Job Description

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