Senior Manager, MCO Plan Performance-HCI & DCFS Medicaid Programs

State of Illinois • Chicago, IL

2d • Hybrid

About The Position

The 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 (MCOs) participating in the HealthChoice Illinois (HCI) program and specialized Medicaid programs for youth involved with the Department of Children and Family Services (DCFS). The role ensures contract compliance, drives performance improvement, supervises Account Managers, and represents HFS in high-level stakeholder meetings. It leads initiatives to strengthen managed care operations and service delivery for Medicaid members statewide. The position is posted for Cook County, but applicants from Sangamon County are also encouraged to apply; the Bureau is flexible regarding location.

This is a full-time salaried term appointment for four years, subject to a probationary period, with possible successive four-year renewals 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 two to five days per week in the office, depending on operational needs. The role requires travel, potentially including overnight stays, and overtime, including evenings or weekends, may be required.

The position requires a background check and criminal-history self-disclosure, and the ability to maintain state-issued equipment such as a laptop. The employee must file Statements of Economic Interest and is subject to specified revolving-door restrictions.

Requirements

• Knowledge, skills, and mental development 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.
• Ability to complete a background check and disclose criminal history.
• Ability to maintain state-issued equipment, such as a laptop.
• Ability to travel for work, including overnight stays as appropriate.
• Ability to work overtime when requested or required, potentially including evenings and weekends.

Nice To Haves

• Four years of professional experience working with programs, services, or initiatives supporting DCFS-involved youth, at-risk youth, or vulnerable populations, preferably in healthcare, social services, or managed care.
• Four years of professional experience in the healthcare industry, including direct experience with Medicaid programs.
• Four years of experience establishing effective working relationships with internal and external stakeholders, including executive leadership, and addressing sensitive or controversial issues tactfully and professionally.
• 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 demonstrating knowledge of medical concepts, healthcare organizations, and administrative processes, preferably in a managed care health plan environment.

Responsibilities

• Oversee account management for MCOs participating in HealthChoice Illinois and specialized Medicaid programs for DCFS-involved youth.
• Lead stakeholder representation and executive communications.
• Oversee performance management processes for specialized Medicaid programs for DCFS-involved youth and HealthChoice Illinois.
• Monitor contract performance, measure outcomes, and support managed care risk management and mitigation.
• Serve as a full-line supervisor and supervise Account Managers.
• Lead and direct research, benchmarking, and policy development.
• Lead reporting, analytics, and governance processes.
• 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
• 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

What This Job Offers

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