CONTRACTUAL WORKER

Agency : Department of Healthcare and Family Services

Job Posting ID : ME41981

Class Title : Personal Service Contract-Program Analyst (CONTRACTUAL WORKER)

Skill Option : None

Bilingual Option : None

Closing Date / Time :

Salary : Salary Range $7,500 - $9,500 monthly

Job Type : Hourly

Category : Full Time

County : Sangamon

Number of Vacancies : 1

Plan / BU : PSC

A RESUME IS REQUIRED FOR THIS JOB POSTING

Please attach a DETAILED Resume / Curriculum Vitae (CV), a copy of your transcripts or diploma for all degrees earned, and a copy of any applicable professional licensures to the MY DOCUMENTS section of your application.

Please note that the Department of Healthcare and Family Services must verify proof of higher education for any degree earned (if applicable) before any offer can be extended.

You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document in lieu of a Resume or CV.

Job Posting Details :

The Department of Healthcare and Family Services, Division of Medical Eligibility, Bureau of All Kids is seeking a high energy individual with experience working in the field of Medicaid Eligibility to serve as a Program Analyst.

The ideal candidate will demonstrate the ability to work cohesively with internal and external partners to develop and analyze best practices to streamline eligibility processes and bring processing timeframes within federal and state guidelines.

The ideal candidate will exhibit strong leadership skills to achieve set goals while demonstrating independent initiative.

The candidate will possess strong communication skills.

At the Illinois Department of Healthcare and Family Services (HFS), we work in a spirit of teamwork to help millions of people in Illinois lead healthier and more successful lives.

We provide healthcare coverage for child 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.

HFS is an equal opportunity employer.

HFS is committed to promoting and preserving a workplace culture that embraces diversity 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.

DUTIES TO BE PERFORMED

• Acts as HFS lead for Medical Eligibility Audits
• Serve as the HFS lead in efforts to evaluate and implement urgent improvements relating to medical eligibility audits
• Will review previous Corrective Action Plans (CAPs) and determine the next steps should be, follow-up to ensure action is taken to resolve the issue(s) timely and will report status on a regular basis
• Will be the lead on development of timelines for new CAPs and ensuring timely completion
• Attend related audit meetings and assist senior HFS staff in responding to audit inquiries
• Act as HFS lead for Long Term Care / Supportive Living Project
• Serve as the HFS lead in efforts to evaluate and implement urgent improvements in the current processing of Long-Term Care / Support Living Program application within the Integrated Eligibility System (IES) system
• Assist with case change procedures currently handled manually through the existing legacy system, MEDI / REV, MMIS and TAN databases
• Familiar with current functionality of the IES eligibility system and the existing legacy systems for the essential enhancement and development and / or design to meet the future needs of the expanding LTC / SLP caseload

MINIMUM QUALIFICATIONS

• Requires the knowledge, skill and mental development equivalent to completion of four years of college
• Requires at least four (4) years of experience working with state and federal Medicaid eligibility policy laws, rules and regulations
• Requires experience developing and implementing Medicaid eligibility policy and system changes

PREFERRED QUALIFICATIONS

• Prefers a Masters’ degree in a relevant field such as Public Administration, Public Policy, Social Work, Counseling or Business Administration.
• Prefers at least three (3) years of experience working with federal and state eligibility laws, regulations, and rules.
• Prefers at least three (3) years of experience working with Long-Term Care / Supportive Living Program (LTC / SLP) eligibility policy with the ability to determine eligibility and maintain public benefits in the legacy and Integrated Eligibility System (IES) systems including the Application for Benefits Eligibility (ABE) customer portal .
• Prefers at least three (3) years of experience working with current functionality of IES and legacy systems.
• Prefers at least three (3) years of experience working in the related data systems, including
• ACM Automated Case Management
• CDB Client Database
• MEDI / REV Medical Electronic Data Interchange / Recipient Eligibility Verification
• IES Integrated Eligibility System
• MMIS Medicaid Management Information System
• TAN Transaction Audit Number
• SharePoint
• Excellent interpersonal and leadership skills

CONDITIONS OF EMPLOYMENT

• Requires the ability to pass a background check
• Ability to work normal working hours

Work Hours : Monday - Friday 8 : 30a.m. - 5 : 00p.m.

Work Location : 201 South Grand Ave E Springfield, IL 62704-3803

Email : [email protected]

Posting Group : Leadership & Management

The main form of communication will be through email. Please check your junk mail , spam , or other folder for communication(s) regarding any submitted application(s).

You may receive emails from the following addresses :

• [email protected]
• [email protected]
1 day ago