Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location

Job Description

General Summary:

Build and maintain the enrollment of providers for Children’s Hospital of Chicago Faculty Practice Plan, including but not limited to the implementation, coordination, and maintenance of the Managed Care Payor Enrollment processes.

Essential Job Functions:

Responsible for the timely completion of complex government and commercial payer enrollment    applications for all states

Updating and maintaining all necessary documents for assigned clients and physicians.

Ability to proficiently communicate credentialing related claims issues to client service managers, clients, and providers.

Also assists the SCC with the initial loading of demographic data of all new Practitioners in MSOW

Records, tracks, and reports complete status of enrollment to all stake holders internal and external.

Collaborate with providers, payers and internal departments on issues related to the provider enrollment process.

Continual collaboration with Providers, Revenue Cycle, FPP Physicians, FPP Credentialing, Human Resource and Service line leadership.

Other duties as assigned.

Knowledge, Skills and Abilities:

Must possess a high school diploma or equivalent. Completion of bachelor's degree preferred.

Minimum of 3 years’ experience with research activities, preferably within healthcare setting.

Preferred prior experience with Illinois IMPACT, PECOS, NPPES and MCO payer activity.

Strong analytical skills and ability to perform statistical analysis.

Excellent communication skills.

Excellent computer/database skills including previous experience using Crystal Report Writer or ability to learn quickly to assume these functions.

Ability to work independently. 

Ability to research quality, credentialing and managed care topics. 

Education

Pay Range

At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

Supplemental Life, AD&D and Disability

Critical Illness, Accident and Hospital Indemnity coverage

Tuition assistance

Student loan servicing and support

Adoption benefits

Backup Childcare and Eldercare

Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

Discount on services at Lurie Children’s facilities

Discount purchasing program

There’s a Place for You with Us

At Lurie Children’s, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints — recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.  

Lurie Children’s and its affiliates are equal employment opportunity employers.  All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org