Associate Vice President, Contract Compliance & Performance
About The Position
The Associate Vice President of Contract Compliance & Performance provides enterprise leadership for the governance, monitoring, analytics, and performance management of payer contracts across the health system, including hospital, ambulatory, physician, and faculty practice operations. Reporting to the Vice President of Revenue Reporting and Intelligence, the AVP establishes the framework, processes, analytics, controls, and accountability necessary to ensure that payer contract terms are accurately interpreted, operationalized, monitored, and reflected in reimbursement outcomes. The AVP serves as the enterprise subject matter expert for payer contract performance and compliance and works collaboratively with Managed Care Contracting, Revenue Cycle, Finance, Compliance, Legal, Patient Financial Services, Physician Enterprise, Faculty Practice, Clinical Operations, Information Technology, Data & Analytics, and other stakeholders. The role is responsible for identifying and quantifying contract-performance opportunities and risks, monitoring actual versus expected reimbursement, establishing appropriate controls and escalation mechanisms, and driving resolution of material reimbursement variances. The AVP will develop and mature an enterprise Contract Compliance & Performance function that integrates contractual knowledge, reimbursement analytics, operational controls, data intelligence, and cross-functional accountability to improve financial performance, strengthen contractual compliance, and reduce revenue leakage and financial risk.
Requirements
- Enterprise leadership for governance, monitoring, analytics, and performance management of payer contracts.
- Establishment of framework, processes, analytics, controls, and accountability for contract interpretation, operationalization, monitoring, and reimbursement outcomes.
- Subject matter expertise in payer contract performance and compliance.
- Collaboration with diverse stakeholders across the health system.
- Identification and quantification of contract performance opportunities and risks.
- Monitoring of reimbursement variances.
- Establishment of controls and escalation mechanisms.
- Resolution of material reimbursement variances.
- Development and maturation of a Contract Compliance & Performance function.
Responsibilities
- Provides enterprise leadership for the governance, monitoring, analytics, and performance management of payer contracts across the health system.
- Establishes the framework, processes, analytics, controls, and accountability necessary to ensure that payer contract terms are accurately interpreted, operationalized, monitored, and reflected in reimbursement outcomes.
- Serves as the enterprise subject matter expert for payer contract performance and compliance.
- Works collaboratively with various departments including Managed Care Contracting, Revenue Cycle, Finance, Compliance, Legal, Patient Financial Services, Physician Enterprise, Faculty Practice, Clinical Operations, Information Technology, Data & Analytics, and other stakeholders.
- Identifies and quantifies contract-performance opportunities and risks.
- Monitors actual versus expected reimbursement.
- Establishes appropriate controls and escalation mechanisms.
- Drives resolution of material reimbursement variances.
- Develops and matures an enterprise Contract Compliance & Performance function that integrates contractual knowledge, reimbursement analytics, operational controls, data intelligence, and cross-functional accountability.
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What This Job Offers
Job Type
Full-time
Career Level
Executive
Education Level
No Education Listed
