Senior Manager - MCO Plan Performance, HCI & Stakeholder Liaison

State of Illinois•Springfield, IL

10d•$11,000 - $13,000•Hybrid

About The Position

The Illinois Department of Healthcare and Family Services (HFS), Division, Bureau of Managed Care, is hiring a Senior Manager to assist with overseeing account management operations for Illinois Managed Care Organization (MCO) programs and ensure contract compliance with the HealthChoice Illinois program. The role serves as a liaison between the Bureau of Managed Care, other HFS bureaus, and internal and external stakeholders to facilitate collaboration, resolve issues, and support contractual compliance across HFS managed care programs. The Senior Manager drives performance improvement, supervises MCO Account Managers and Stakeholder Leads, and represents HFS in high-level stakeholder meetings. Responsibilities include overseeing HealthChoice Illinois performance management, monitoring contract performance and outcomes, supporting managed care risk management, and leading initiatives to strengthen managed care operations and service delivery for Medicaid members statewide. The role also directs research, benchmarking, policy development, reporting, analytics, and governance processes. The position is based in Sangamon County, with applicants from Cook County also welcome; the Bureau is flexible about position location. The anticipated hybrid schedule is two to five days per week in the office, depending on operational needs. Work hours are Monday through Friday, 8:30 a.m. to 5:00 p.m. Travel, including overnight stays as appropriate, is required. Overtime may be required, including evenings and weekends. This is a four-year term appointment that may be renewed for successive four-year terms at the HFS Director’s discretion.

Requirements

Education equivalent to completion of four years of college, with coursework in health administration, public policy, public administration, business administration, or a related field.
At least four years of progressively responsible administrative experience in a public or private organization overseeing Medicaid programs, including contract management.
Ability to maintain state-issued equipment such as a laptop.
Ability to travel for work, with overnight stays as appropriate.
Completion of a background check and self-disclosure of criminal history.

Nice To Haves

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 project management experience managing multiple projects simultaneously, or experience serving as a liaison between organizations or entities to support communication, problem solving, and collaboration.
Four years of professional experience developing and implementing policies within a healthcare or medical organization.
Four years of experience in the healthcare industry, including direct experience with Medicaid programs.
Four years of experience involving medical concepts and operations, preferably related to managed care health plans.
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.

Responsibilities

Serve as Senior Manager for MCO Plan Performance, HCI and Stakeholder Liaison for MCOs participating in the HealthChoice Illinois Program.
Act as a liaison between the Bureau of Managed Care and other HFS bureaus to facilitate collaboration, resolve issues, and support contract compliance across managed care programs.
Lead stakeholder representation and executive communication.
Oversee HealthChoice Illinois performance management, including monitoring contract performance, measuring outcomes, and supporting managed care risk management and mitigation.
Serve as a full-line supervisor and supervise MCO Account Managers and Stakeholder Leads.
Direct research, benchmarking, and policy development.
Lead reporting, analytics, and governance processes.
Perform other duties reasonably within the scope of the listed duties.

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 are available in many program areas; remote work may be an option for certain positions