Senior Manager - MCO Plan Performance, HCI & Stakeholder Liaison

State of Illinois • Springfield, MO

9d • Hybrid

About The Position

The Illinois Department of Healthcare and Family Services, Division, Bureau of Managed Care, is hiring a senior leader to oversee account management operations for Illinois Managed Care Organization (MCO) programs and ensure compliance with HealthChoice Illinois program contracts. The position is a liaison between the Bureau of Managed Care, other HFS bureaus, and internal and external stakeholders, helping facilitate collaboration, resolve issues, and support contract compliance across managed care programs.

The Senior Manager drives performance improvements, supervises MCO Account Managers and Stakeholder Leads, represents HFS in high-level stakeholder meetings, and leads initiatives to strengthen managed care operations and service delivery for Medicaid members statewide. The role oversees performance management, monitors contract outcomes, supports managed care risk management and mitigation, and 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 regarding position location. The anticipated hybrid schedule is two to five days per week in the office, depending on operational needs.

Requirements

• Knowledge, skill, and mental development equivalent to completion of four years of college 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 complete a background check and self-disclose criminal history.
• Ability to maintain state-issued equipment, such as a laptop.
• Ability to travel for work, including overnight stays as appropriate.
• Willingness and ability to work overtime when requested or required, including scheduled, unscheduled, or last-minute overtime, which may include evenings and weekends.
• Ability to comply with applicable Statement of Economic Interest filing requirements and revolving-door restrictions.

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 healthcare industry experience, 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, including adherence to 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

• Oversee account management for MCOs participating in the HealthChoice Illinois program and support contract compliance across managed care programs.
• Serve as a liaison between the Bureau of Managed Care and other HFS bureaus to facilitate collaboration and resolve issues.
• Lead stakeholder representation and executive communication, including representing HFS in high-level stakeholder meetings.
• Oversee HealthChoice Illinois performance management, monitor contract performance, measure outcomes, and support managed care risk management and mitigation.
• Supervise MCO Account Managers and Stakeholder Leads as a full-line supervisor.
• Direct research, benchmarking, and policy development.
• Lead reporting, analytics, and governance processes.
• Drive performance improvements and lead initiatives to strengthen managed care operations and service delivery for Medicaid members.
• Perform other duties as required or assigned that are reasonably within the scope of the position.

Benefits

• Health, life, vision, and 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 potential to earn up to 25 paid vacation days annually.
• 3 paid personal days annually.
• 13–14 paid holidays annually, depending on start date.
• Flexible work schedules are available in many program areas.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior