Director of Payer Compliance

Responsible for leading the payer compliance monitoring and reimbursement integrity for the UChicago Medicine (UCM) Revenue Cycle for contracted fee-for-service payers including Commercial payers, International payers, Medicare Advantage payers and Medicaid MCO payers by conducting payment variance analyses, monitoring expected reimbursement against payment activity, and preparing reports and analyses to inform revenue cycle and Office of Managed Care (OMC) leadership of payer compliance issues that do not conform to contractual terms. The Director of Payer Compliance will be responsible for overseeing the management of the Underpayment Analysts and Payer Compliance Analysts within Patient Financial Services. Partner with revenue cycle and OMC team members to ensure successful contract monitoring and enforcement by co-leading the payer Joint Operating Committee (JOC) meetings with the goal to identify and escalate high level issues for remediation and root cause analysis.