Senior Manager, Transplant Finance Operations

Be a part of a world-class academic healthcare system, UChicago Medicine, as a Senior Manager, Transplant Finance Operations located at our Hyde Park campus. At UChicago Medicine, we bring the world’s most innovative approaches to patients with all conditions, from common to complex. You will have the ability to work with physicians that are constantly pushing the bounds of possibility forward, conducting groundbreaking research and providing lifesaving, personalized patient care. This position is hybrid and may require you to be onsite.

In this role the Senior Manager, Transplant Finance Operations will be responsible for managing financial operations related to transplant cost reporting, payer reimbursement, and financial compliance. This role will focus on Medicare cost reporting, PKE (Paired Kidney Exchange) reimbursement, living donor billing, and financial work queues for all transplant recipients for all organs (work Qs). The position plays a crucial role in ensuring accurate and timely financial reporting, optimizing reimbursement, and supporting operational decision-making. The Transplant Institute’s Financial Transplant Specialist team will report up to this position, as they will have the expertise and industry knowledge to inform and educate the specialists on CMS regulations and reduce missed reimbursements, compliance issues that could result in financial penalties, and waste.

Essential Job Functions

• Manage and prepare Medicare Transplant Cost Reports in compliance with CMS regulations.
• Analyze transplant-related expenses and allocate costs appropriately within cost reports.
• Work closely with finance and compliance teams to optimize reimbursement strategies.
• Assist in annual financial audits and provide necessary documentation.
• PKE & Living Donor Billing
• Oversee billing and reimbursement for Paired Kidney Exchange (PKE) cases, ensuring proper payer allocation.
• Manage living donor transplant billing, including coordination with payers, tracking reimbursement, and addressing denials.
• Monitor payer contracts to ensure proper billing and reimbursement practices.
• Process and review financial work queues (Work Qs) to ensure proper charge capture and reimbursement for all organs.
• Identify and resolve billing discrepancies, ensuring accurate transplant financial data.
• Collaborate with revenue cycle teams to address claim denials and appeals related to transplant services.
• Develop financial models and reimbursement projections for transplant programs.
• Analyze payer reimbursement trends to support financial decision-making.
• Work closely with transplant leadership to provide financial insights and operational recommendations.
• Partner with Transplant Finance, Revenue Cycle, and Compliance teams to improve billing workflows.
• Ensure adherence to Medicare, Medicaid, and private payer billing guidelines.
• Lead initiatives to streamline transplant cost reporting and financial processes.

Required Qualifications

• Bachelor’s degree in finance, Accounting, Healthcare Administration, or 15 years of aggressive

experience with transplant financial operations in an academic medical center or large health system or a related field.

• Minimum 10 years of experience in transplant finance, revenue cycle, or healthcare reimbursement.
• Expertise in Medicare cost reporting and reimbursement regulations.
• Strong knowledge of transplant billing, PKE reimbursement, and living donor financial processes.
• Experience working with Epic Work Qs or similar financial workflow systems.

Position Details

• Job Type/FTE: 1.0
• Shift: Days
• Unit/Department: Transplant
• CBA Code: Non-Union

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

UChicago Medicine is an equal opportunity employer.  We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits.  The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.