Hospital and Provider Services Bureau Chief (SPSA, Opt 1)

State of Illinois • Springfield, MO

2d • Hybrid

About The Position

The Department of Healthcare and Family Services (HFS), dedicated to improving lives for 3.2 million Illinoisans, is seeking to hire a highly motivated, qualified individual in the Bureau of Hospital and Provider Services. This position plans, develops, and implements policies and procedures to ensure compliance with federal and state guidelines, develops long-range plans for the programs, manages medical provider enrollment services, including hospital and non-institutional providers, develops and presents training and education to healthcare providers, confers with legislators, supervises a large staff, and serves as agency spokesperson. The ideal candidate will demonstrate dedication to teamwork, the ability to work in a fast-paced, ever-changing environment, a strong supervisory background including experience managing a large staff and large-scale operations, and the desire to promote and provide quality services on behalf of the State of Illinois. HFS values employees with different backgrounds, life experiences, and talents. At 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.

Requirements

• Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college.
• Requires prior experience equivalent to four (4) years of progressively responsible administrative work experience working in the field of healthcare services.

Nice To Haves

• Four (4) years of experience developing and implementing policies and procedures.
• Four (4) years of experience in developing and implementing a training program for medical providers concerning state and federal rules and regulations.
• Four (4) years of professional supervisory experience, preferably in healthcare provider enrollment.
• Four (4) years of experience utilizing a medical eligibility enrollment system, such as the Medicaid Management Information System.
• Four (4) years of experience in the planning, analysis, review, and evaluation of department policies as it relates to healthcare providers.
• Four (4) years of experience acting as spokesperson and subject matter expert for hospital and provider services addressing internal and external stakeholders such as Boards of Directors, elected officials and General Assembly.
• Four (4) years of experience working with personal computer software programs such as Microsoft Office applications.

Responsibilities

• Serves as Chief of the Hospital & Provider Services Bureau.
• Serves as full-line supervisor.
• Directs the training and education of healthcare providers on Title XIX Policies and billing procedures relating to payment of provider claims.
• Directs the planning, analysis, review, and evaluation of Department policies toward healthcare providers.
• Serves as Agency spokesperson representing the Department with members of the General Assembly, the Governor’s Office, Federal Government Officials, other State Agencies, provider groups, media, and the public.
• Serves as a member of the Senior Management Team in the Division of Medical Programs.
• 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)
• 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)

What This Job Offers

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