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This position has closed. Northwestern Medicine removed this listing from their careers page on Oct 5, 2026. The interview prep below is still useful, and there are similar open roles at the bottom of this page.

Manager-Transplant Finance and Performance

Northwestern Medicine · Chicago, IL · Full time · Health Care Provider

Posted Sep 23, 2026 · We last checked this listing on Oct 5, 2026

Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a dashboard you built that leaders actually used to make decisions. What made it useful?

What they are checking: Whether they design reporting around decisions people need to make rather than just dumping available data.

Describe a process improvement project you led from start to finish. How did you measure whether it worked?

What they are checking: Whether they can run a real project with a baseline, a change, and honest results rather than just a plan.

Tell me about a time you had to deliver bad financial news to clinical leaders. How did you frame it?

What they are checking: Whether they can share hard numbers in a way clinicians hear and act on instead of becoming defensive.

What would you do

You're reviewing acquisition billing and find charges that never dropped for several recent kidney evaluations. How do you track down the cause and fix it?

What they are checking: Whether they can trace a revenue leak through clinical and billing workflows and fix the process, not just the instance.

A transplant surgeon disputes your numbers and says the program is more profitable than your report shows. How do you handle that?

What they are checking: Whether they can defend their analysis with clinicians while staying open to finding a real error in their own work.

Volume for liver transplants dropped 15 percent this quarter. What would you look at first, and how would you explain it to the director?

What they are checking: Whether they can separate clinical, referral, and organ supply causes and tell a clear story with the data.

About the work

Explain how organ acquisition cost works on the Medicare cost report and why it matters so much for a transplant program's finances.

What they are checking: Whether they truly understand the organ acquisition cost center, which drives a large share of transplant reimbursement.

Walk me through how you would build the annual operating and capital budget for a multi-organ transplant program.

What they are checking: Whether they know the drivers of transplant volume, staffing, and capital needs and can turn them into a defensible budget.

How do CMS and UNOS requirements shape the way you track and report transplant program costs and performance?

What they are checking: Whether they understand the regulatory frame that limits how transplant finances are recorded and reviewed.

How do you work with organ procurement organizations on invoicing and cost reconciliation?

What they are checking: Whether they understand the money flow with OPOs, where errors are common and expensive to unwind.

Which tools do you use for financial modeling and reporting, and how comfortable are you pulling your own data?

What they are checking: Whether they can work independently with data rather than waiting on analysts for every question.

Practice this interview out loud.

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The full job description

As published by Northwestern Medicine.

The Manager-Transplant Finance and Performance reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Manager Transplant Finance and Performance is responsible for the financial management of the transplant program in compliance with policies and procedures established by CMS, UNOS, other regulatory agencies and organ procurement organizations. The Manager, Transplant Finance and Performance will also lead initiatives related to data analysis, process improvement, and strategic/operational project management, and will work closely with managers, directors, clinicians, quality leads, and other team members to develop work plans, metrics and resources to achieve the department’s strategic goals and objectives. Responsibilities: • Creates annual operating and capital budgets. • Develops and distributes comprehensive financial reports on a regular basis. • Generates department and service line dashboards and other reporting needs. • Develops and implements procedures to support successful financial performance of the program. Evaluates, develops, and implements monitoring mechanisms for financial performance. • Monitors acquisition billing and ensures charges are appropriately dropped and tracked. • Works with Finance to submit data required for the Medicare Cost Report and ensures compliance with cost report regulations, including monitoring time studies. • Manages philanthropic and other funds to ensure appropriate documentation for disbursement. • Completes Standard Acquisition Charge (SAC) review on a regular basis. • Ensures all finance related accounting functions are performed in a timely manner. • Coordinates with Financial Analyst to ensure day-to-day financial tasks are completed (i.e. processing invoices, invoicing, creating and monitoring purchase orders, etc.). • Manages Transplant Center contracts and collaborates with appropriate parties for renewal/termination/initiation of new agreements as well as single case agreements. • Tracks patient hotel usage and monitors for compliance with policy. • Creates and submits capital requests. • Monitors and maintains charge master. • Ensures timely and accurate billing and collection of transplant accounts. • Ensures timely and coordinated responses to UNOS, ASBMT, and payor/network RFI requests. • Optimizes and monitors usage of living donor assistance funds, both internal and external (e.g. NLDAC). • Supports charity care requests in partnership with Finance, Managed Care, and other NM departments. • Ensures compliance with all legal and regulatory requirements. • Coordinates department activities with appropriate internal departments and affiliates. • Coordinates with the Office of Research and other entities to submit research protocols for fiscal intermediary approval. • Provides effective Level I management/ownership of various cost centers. Coordinates with operational leads to understand relationship between operations and financials. • Develops effective relationships with finance, budget, and compensation personnel across NMH, NMG, and Feinberg School of Medicine. Data Analysis and Reporting: • Develops dashboards to summarize and report on outcomes, volume, engagement, and other metrics. • Utilizes data and benchmarks to support goals and objectives. Defines, develops and implements productivity standards. • Provides support for NM Analytics initiatives designed to optimize transplant outcomes and performance. Strategic/Operational Project Management and Process Improvement: • Partners with leadership to advance improvement initiatives and opportunities. • Continually examines ways to improve business relationships with customers, suppliers, community, etc. and proposes ideas for how to implement improvements. • Facilitates annual goal development for the department in collaboration with leadership. • Manages efforts related to space planning for the program. Additional Responsibilities: • Provides regular, effective feedback and coaching for staff. Identifies and implements development opportunities as needed to improve performance. • Collaborates with IT as needed to manage transplant’s needs. • Supports departmental based quality committees as needed. • Attends daily huddles and covers other shared management responsibilities as needed. • Performs other duties as assigned. Required : • Bachelor’s degree AND minimum 5 years of experience in related field (i.e. Finance) with substantial health care knowledge OR Master’s degree AND minimum 3 years of experience in related field with substantial health care knowledge. • Progressive relevant experience in finance or similar field. • Excellent oral and written communication, analytical and collaboration skills • High level of precision and attention to detail • Ability to summarize complex issues into key elements • Ability to plan, organize, and direct the activities of others • Knowledge of Microsoft Office applications • Experience with financial dashboards and analytic software Preferred : • Master’s degree in business administration or related field • Transplant business experience including knowledge of transplant reimbursement, and working knowledge of the Medicare Cost Report as it applies to organ transplantation • Demonstrated project management skills Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Click on or copy and paste URL to your browser to view detailed benefits information NorthwesternMedicine Career Page https://jobs.nm.org/benefits Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings. If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception : New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.