Top 619 Medical claims Jobs in Chicago Il

Supplier Consultant, Medical Bill Review
CNA Insurance —Downers Grove, IL
- $97,000 - $189,000 a year
- Full-time
- Hybrid work
- 5 years
- Experience equivalent to degree accepted
- Senior level
Home Health Billing Specialist
Family Home Health and Hospice —Addison, IL
- $60,000 - $85,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Mileage reimbursement
- Health savings account
Quick Apply
Complex Claims Consultant , Medical Malpractice and Dental
CNA Insurance —Chicago, IL
- $72,000 - $141,000 a year
- Full-time
- Hybrid work
- Organizational skills
- Experience equivalent to degree accepted
- Senior level
- Dental insurance
Medicaid Billing Specialist II
Ignite Medical Resorts —Park Ridge, IL
- Full-time
- English
- Mid-level
- Office
- Health savings account
- AD&D insurance
Quick Apply
Home Health Records and Orders Management
Chitown Home Health Agency —Chicago, IL
- $70,000 - $80,000 a year
- Full-time
- Mid-level
- Office
- Home Health
- Free parking
- 401(k)
Quick Apply
4d
Biller/Collector/Coder
Humboldt Park Health —Chicago, IL
- Entry level
Quick Apply
Professional Medical Collector (In-Person)
Metro Infectious Disease Consultants —Burr Ridge, IL
- $80,000 - $90,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Billing and Coding Specialist
ELITE MED URGENT CARE —Hickory Hills, IL
- $23 - $30 an hour
- Full-time
- Medical office experience
- Mid-level
- Organizational skills
- 401(k)
Quick Apply
Stop Loss Claims Specialist II-Specific
Allied Benefit Systems —Chicago, IL
- $24 - $26 an hour
- Full-time
- Remote
- Mid-level
- Finance
- High school diploma or GED
- Disability insurance
- Health insurance
Credentialing & Patient Accounts Specialist
Joint Relief Institute —Orland Park, IL
- $55,000 - $65,000 a year
- Full-time
- Hybrid work
- Mid-level
- Communication skills
- Commercial
Quick Apply
MEDICAL CLAIMS MANAGER
Local 4 SEIU Health & Welfare Fund —Chicago, IL
- Hybrid work
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Medical Biller & Coder
Near North Health Service Corporation —Chicago, IL
- $45,000 - $55,000 a year
- Full-time
- Mid-level
- Public Health
- Commuter assistance
- Health savings account
Quick Apply
Billing Analyst I, Full-Time Days
UChicago Medicine —Chicago, IL
- 8 hour shift
- Hybrid work
- Word processing
- Mid-level
- Bachelor's degree
Remote Clinical Quality Improvement Coordinator
Guidehealth —Chicago, IL
- $28 - $30 an hour
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- LPN
- Paid parental leave
- Disability insurance
Clinical Quality Analyst
Synapse Health —Skokie, IL
- $62,400 - $78,000 a year
- Weekends as needed
- Remote
- Nursing
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Revenue Integrity Analyst
Hospital: Rush University Medical Center —Chicago, IL
- $27.47 - $43.27 an hour
- 8 hour shift
- Research
- Mid-level
- Data entry
Assistance Coordinator (Day Shift or Night shift)
Axa Partners —Chicago, IL
- $23.52 an hour
- Full-time
- Hybrid work
- Case management
- Experience equivalent to degree accepted
- Associate's degree
- Paid parental leave
- Health savings account
Quick Apply
8d
RCM coordinator (home health billing and coding)
Pointwest Technologies Corp —Chicago, IL
- Full-time
- Remote
- Management
- HIPAA
- Mid-level
- Work from home
Quick Apply
Reimbursement Coordinator
Metro Infectious Disease Consultants —Burr Ridge, IL
- $85,000 - $90,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Typing
- Health insurance
- Dental insurance
Quick Apply
5d
Revenue Integrity Team Lead
The University of Chicago —Burr Ridge, IL
- $80,000 - $105,000 a year
- Full-time
- Background check
- Microsoft Access
- Computer literacy
- Health insurance
- Paid time off
1d

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medical claims jobs near chicago il

Supplier Consultant, Medical Bill Review

CNA Insurance -
Downers Grove, IL

Apply Now

Job Details

Full-time
$97,000 - $189,000 a year

Qualifications

5 years
Senior level
Communication skills

Full Job Description

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

The Supplier Consultant is accountable for the execution of relevant supply category strategy for a CNA function and supplier management activities including consulting, performance trends, issue management, corrective action plans, and process improvements for all assigned supplier categories. This role will manage suppliers using Performance, Contract, Finance, Risk and Relationship to support a corresponding line of business. Further, this role will oversee top quartile managed care medical bill review, provider network, cost containment operations programs across multiple lines of business. The role will have accountability for coordinating moderate to high complexity business requirements and the sourcing, negotiation, contracting, governance, financial performance, and continuous improvement of new, existing, and potential suppliers. This role will also be accountable for supporting the strategic direction and performance of CNA's medical bill review category, including achievement of medical savings, service quality, operational efficiency, compliance, and customer experience objectives.

JOB DESCRIPTION:

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:

Collaborates with business partners to develop and execute supplier category strategies by identifying business requirements, providing market insights, and recommending sourcing approaches to support operational, financial, medical cost management, and business objectives.
Develops and executes strategies to optimize medical cost containment programs including medical bill review, provider network utilization, fee schedule management, clinical review programs, and ancillary managed care services to achieve quality, financial, and customer outcomes.
Supports supplier sourcing, selection, negotiation, and contracting activities, including development of RFPs, supplier evaluations, implementation of sourcing strategies, and business case development for new or enhanced supplier solutions.
Manages supplier relationships utilizing the five pillars of supplier management: Performance, Contract, Finance, Risk, and Relationship.
Monitors supplier performance to ensure contracted service levels, quality standards, productivity expectations, compliance requirements, financial commitments, and business objectives are achieved.
Conducts regular supplier performance and stewardship reviews, including analysis of operational, financial, medical savings, network, service, and customer experience metrics to identify trends, risks, and improvement opportunities.
Leads supplier governance processes including quarterly business reviews, strategic planning sessions, performance remediation activities, and cross-functional stakeholder alignment to ensure suppliers deliver against business objectives.
Partners with business stakeholders and suppliers to investigate escalated issues, perform root cause analysis, develop corrective action plans, and drive issue resolution.
Supports continuous improvement initiatives focused on supplier effectiveness, service quality, operational efficiency, cost management, and improved medical cost containment outcomes.
Provides financial oversight including invoice validation, service credit monitoring, budget forecasting, spend analysis, savings validation, and tracking of supplier savings and performance commitments.
Identifies and mitigates supplier risks through ongoing monitoring, supplier governance activities, contingency planning, and compliance with applicable regulatory and business requirements.
Ensures supplier compliance with applicable state and federal regulations, contractual obligations, data privacy requirements, and industry standards related to medical bill review, managed care, provider network, and cost containment operations.
Maintains knowledge of industry trends, supplier capabilities, emerging technologies, artificial intelligence solutions, automation opportunities, and industry best practices to support business objectives and supplier strategy development.
Serves as a subject matter resource for assigned supplier categories, including medical bill review.
Partners with Claims, Finance, Legal, Compliance, Procurement, Data & Analytics, Technology, and other business partners to develop and implement solutions that improve supplier, medical, financial, and operational outcomes.
Acts as a change agent by influencing suppliers and business partners to adopt process improvements, innovative solutions, and desired business outcomes.

May perform additional duties as assigned.

Reporting Relationship

Director or above

Skills, Knowledge & Abilities

Strong knowledge of specialty area as well as solid knowledge of departmental sourcing practices and the commercial insurance industry with an in-depth expertise of managed care medical billing products and services.
Strong knowledge of medical bill review operations.
Good interpersonal skills and the ability to work independently and with personnel at all levels.
Ability to prioritize and manage multiple tasks and projects
Knowledge of Microsoft Office Suite as well as other business-related software.
Excellent negotiation, verbal and written communication skills.

Education & Experience

Bachelor's degree or equivalent experience.
Typically a minimum of five to eight years' work experience in supplier management,
Experience managing healthcare, managed care, medical bill review, provider network, or cost containment vendors preferred.

#LI-AR1

#LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.

CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected]

Apply Now

Refine Your Search

medical claims jobs in chicago il

Supplier Consultant, Medical Bill Review

Home Health Billing Specialist

Complex Claims Consultant , Medical Malpractice and Dental

Medicaid Billing Specialist II

Home Health Records and Orders Management

Biller/Collector/Coder

Professional Medical Collector (In-Person)

Medical Billing and Coding Specialist

Stop Loss Claims Specialist II-Specific

Credentialing & Patient Accounts Specialist

MEDICAL CLAIMS MANAGER

Medical Biller & Coder

Billing Analyst I, Full-Time Days

Remote Clinical Quality Improvement Coordinator

Clinical Quality Analyst

Revenue Integrity Analyst

Assistance Coordinator (Day Shift or Night shift)

RCM coordinator (home health billing and coding)

Reimbursement Coordinator

Revenue Integrity Team Lead

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