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

State of Illinois•Chicago, IL

4d•$11,000 - $13,000•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 Illinois Managed Care Organization (MCO) programs. The role supports contract compliance for HealthChoice Illinois and specialized Medicaid programs serving DCFS-involved youth, drives performance improvement, supervises Account Managers, represents HFS in high-level stakeholder meetings, and leads initiatives to strengthen managed care operations and service delivery for Medicaid members statewide. The Bureau is flexible regarding position location; although posted for Cook County, applicants from Sangamon County are also encouraged to apply. The position oversees performance management for HealthChoice Illinois and specialized Medicaid programs for DCFS-involved youth, including monitoring contract performance, measuring outcomes, and supporting managed care risk management and mitigation. It leads stakeholder representation and executive communications, research, benchmarking, policy development, reporting, analytics, and governance processes. This is a full-line supervisory position. The position is a four-year term appointment, renewable for successive four-year terms at the Director’s discretion, and is subject to a probationary period. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. A hybrid schedule may involve two to five days per week in the office depending on operational needs. Travel, including overnight stays as appropriate, is required. Overtime may be required, including evenings and weekends. The role requires maintaining state-issued equipment such as a laptop and completion of a background check with criminal-history self-disclosure.

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.
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, including scheduled, unscheduled, or last-minute overtime and potentially 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 and maintaining effective 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 operations for MCOs participating in HealthChoice Illinois and specialized Medicaid programs for DCFS-involved youth.
Lead stakeholder representation and executive communication.
Oversee performance management 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.
Lead and direct 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 for medical and daycare expenses
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 available in many program areas