UChicago Medicine · 3 hours ago
Contract Management Analyst
Burr Ridge, IL
Contract
Onsite
Mid, Senior Level
5+ years expUChicago Medicine is one of the nation’s most comprehensive academic medical centers, and they are seeking a Contract Management Analyst for their Finance- Managed Care team. The Analyst will be responsible for building third-party payer contract reimbursement terms, maintaining contract profiles, and conducting variance analyses to ensure compliance and accuracy in reimbursements.
Health CareHospitalMedicalMedical Device
Responsibilities
Responsible for all payer contract profile builds including calculation of expected reimbursement terms in all FFS contracts and contract rate model builds for system hospitals and physicians in any contract management system
Leads ongoing maintenance and auditing of contract management rate calculations to check for variances to expected contract terms
Works with OMC and Revenue Cycle teams on variance analysis of contract profile outputs to current payments
Based on review of models and audits for variance, works with these parties and payers on underpay opportunities and payment issues stemming from non-compliance with contract terms
Create reports of contract outputs, historical trends, and variance analyses as needed for OMC, revenue cycle, and senior leadership
Review payer contract proposal terms, in conjunction with OMC leaders, for accuracy and implementation feasibility
Continued education on ever-changing reimbursement rules and policy updates both commercial and governmental that impact expected reimbursement and contract profiles and education of internal stakeholders on reimbursement terms, methodology and impacts as needed
Qualification
Required
Bachelor's degree in Business, Finance, Healthcare, or related field, or a combination of relevant education and experience
Five or more years of experience in a multi-facility health system in either: Finance operations like managed care (preferred), cost accounting, planning, or budget; Revenue cycle operations such as billing, collections, or payment processing
Detailed knowledge of hospital and physician complex reimbursement methodologies, particularly fee for service commercial contracts as well as Medicare and Medicaid
Excellent understanding of contract language and rate terms, physician and hospital coding and billing, claims forms and claim payment methodologies, payer EOBs, and insurance laws. Examples include: Proficient understanding of MS-DRG, APC, EAPG, case rate, stoploss, carveout reimbursement methodologies; Proficient understanding of Revenue Code and CPT coding in a clinical/hospital/ASC/physician office setting; Proficient manage care contract rate interpretation skills
Requires familiarity and aptitude with contract management systems or modeling systems and/or cost accounting systems that build payer contract profiles
Requires individuals with high mathematical acumen, ability to access and assimilate data, articulate a strong case for a recommended course of action
Excellent analytical and problem solving skills, and the ability to make decisions quickly and independently
Strong attention to detail and well organized
Adapts well to rapid change and multiple, demanding priorities with excellent time and project management skills
Ability to understand and interpret federal regulations and policies, coding guidelines and reimbursement changes
Interact effectively with colleagues in a variety of contexts and forums and contribute as a team player
Microsoft Office Suite advanced proficiency also required, particularly Excel. Strong aptitude for learning additional software or systems as needed, particularly finance and revenue cycle billing systems
Preferred
Value based care (VBC) risk reimbursement structure knowledge preferred
Experience with payer compliance review including underpayment variances and denial management highly desirable
Certification in Epic Resolute Expected Reimbursement Contracts Administration and NThrive Contract Management system- If you don't currently have certification, You must obtain within 6 months of employment
Company
UChicago Medicine
The University of Chicago Medicine has been at the forefront of medicine since 1927, when we cared for our first patients.
5001-10000 employees
H1B Sponsorship
UChicago Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (38)
2024 (31)
2023 (28)
2022 (17)
2021 (23)
2020 (17)
Funding
Current Stage
Late StageTotal Funding
$112.4MKey Investors
National Institutes of Health
2019-04-10Grant· $9M
2018-10-14Grant· $3.4M
2017-05-24Grant· $100M
Leadership Team
Ivan Samstein
Executive Vice President and Chief Financial Officer, University of Chicago Medicine
Jason Keeler
Executive Vice President and COO
Recent News
Chicago Business Journal
2025-03-10
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