Non-Modified Adjustment Gross Income Rules Engine Supervisor

State of Illinois•Springfield, MO

8d•Hybrid

About The Position

The Department of Healthcare and Family Services, Bureau of Eligibility Integrity, is hiring a manager to oversee Information System Analysts and Management Operations Analysts. The Non-MAGI Rules Administrator works with colleagues at HFS and other state agencies to help ensure HFS programs provide accurate health benefits coverage to eligible Illinois residents in accordance with State and Federal requirements. The position supports the agency’s focus on health and well-being, responsive customer service, and equity. The ideal candidate has experience with rules-engine logic in public means-benefit systems, relational databases, complex SQL queries, and State and Federal Medicaid laws. The role calls for proven leadership and research skills, the ability to explain complex medical policy using data to audiences with varied backgrounds, and strong collaboration, prioritization, flexibility, and teamwork. Subject to management approval, the supervisor plans, directs, and evaluates the statewide Non-MAGI Rules Engine Program. The position is based at HFS headquarters in Springfield, with hybrid schedule availability requiring in-person reporting as needed based on operational requirements. Travel may be required, including overnight stays. Overtime is a condition of employment and may include evenings and weekends.

Requirements

Knowledge, skill, and mental development equivalent to completion of four years of college.
At least three years of progressively responsible administrative experience in a public or business organization.
Complete a background check and disclose criminal history.
Ability to travel for work, including overnight stays as appropriate.
Ability to use and maintain State-issued equipment such as a laptop and/or cell phone.
Ability to work overtime, including scheduled, unscheduled, or last-minute overtime, and evenings and weekends when requested or required.

Nice To Haves

Three years of professional experience interpreting and analyzing Federal and State Medicaid and child health insurance laws.
Three years of experience with database management systems for automated decision-making comparable to Medicaid eligibility systems, and applying rules-engine logic to implement medical program eligibility policy.
Three years of professional experience analyzing large data sets in relation to administrative programs and adopting an effective course of action for a public or private organization or State or Federal agency.
Three years of professional experience developing, installing, and evaluating new and revised methods, procedures, and performance standards to meet Federal and State guidelines.
Three years of professional experience exercising judgment and discretion in developing, implementing, and interpreting organizational policies and procedures for a public or private organization or State or Federal agency.
Three years of professional supervisory experience involving labor and employment development, including staff utilization and employee motivation.
Three years of professional experience in Medicaid eligibility, specifically administrative experience developing data abstracts with SQL software in relation to a relational database.

Responsibilities

Plan, direct, and evaluate the statewide Non-MAGI Rules Engine Program.
Serve as a full-line supervisor.
Direct and implement rules-engine logic for accurate medical eligibility decisions in accordance with State and Federal laws, rules, and regulations.
Attend meetings as a Rules Engine Specialist to present complex research findings and answer technical questions.
Monitor program functions for compliance with Department guidelines and applicable State and Federal rules and regulations involving eligibility.
Perform other duties as required or assigned that are reasonably within the scope of the position.

Benefits

Health insurance
Life insurance
Vision insurance
Dental insurance
Pension plan
Paid parental leave
Deferred compensation and other pre-tax benefit programs, including medical and daycare programs
12 paid sick days annually
10 paid vacation days in the first year, with the opportunity to earn up to 25 annually
3 paid personal days annually
13–14 paid holidays annually, based on start date
Flexible work schedules available in many program areas