Senior Director, Contract Compliance & Performance
About The Position
The Senior Director, Contract Compliance & Performance is a senior operational and analytical leader responsible for executing the enterprise Contract Compliance & Performance strategy under the direction of the Associate Vice President, Contract Compliance & Performance. The Senior Director leads the day-to-day monitoring, analysis, validation, and remediation of payer contract performance across the health system, including hospital, ambulatory, physician, and faculty practice operations. The position translates payer contract requirements into measurable operational controls, reimbursement analytics, monitoring processes, and actionable performance intelligence. The Senior Director is responsible for identifying discrepancies between contracted and actual reimbursement, quantifying financial impact, coordinating root-cause analysis, and driving resolution of contract-performance issues. Working in close partnership with Managed Care Contracting, Revenue Cycle, Finance, Patient Financial Services, Physician Enterprise, Faculty Practice, Information Technology, Data & Analytics, Compliance, Legal, and operational leadership, the Senior Director ensures that contract-performance issues are identified early, appropriately escalated, and resolved through sustainable corrective and preventive actions. The Senior Director serves as a key deputy to the AVP and provides leadership for the operational execution and maturation of the Contract Compliance & Performance function.
Requirements
- Senior operational and analytical leader
- Experience in executing enterprise Contract Compliance & Performance strategy
- Experience in leading day-to-day monitoring, analysis, validation, and remediation of payer contract performance
- Experience in translating payer contract requirements into measurable operational controls, reimbursement analytics, monitoring processes, and actionable performance intelligence
- Experience in identifying discrepancies between contracted and actual reimbursement, quantifying financial impact, coordinating root-cause analysis, and driving resolution of contract-performance issues
- Experience working in partnership with Managed Care Contracting, Revenue Cycle, Finance, Patient Financial Services, Physician Enterprise, Faculty Practice, Information Technology, Data & Analytics, Compliance, Legal, and operational leadership
- Leadership experience for operational execution and maturation of a Contract Compliance & Performance function
Responsibilities
- Leads the day-to-day monitoring, analysis, validation, and remediation of payer contract performance across the health system, including hospital, ambulatory, physician, and faculty practice operations.
- Translates payer contract requirements into measurable operational controls, reimbursement analytics, monitoring processes, and actionable performance intelligence.
- Identifies discrepancies between contracted and actual reimbursement, quantifies financial impact, coordinates root-cause analysis, and drives resolution of contract-performance issues.
- Ensures that contract-performance issues are identified early, appropriately escalated, and resolved through sustainable corrective and preventive actions.
- Serves as a key deputy to the AVP and provides leadership for the operational execution and maturation of the Contract Compliance & Performance function.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
