Non-Modified Adjustment Gross Income Rules Engine Supervisor

State of Illinois•Springfield, IL

10d•$8,500 - $10,500•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 within HFS and other state agencies to help ensure that HFS programs provide accurate health benefits coverage to eligible Illinois residents in accordance with state and federal requirements. The position contributes to a team focused on customer well-being, responsive service, and equity. The role plans, directs, and evaluates the statewide Non-MAGI Rules Engine Program; supervises staff; and directs development of rules-engine logic used to process medical eligibility decisions. It also involves researching and presenting complex findings, answering technical questions, and monitoring program compliance. The work is collaborative and fast-paced, requiring flexibility, prioritization, and teamwork. The ideal candidate has experience with public-benefit rules-engine logic, relational databases and complex SQL queries, Medicaid laws, leadership, and explaining complex medical policy to varied audiences. The position is based at the agency’s Springfield headquarters. Reporting to headquarters is required as operational needs dictate, on a schedule that could be weekly, monthly, or otherwise. Travel is required, with overnight stays as appropriate. Overtime may be required, including evenings and weekends.

Requirements

Education 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.
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 required.
Completion of a background check and self-disclosure of criminal history.

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 datasets in comparison 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 Medicaid eligibility experience, specifically administrative experience developing data abstracts using SQL software with a relational database.
Knowledge or experience with rules-engine logic in a public means-benefit system, relational databases, complex SQL queries, and state and federal Medicaid laws.
Proven leadership, strong research skills, and experience using SQL logic in a relational database.
Ability to present data and explain complex medical policy clearly to a variety of audiences.

Responsibilities

Plan, direct, and evaluate the statewide Non-MAGI Rules Engine Program.
Supervise staff as a full-line supervisor.
Direct and implement rules-engine logic for accurate medical eligibility decisions consistent 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 other state or federal eligibility requirements.
Perform other duties as required or assigned 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
12 paid sick days annually
10 paid vacation days in the first year, with the potential to earn up to 25 annually
3 paid personal days annually
13–14 paid holidays annually, based on start date
Flexible work schedules are available in many program areas; remote work may be an option for certain positions.