Salary: $98,594.73 Annually
Location : Waukegan, IL
Job Type: Full-Time
Job Number: 12048
Department: Health Department
Division: Finance
Opening Date: 04/14/2026
Salary Grade: Salary.15
Pay Grade: 15

General Description

The Business Manager is a valuable member to our Finance team who is responsible for overall business office operation and financial reporting required for all Health Department programs outside of the FQHC. Administer, plan, and coordinates the annual budget process for the clinics and programs outside of the FQHC. Monitor and analyze the financial performance on an ongoing basis and adjust or provide recommendations to executive leadership as needed. Responsible for directing and analyzing financial information as requested by the Administrative teams and interfacing with the Director of Finance, Agency Directors, Finance and Billing Manager, Practice Manager/Program Coordinators as required. Possess extensive knowledge of general operations to assist programs or clinics with fiscal planning. Assists in making comprehensive, informed business decisions through data analysis and coordination with Administration and Program Managers/Leaders for new services or operational changes. Understands funding source requirements, rules and standards and the financial impact to operations for items such as fee development and compensation plans. Responsible for organizing, implementing and supervising business office functions in accordance with standard internal control procedures and generally accepted accounting procedures.

Scheduled Hours: 40 hours per week
Essential Functions

• Prepare and coordinate the annual budget process.
• Regularly monitor actual results compared to budget and analyze differences.
• Analyzes statistical and financial reports to help direct managers at each site or program to improve performance, along with associated visit revenue generation and documentation.
• Create appropriate reporting structure for efficient management of program, state, county, federal or other budgets.
• Provide financial analysis information to various Directors to aid in making financial, operational and/or training recommendations.
• Examines historical clinical and financial transactions for the purpose of generating accurate and reliable recommendation. Audits routinely generated reports to ensure accuracy and assists managers and support staff in making correction as necessary.

• Supervises the generation of a variety of statistical and management reports regarding service utilization trends and program productivity to be utilized for state and federal reporting, performance management and Administration of the agency.
• Supervises the billing of permits, rabies tags, hearing and vision tests and other services for the agency.
• Utilizes NextGen, Crystal Reports, Oracle, other Program specific applications such as Chameleon and Energov as well as Excel and Tableau to obtain data and create reports.
• Provides account analysis for accurate reporting to meet cost and grant reporting requirements
• Approve requisitions, vouchers, p-card reconciliations, position action forms, position posting requests, mileage reimbursements daily.
• Review and analyze private pay fee amount and collections.
• Maintains a working knowledge of relevant protocols and audit requirements and assists with the management of periodic audits as required by regulatory authorities including, but not limited to HRSA, IDPH, 340B, or DHS as assigned.
• Supervises the financial operations with the business unit office
• Provides trend analyses for expense and revenue by management center or grant as needed
• Acquires and utilizes knowledge of the LCHD/CHC billing systems in order to accurately and effectively coordinate documentation requirements between the LCHD and funding agencies.
• Responsible for implementation of new procedures in programs to improve flow, efficiency, and cost effectiveness.
• Coordinates financial reporting and operational changes with the Finance, FQHC Business Office, Grants, Patient Accounts and Central Billing Office teams.
• Communicates effectively with the other financial teams to assure efficiencies and compliance to reporting requirements are maintained.
• Assure no duplication of efforts exist with other finance teams.
• Reviews monthly-generated reports to assure accuracy and assist managers in analyzing financial data.
• Assists program managers with the tracking and reporting of program goals and performance measures to internal and external customers as they relate to finance.
• Understand the business operations of grant programs to assure reporting structures are set up in the most efficient and comprehensive manner to meet all financial reporting requirements.
• Work closely with the grants team to assure budgets are integrated correctly into the county budget.
• Performs role as a consultant, reviewer on agency grants.
• Tracks all equipment purchases and works with managers on replacement plans
• Serves as the Finance representative for financial functions such as Payroll and BOSS.
• Develops and maintains knowledge of services and their operations at the LCHD/CHC.
• Train clinical/operational management on financial information that impacts their program/clinic.
• Recruit, train, schedules, and evaluates new staff under direct supervision.
• Directs all the daily various business operations such as billing operations etc. for the accounting specialist(s).
• Conducts staff meetings, sets objectives and completes performance evaluations.
• Implementation of financial policies and procedures.
• Participates in quality improvement activities to assess, monitor and improve program services.
• Participates in mandatory in-services and drills, attends staff meetings and other trainings, including age specific educational trainings offered on a regular basis for professional development.
• Performs other duties as assigned by the Director of Finance or other Operational Directors within the Business Area.

Knowledge Skills Abilities and Education Required

• Completion of a bachelor's degree program from a university or recognized standing with major course work in Business, Healthcare Management, Finance or a relevant healthcare discipline is required.
• Eight years of progressively responsible experience in healthcare business operations or finance, to include at least six years of management experience.
• A Master's degree in Healthcare or Business Administration or a finance or accounting related field may be substituted for two years of experience.
• Possession of a valid driver's license supplemented by a satisfactory driving record is required.
• Advanced knowledge of financial data analysis
• Advanced knowledge of information technology applications used in finance and healthcare business operations.
• Considerable knowledge and experience with health billing systems and the ability to produce and analyze reports within the systems.
• Ability to read and interpret rules and regulations of grant funders
• Ability to lead, train and supervise professional and technical staff in health activities.
• Ability to read, analyze and interpret complex technical documents, procedures or governmental regulations.
• Ability to write routine business correspondence.
• Ability to prepare and review complex studies and technical reports.
• Experience with public and private grant fund billing is preferred.
• Experience with quality improvement projects and initiatives is preferred

Supplemental Information
As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years.

Additional information about the Lake County Health Department, our culture, and why you should join our team can be found at

At this time, you must live in Illinois or Wisconsin to be eligible to work at Lake County Health Department. You can find our salary grades at For unionized positions, a list of our collective bargaining agreements can be found here: https://www.lakecountyil.gov/2686/Collective-Bargaining-Agreements.

Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.

01

Do you have a current and valid driver's license and automobile insurance?

• Yes
• No

02

Do you possess a Bachelor's or Master's degree in Business, Healthcare Management, Finance or a related healthcare discipline?

• Yes, I possess a Bachelor's in Business, Healthcare Management, Finance or a related healthcare discipline.
• Yes, I possess a Master's in Business, Healthcare Management, Finance or a related healthcare discipline.
• No, I do not possess a Bachelor's or Master's in Business, Healthcare Management, Finance or a related healthcare discipline.

03

This position requires at least eight years of progressively responsible experience in healthcare business operations or finance. How many years of experience do you possess?

• 1-3 years
• 4-7 years
• 8-10 years
• 10+ years

04

Please summarize your relevant experience.
05

This position requires at least six years of management experience, preferably in a healthcare business operation setting. How many years of supervisory experience do you have?

• 1-2 years
• 3-5 years
• 6-8 years
• 9-10 years
• 10+ years

06

Describe (in detail) your supervisory experience. Explain how many employees you have supervised and the nature of the roles.
07

Please share why you are interested in working for this program and how your experience directly relates to this opening.
08

What are your benefits and salary expectations?
Required Question