Encounter Data Program Unit Manager Senior Public Service Administrator
Encounter Data Program Unit Manager Senior Public Service Administrator
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1 Vacancy
Job Description
Agency:Department of Healthcare and Family Services
Class Title:SENIOR PUBLIC SERVICE ADMINISTR 40070
BPIS:07787
Skill Option:General Administration/Business Marketing/Labor/Personnel
Bilingual Option:None
Start Date:4/8/25
Closing Date/Time: 04/22/2025
Salary: Anticipated starting salary range $10500$12500/based on experience
Job Type: Salaried
Category:Full Time
County: Sangamon
Number of Vacancies: 1
Plan/BU:None
****************A RESUME IS REQUIRED FOR THIS JOB POSTING****************
Please attach a DETAILED Resume/Curriculum Vitae (CV) to the MY DOCUMENTS section of your application. You WILL NOT be considered for the position if you attach a CMS100 CMS100b or any other document that is not a Resume or CV.
Why Work for Illinois
Working with the State of Illinois is a testament to the values of compassion equity and dedication that define our state. Whether youre helping to improve schools protect our natural resources or support families in need youre part of something biggersomething that touches the lives of every person who calls Illinois home.
No matter what state career youre looking for we offer jobs that fit your life and your scheduleflexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our toptier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Position overview:
The Department of Healthcare and Family Services Bureau of Rate Development and Analysis is seeking to hire a manager for the Encounter Data unit. We are seeking an experienced and selfmotivated administrator to oversee the collection and validation of Managed Care Organization (MCO) encounter data used to monitor MCO performance and develop capitation rates. The candidate will demonstrate the ability to work effectively with a team of professionals to facilitate submission of complete and correct encounter data.
The ideal candidate will have supervisory experience a working knowledge of medical claims data excellent organizational and communication skills and possess the ability to effectively lead a team.
HFS values employees with different backgrounds life experiences and talents.
Employees receive a robust benefit package including:
- MondayFriday 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 pretax 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.
- 1314 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 wellbeing. 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.
Essential Functions
- Subject to management approval serves as the chief project manager to plan develop implement evaluate and manage the encounter data program for the Division of Medical Programs including improving submission rates of data acceptance rates compliance monitoring and analytic review of submitted data
- Develops and implements policies for interfaces with manages care contractors to develop Quality Improvement plans and Corrective Action plans to assure accurate encounter data is received by the Division
- Reviews and evaluates the Medicaid Management Information System (MMIS) system edits
- Serves as full line supervisor
- Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above
Minimum Qualifications
- Requires knowledge skill and mental development equivalent to completion of four 4 years of college
- Requires prior experience equivalent four 4 years of progressively responsible administrative experience in a public or business organization
Preferred Qualifications
- Minimum of two 2 years of healthcare or other similar data reporting experience including but not limited to data definitions submission and editing
- Minimum of two 2 years of experience working with HIPAA transactions relevant to encounter data submission
- Minimum of two 2 years of experience working with large provider health insurer government agency or research institution regarding a healthcare claims system
- Minimum of two 2 years of experience managing the business side of information technology projects
- Minimum of two 2 years of experience working with procedural and diagnosis coding
- Minimum of two 2 years of experience working with Medicaid policies and procedures
- A bachelors or advanced degree in healthcare business or information systems is preferred
Conditions of Employment
- Requires completion of a background check and selfdisclosure of criminal history
- Requires the ability to utilize and maintain state issued equipment such as a laptop
- Certain provisions of the revolving door restrictions contained in 5 ILCS 430/545 apply to this position. As a result the employee should be aware that if offered nonState employment during state employment or within one year immediately after ending State employment the employee shall prior to accepting any such nonState employment offer notify the Office of the Executive Inspector General for the Agencies of the Illinois Governor (OEIG) or may be subject to a fine
- This position has been found to meet the requirements in section 4A101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act 5 ILCS 420/4A et seq. requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 1509 Fines and penalties apply to untimely filings
- The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description
Work Hours:Monday Friday 8:30 a.m. 5:00 p.m.
Work Location:201 South Grand Ave E Springfield IL
Agency Contact:
Posting Group:Leadership & Management
Revolving Door:
Certain provisions of the revolving door restrictions contained in 5 ILCS 430/545 apply to this position. As a result the employee should be aware that if offered nonState employment during State employment or within one year immediately after ending State employment the employee shall prior to accepting any such nonState employment offer notify the Office of the Executive Inspector General for the Agencies of the Illinois Governor (OEIG) or may be subject to a fine.
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:
Required Experience:
Manager
Employment Type
Full-Time
