Eligibility Policy Writer (PSA)
Eligibility Policy Writer (PSA)
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$ 8281 - 12223
1 Vacancy
Job Description
Job Requisition ID:47488
Start date:6/2/25
Closing Date: 06/16/2025
Agency:Department of Healthcare and Family Services
BPIS:09501
Class Title:PUBLIC SERVICE ADMINISTRATOR - 37015
Skill Option:Health and Human Services
Bilingual Option:None
Salary: Anticipated starting salary (7/1/25) $8281/monthly; Full salary range $8281 - $12223/monthly
Job Type: Salaried
Category:Full Time
County: Sangamon
Number of Vacancies: 1
Bargaining Unit Code:RC063
Merit Comp Code:
This position is a union position; therefore provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.
All applicants who want to be considered for this position MUST apply electronically through the website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.
Applications submitted via email or any paper manner (mail fax hand delivery) will not be considered.
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 top-tier 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 Division Bureau Medical Eligibility and Special Programs (BMESP) is seeking to hire an eligibility policy writer to develop and maintain medical eligibility policies for Medicaid CHIP and related programs for operationalization in the Integrated Eligibility System (IES) and publication in OneNet.
The ideal candidate will have the ability to analyze and interpret state and federal legislation and administrative rules and develop well-written policy and worker action guides (procedures) for caseworkers evaluating benefit applications in IES. The ideal candidate will have the ability to collaborate in a fast-paced team-based environment with within and across organizations and demonstrate effective verbal and written communications skills when representing HFS.
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.
Essential Functions
- Subject to management approval serves as an Eligibility Policy Writer by conducting on-going and in-depth reviews and analysis of proposed and/or existing State and Federal statutes federal regulations pending and/or final litigation that affects medical assistance programs related to the States eligibility criteria
- Reviews proposed medical program initiatives
- Assists in studies of proposed policy changes that relate to caseload and fiscal impact resulting from revisions in HFS activities including but not limited to policy analysis and interpreting results from Enterprise Data Warehouse (EDW) queries
- Attends meetings and conferences to advise and discuss the consequences of proposed changes to programs policies and legislation
- Confers with staff attorneys to assess Freedom of Information Act (FOIA) requests or litigation lodged against the department
- 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 to three (3) years of progressively responsible administrative experience in the fields of health or human services
Preferred Qualifications
- Minimum of two (2) years of experience in the development or application of medical eligibility requirements standards methods and procedures for determining eligibility and establishing benefit levels
- Minimum of two (2) years of experience interpreting Long Term Care (LTC) policy content contained in OneNet software
- Minimum of two (2) years of professional experience working with state government programs
- Minimum of two (2) years of professional experience drafting policy documents and reports utilizing proper grammar and writing skills
- Minimum of two (2) years of experience interpreting query results and reports from a database such as an Enterprise Data Warehouse
- Minimum of one (1) year of professional experience drafting state legislation and/or proposed rulemaking
- A masters degree in social sciences with graduate work in policy analysis decision theory and statistics or equivalents
Specialized Skills
- Requires two (2) years of experience in the development or application of medical eligibility requirements standards methods and procedures for determining eligibility and establishing benefit levels
- Requires two (2) years of experience interpreting Long Term Care (LTC) policy content contained in OneNet software
Conditions of Employment
- Requires completion of a background check and self-disclosure of criminal history
- Requires the ability to travel in the performance of duties with overnight stays as appropriate
- Requires the ability to utilize and maintain state issued equipment such as a laptop
- Overtime is a condition of employment and you may be requested or required/mandated to work overtime including scheduled unscheduled or last-minute overtime. This requires the ability to work evenings and weekends
- 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 62704-3803
Email:
Posting Group: Leadership & Management
This position DOES contain Specialized Skills (as that term is used in CBAs).
APPLICATION INSTRUCTIONS
Use the Apply button at the top right or bottom right of this posting to begin the application process.
If you are not already signed in you will be prompted to do so.
State employees should sign in to the career portal for State of Illinois employees a link is available at the top left of the homepage in the blue ribbon.
Non-State employees should log in on the using the View Profile link in the top right of the homepage in the blue ribbon. If you have never before signed in you will be prompted to create an account.
If you have questions about how to apply please see the following resources:
State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid
Non-State employees: on click Application Procedures in the footer of every page of the website.
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:
Employment Type
Full-Time
