Eligibility Tech Support Analyst (Management Operations Analyst II)

State of IllinoisSpringfield, MO
$6,820 - $9,875Hybrid

About The Position

The Department of Healthcare and Family Services, Division of Medical Programs, Bureau of Technical Support is seeking to hire a motivated, results-driven and qualified individual to monitor the Medicaid Eligibility programs for data quality and functionality. We are looking for someone with excellent communication abilities, problem-solving skills, and a collaborative mindset to support our eligibility team efficiently. This position will also conduct analysis and testing to identify system issues and request program logic changes and to make updates to reduce discrepancies between the Integrated Eligibility System (IES), the Medical Medicaid Information System (MMIS) and the Enterprise Data Warehouse (EDW). The ideal candidate will have extensive hands-on experience in working with Medicaid eligibility systems as well as maintaining accurate documentation. A strong understanding of running reports and testing is essential for success in this role. This role will also spend a lot of time developing and maintaining of Project Initialization Requests (PIR), Project Resolution Requests (PRR), and Change Requests (CR) for their section. 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 Under direction, independently conducts complex duties in the monitoring and analysis of the Medical Eligibility Update Programs Independently conducts complex duties in the monitoring and analysis of the Medicaid Eligibility Programs and policies Reviews analyzes, and updates bulletins, notices, proposed/affected Federal regulations, system design documents and procedure manuals Designs and develops specialized computer reports to initiate system procedural changes Confers with agency operating staff and managers Initiates and designs data collection techniques to assist management 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 completion of four (4) years of college, supplemented by a master’s degree in business or public administration, with coursework in areas such as economic theory, accounting and finance, organizational theory, and operations research.
  • Requires three (3) years of progressively responsible professional experience in management operation analysis.
  • Requires completion of a background check and self-disclosure of criminal history.
  • Requires the ability to utilize and maintain state issued equipment such as a laptop.

Nice To Haves

  • Minimum of two (2) years of experience working with eligibility policy, eligibility procedures and related codes.
  • Minimum of two (2) years of experience accessing and manipulating electronic eligibility systems and analytical skills.
  • Minimum of two (2) years of experience working with electronic data processing operations and the way they are utilized in operations analysis.
  • Minimum of two (2) years of experience working with the application and conduct of management studies.
  • Minimum of two (2) years of experience working with the subject matter of the problem area.
  • Minimum of two (2) years of experience analyzing and interpreting Medicaid Eligibility policies, regulations and laws.
  • Minimum of two (2) years of experience working with relational databases, systems interfaces, data exchanges and file layouts.

Responsibilities

  • Monitor the Medicaid Eligibility programs for data quality and functionality.
  • Conduct analysis and testing to identify system issues.
  • Request program logic changes and make updates to reduce discrepancies between the Integrated Eligibility System (IES), the Medical Medicaid Information System (MMIS) and the Enterprise Data Warehouse (EDW).
  • Develop and maintain of Project Initialization Requests (PIR), Project Resolution Requests (PRR), and Change Requests (CR) for their section.
  • Review, analyze, and update bulletins, notices, proposed/affected Federal regulations, system design documents and procedure manuals.
  • Design and develop specialized computer reports to initiate system procedural changes.
  • Confer with agency operating staff and managers.
  • Initiate and design data collection techniques to assist management.
  • Perform 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 and can earn up to 25 paid Vacation Days annually
  • 3 paid Personal Days annually
  • (13-14) paid holidays annually (based on start date)
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