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Chief, Bureau of Eligibility Integrity – Position Code 34-000 Springfield 

 

Announcement of Available Managerial Positions at Illinois Department of Healthcare and Family Services

The Illinois Department of Healthcare and Family Services (HFS) is pleased to announce it is currently seeking job applications for key leadership positions within the Department. HFS administers the Medicaid and Children’s Health Insurance Program in Illinois, providing a range of healthcare services for 2.7 million adults and children. HFS is redesigning its healthcare delivery system to be more patient-centered, with a focus on improved health outcomes, enhanced patient access, and patient safety. HFS is also realigning payment incentives in support of care coordination models and quality healthcare. The Department plays a key role in the state’s implementation of national healthcare reform. HFS invites applications from qualified individuals excited to participate in this dynamic healthcare transformation.

Description of Duties/Essential Functions

The Illinois Department of Healthcare and Family Services (HFS) is currently accepting applications for the position of Chief of a newly created Bureau of Eligibility Integrity. This Bureau Chief will be responsible for implementation of recently enacted state law designed to improve Medicaid program integrity through enhanced eligibility verification. The Bureau Chief will be accountable for implementing highly effective systems and processes to assure accurate eligibility decisions are made. Duties will include managing a multi-million dollar contract and assuring the vendor fulfills all contractual obligations; monitoring the accuracy of determinations of eligibility for medical assistance made by staff of the Department of Human Services (DHS) and HFS; tracking trends and reporting on enrollment activity to identify the patterns and sources of errors in eligibility determinations; developing system and workflow changes necessary to improve performance of both vendor and state eligibility caseworkers; and creating a strong team in the new bureau. The Bureau Chief will play a key role as member of the management team designing a new electronic rules-based eligibility determination data system.  

Minimum Requirements:

The successful candidate will possess a bachelor’s degree in a relevant field, an advanced degree in public administration or business administration is preferred. Four years administration experience in a public or business organization and experience managing contract compliance is required. Knowledge of Medicaid policies and procedures and supervisory experience preferred. Knowledge and experience with automated decision making systems using rules engines is also preferred.

Work Hours & Location:

Salary

How to Apply:

Compensation shall include an excellent benefit package and salary range commensurate with the State’s Senior Public Service Administrator job title.

Applicants are required to submit a CMS 100 application and attach a cover letter and resume to be considered for any position. The CMS 100 application (pdf) can be found on Work for Illinois Web site. The cover letter should clearly indicate for which position(s) you are applying by position code(s) and should describe how your experience and career goals qualify you for the position(s). Applications sent via e-mail should indicate in the subject line: Application for Position Code XX-XXX, replacing the Xs with the actual position code(s).

Scoring of applications will be based on several categories, including education; comparable knowledge and experience; communication skills; supervisory and management experience; and veteran’s preference.

HFS is an equal opportunity employer.

Candidates can submit their CMS 100, cover letter and resume online by selecting the Apply button below. If you have questions or comments please submit them by e-mailing the HFS.Webmaster.

 

Apply