Assistant Bureau Chief, SPSA Opt 1

State of Illinois • Chicago, IL

3d • Hybrid

About The Position

The Department of Healthcare and Family Services, Office of Inspector General (OIG) is seeking a highly capable and experienced professional to serve as the Assistant Bureau Chief for OIG. They will work with the senior management team and serve as a project manager in making quality improvements for OIG. They will understand Medicaid and managed care and the state and federal regulatory landscape for healthcare providers. The ideal candidate will demonstrate the ability to exercise sound judgment in the identification of priorities, to work collaboratively with internal and external partners, to proactively address legal issues, and to ensure timely completion of all work. The ideal candidate will exhibit strong leadership skills to achieve goals while demonstrating independent initiative. The candidate will possess strong written and verbal skills. HFS values employees with different backgrounds, life experiences, and talents. Employees receive a robust benefit package including: Monday-Friday work schedule Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.) Health, Life, Vision, and Dental Insurance Pension Plan Paid Parental Leave Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare) Employees earn (12) paid Sick Days annually. New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually. Employees earn (3) paid Personal Days annually. (13-14) paid holidays annually (based on start date) If you are seeking a new opportunity, and this position appeals to you, please apply today! At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained. HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer. Essential Functions Subject to management approval, serves as Assistant Bureau Chief for Medicaid Integrity by providing complex administrative direction to unit management staff Serves as a full line supervisor Plans, organizes, directs and evaluates the activities of the Audits (Financial, External Vendor and Managed Care Organization compliance) and Health Care Standards (Peer Review) units Directs the identification, evaluation and development of program and policy proposals to improve program effectiveness Represents the Bureau Chief with Healthcare and Family Services and Office of Inspector General executive management meetings and other state and federal agency staff in support of the Bureau’s programs and initiatives Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

Requirements

• Requires knowledge, skill and mental development equivalent to the completion of four (4) years of college
• Requires prior experience equivalent to four (4) years of progressively responsible administrative experience in a public or business organization

Nice To Haves

• Five (5) years of professional experience working in healthcare compliance, payment integrity, healthcare audits or investigations, or healthcare anti-fraud unit
• Five (5) years of professional experience in regulatory interpretation for a Managed Care Plan, Medicaid, or government healthcare program
• Three (3) years of professional experience in clinical healthcare, medical coding, auditing, utilization of management or related experience
• Three (3) years of professional experience reviewing and evaluating programs, services, and work performance to increase efficiency
• Three (3) years of professional experience in vendor partner oversight, working with contractors and vendor management, or audit firms
• Three (3) years professional experience communicating verbally and drafting reports regarding program initiatives
• Three (3) years of professional supervisory experience
• Two (2) years of professional experience meeting deadlines with strong attention to detail
• Two (2) years professional experience in critical thinking skills while multi-tasking several projects simultaneously

Responsibilities

• Serves as Assistant Bureau Chief for Medicaid Integrity by providing complex administrative direction to unit management staff
• Serves as a full line supervisor
• Plans, organizes, directs and evaluates the activities of the Audits (Financial, External Vendor and Managed Care Organization compliance) and Health Care Standards (Peer Review) units
• Directs the identification, evaluation and development of program and policy proposals to improve program effectiveness
• Represents the Bureau Chief with Healthcare and Family Services and Office of Inspector General executive management meetings and other state and federal agency staff in support of the Bureau’s programs and initiatives
• Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

Benefits

• Health, Life, Vision, and Dental Insurance
• Pension Plan
• Paid Parental Leave
• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
• 12 paid Sick Days annually
• 10 paid Vacation Days their first year of service
• up to 25 paid Vacation Days annually
• 3 paid Personal Days annually
• 13-14 paid holidays annually

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree