New Provider Verification Supervisor

State of Illinois•Springfield, MO
•Hybrid

About The Position

The Department of Healthcare and Family Services, Office of Inspector General (OIG), is seeking an experienced and qualified professional to fulfill the responsibilities of a New Provider Verification Supervisor for the Bureau of Investigations. This position will oversee staff tasked with enrolling providers referred from Provider Enrollment Services and Illinois Medicaid Program Advance Cloud Technology. OIG is seeking an individual with strong office experience and customer service skills to add to our professional team. Qualified applicants should have strong leadership skills, be able to make effective recommendations for the New Provider Verification program and follow policies and procedures. The desired applicant must be able to plan, prioritize, and follow up on assignments and/or tasks and ensure timely completion. HFS values employees with different backgrounds, life experiences, and talents.

Requirements

  • Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college, preferably with courses in business or public administration
  • Requires two (2) years of responsible administrative experience in a public or business organization

Nice To Haves

  • Three (3) years of professional experience working with IMPACT or a similar Medicaid Program Advanced Cloud Technology system
  • Three (3) years of professional investigative research experience
  • Three (3) years of professional experience interpreting and applying a state’s Administrative Code preferably for the State of Illinois
  • Three (3) years of professional experience analyzing administrative problems and adopting an effective course of action
  • Three (3) years of professional experience developing, implementing, and interpreting policies and procedures for a public or private organization

Responsibilities

  • Serves as the New Provider Verification Supervisor in planning, managing, and evaluating the New Provider Verification Program (NPV) program by facilitating the enrollment of providers referred from Provider Enrollment Services (PES) / Illinois Medicaid Program Advanced Cloud Technology (IMPACT)
  • Serves as a working supervisor
  • Directs the NPV program within the overall mission of the Office of Inspector General
  • Oversees the work product and productivity of NPV
  • Serves as NPV Supervisor Liaison
  • Provides technical assistance on IMPACT to supervisory and investigative staff in obtaining information from various third-party resources
  • 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 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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