State Based Marketplace Development and Configuration Manager (Public Service Administrator Opt 6)

State of Illinois•Chicago, IL

About The Position

The Department of Healthcare and Family Services, Division of Medical Eligibility, is seeking to hire a professional and motivated individual to serve as the State-Based Marketplace Development and Configuration Manager. Under the direction of the Deputy Administrator of the State Based Marketplace, this candidate will work with agency staff and technology vendors to help lead the design, implementation, and optimization of the State-Based Marketplace (SBM) rules engine, ensuring compliance with federal and state regulations, improving consumer experience, and leveraging data analytics to monitor performance and drive process improvements. HFS values employees with different backgrounds, life experiences, and talents. Employees receive a robust benefit package including: Monday-Friday work schedule Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.) Health, Life, Vision, and Dental Insurance Pension Plan Paid Parental Leave Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare) Employees earn (12) paid Sick Days annually. New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually. Employees earn (3) paid Personal Days annually. (13-14) paid holidays annually (based on start date) If you are seeking a new opportunity, and this position appeals to you, please apply today! At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained. HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.

Requirements

Requires knowledge, skill and mental development equivalent to completion of four (4) years of college
Requires three (3) years of progressively responsible administrative experience in the field of health or human services
Requires three (3) years of experience performing business analysis within the context of government, health care or IT operations
Requires three (3) years of experience with eligibility and enrollment policy or systems related to Medicaid, the Affordable Care Act or other government programs
Requires three (3) years of professional experience analyzing large sets of data to assess and recommend modifications or enhancements to eligibility systems and business processes

Nice To Haves

Minimum of three (3) years of experience performing business analysis within the context of government, health care or IT operations
Minimum of three years of experience with eligibility and enrollment policy or systems related to Medicaid, the Affordable Care Act or other government programs
Minimum of three (3) years of professional experience analyzing large sets of data to assess and recommend modifications or enhancements to eligibility systems and business processes
Minimum of three (3) years of professional experience in healthcare administration, program management, or a related field, with demonstrated leadership and managerial experience
Minimum of three (3) years of professional experience promoting equitable access to healthcare services for underserved populations
Minimum of three (3) years of professional experience building relationships and collaborating with diverse stakeholders

Responsibilities

Subject to management approval, serves as the State-Based Marketplace Development and Configuration Manager in designing, implementing, and testing business rules within the state-based marketplace rules engine
Monitors and evaluates the performance of the rules engine to identify areas for optimization, enhancement, and bug resolution
In collaboration with the HFS Bureau of Eligibility Policy and Bureau of Eligibility Systems, leads the development, review, and implementation of eligibility policies and criteria within the state-based marketplace database
Analyzes Illinois Medicaid and SBM data to identify trends, patterns, and areas for improvement in eligibility determinations, enrollment processes, and customer experiences, including coverage transitions, coverage retention, and continuity of coverage
Identifies opportunities and national best practices for process improvement and innovation within the assigned functional area, collaborating with cross-functional teams to implement changes and achieve desired outcomes
Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

Benefits

Monday-Friday work schedule
Flexible work schedules are available in many program areas.
Health, Life, Vision, and Dental Insurance
Pension Plan
Paid Parental Leave
Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
Employees earn (12) paid Sick Days annually.
New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
Employees earn (3) paid Personal Days annually.
(13-14) paid holidays annually (based on start date)