Senior Manager, MCO Plan Performance, HCI & Dual Programs

State of Illinois•Chicago, IL

13d•$11,000 - $13,000•Hybrid

About The Position

The Illinois Department of Healthcare and Family Services (HFS), Bureau of Managed Care, is hiring a Senior Manager to oversee account management operations for Managed Care Organizations participating in the HealthChoice Illinois program and programs serving customers eligible for both Medicare and Medicaid. The role ensures contract compliance, drives performance improvements, supervises MCO Account Managers, and helps strengthen managed care operations and service delivery for Medicaid members statewide. The position represents the Bureau in internal and external stakeholder meetings, including discussions with MCOs and HFS executive leadership. It oversees performance management for programs serving dual-eligible customers and leads research, benchmarking, policy development, reporting, analytics, and governance processes. The position is a full-line supervisor and performs related duties as assigned. The position is a four-year term appointment, potentially renewable for successive four-year terms at the HFS Director’s discretion. The work schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. The anticipated hybrid schedule requires 2 to 5 days per week in the office, depending on operational needs. The role is headquartered in Chicago, Illinois; applicants from Sangamon County are also encouraged to apply. Travel, including overnight stays as appropriate, and overtime—including evenings or weekends—may be required.

Requirements

Education and knowledge equivalent to four years of college coursework in health administration, public policy, public administration, business administration, or a related field.
Four years of progressively responsible administrative experience in a public or private organization overseeing Medicare programs, including dual eligibility.
Complete a background check and disclose criminal history.
Be able to utilize and maintain state-issued equipment such as a laptop.
Be able to travel for work, including overnight stays as appropriate.
Be available to work overtime when requested or required, including scheduled, unscheduled, or last-minute overtime that may involve evenings and weekends.
File a Statement of Economic Interest and Supplemental Statement of Economic Interest as required.
Comply with applicable revolving-door restrictions, including notifying the Office of the Executive Inspector General before accepting certain non-State employment offers during State employment or within one year after leaving State employment.

Nice To Haves

Four years of professional experience developing and implementing policies within a healthcare or medical organization.
Four years of healthcare industry experience, including direct experience with Medicare and Medicaid programs.
Four years of experience establishing and maintaining effective relationships with internal and external stakeholders, including executive leadership, and addressing sensitive or controversial issues with sound judgment, tact, and professionalism.
Four years of professional experience ensuring managed care health plan contract compliance with applicable federal, state, and organizational regulations.
Four years of experience designing, implementing, and evaluating new or revised methods, procedures, and performance standards in a healthcare setting.
Four years of experience supervising staff and managing team performance.
Four years of experience involving medical concepts and operations, preferably related to managed care health plans.

Responsibilities

Serve as Senior Manager for MCO Plan Performance for HealthChoice Illinois and programs for dual-eligible customers with Medicare and Medicaid.
Represent the Bureau of Managed Care in internal and external stakeholder meetings, including routine and ad hoc discussions with MCOs and HFS executive leadership.
Oversee performance management processes for programs serving customers eligible for Medicare, Medicaid, and HealthChoice Illinois.
Serve as a full-line supervisor.
Drive research, benchmarking, and policy development.
Lead reporting, analytics, and governance processes.
Perform other duties 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, increasing up to 25 annually
3 paid personal days annually
13–14 paid holidays annually, depending on start date
Flexible work schedules in many program areas