Supplier Consultant, Medical Bill Review

## Supplier Consultant, Medical Bill Review Apply locations:
Downers Grove, IL, USA:
Chicago, IL, USAtime type:
Full time posted on:
Posted Todayjob requisition :
R-7849

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.
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* 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…