes across SHC-related entities and partner organizations. • Continuously assess and improve reimbursement and reporting processes to increase efficiency, accuracy, and scalability. • Oversee invoicing, contract compliance, and financial administration for non-patient care service agreements, such as Graduate Medical Education (GME) affiliation agreements and Physician outreach and other academic/clinical support contracts. • Coordinate with internal department, affiliated entities, and external partners to ensure contract terms are accurately maintained and executed. • Ensure obligations are properly managed and tracked within the Workday customer management model. • Serve as the subject matter expert for the Workday customer management model, assisting in the development and enhancement of business process workflows. • Participate in system testing and user acceptance activities related to workflow improvements and updates within Workday. • Promote a culture of learning, continuous improvement, and compliance across the reimbursement function. • Mentor and develop staff to deepen their knowledge of reimbursement regulations, reporting, and methodologies. • Support talent development and succession planning by identifying growth opportunities and preparing high-potential staff for future leadership roles. • Work cross-functionally with leaders and staff from various departments and backgrounds to address complex reimbursement and compliance matters. • Communicate complex, variable reimbursement and regulatory issues in clear, concise narratives to support strategic decision-making. • Provide analytical and subject matter support to broader strategic and financial initiatives as needed.