Special Program Review / Online Unit Supervisor (Executive II)

Job Requisition ID : 51162

Start Date : 10 / 27 / 25

Closing Date : 11 / 10 / 2025

​Agency : Department of Healthcare and Family Services

Class Title : EXECUTIVE II - 13852

Skill Option : None

BPIS : 08492

Bilingual Option : None

Salary : Anticipated starting salary $6589 / monthly; Full salary range $6589 - $9541 / monthly

Job Type : Salaried

Category : Full Time

County : Sangamon

Number of Vacancies : 1

Bargaining Unit Code : RC062 Technical Employees, AFSCME

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 illinois.jobs2web.com 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 you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.

No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible 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 or Section of Claims Processing is seeking to hire a motived candidate to serve as an Executive II assigned to the Bureau of Claims Processing. Under the direction of the Error Resolution Section Manager, this position plans and manages the adjudication of medical claims submitted for processing in the State's Medical Assistance Program.

The ideal candidate will have strong communication skills, excellent team leadership skills, and an ability to thrive in a high volume and fast paced environment. 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

Under general direction, serves as the Special Program Review / Online Unit Supervisor by organizing, planning, executing, controlling, evaluating, and managing the adjudication of medical claims submitted for processing in the State's Medical Assistance Program

Serves as a working supervisor

Plans, assigns, directs and reviews the activities of the On-Line, Medicare and Special Program Review Units

Confers with Administration, Bureau of Technical Support, Department of Innovation and Technology (DolT), Internal and External Auditors, and staff on the integration of program activities

Establishes and updates quality control activities in conjunction with the Bureau of Technical Support and / or DolT to guarantee effectiveness of workflow procedures

Assists in the development and implementation of Agency policy, operating and / or processing changes and / or procedures for new and revised data processing systems for enhanced On-Line and Medicare Crossover Claims Processing Systems

Plans, organizes and conducts meetings for the development, design and implementation of Agency changes related to the Medical Assistance Program

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, preferably with courses in business or public administration

Requires two (2) years of responsible administrative experience in a public or business organization

Specialized Skills

Minimum of two (2) years of experience utilizing a system such as the Medicaid Management Information Systems (MMIS) general inquiry database to review medical claims for payment

Minimum of one (1) of year of experience with MMIS logic interpretation

Preferred Qualifications

Minimum of two (2) years of experience utilizing a Medicaid Management Information Systems (MMIS) general inquiry database to review medical claims for payment

Minimum of one (1) of year of experience with MMIS logic interpretation

Minimum of two (2) years of experience working for a public or private organization overseeing a medical assistance program

Minimum of one (1) year of supervisory experience

Minimum of two (2) years of experience reviewing medical claims for payment

Minimum of two (2) years of experience developing and managing a supportive program for a public or private organization

Minimum of two (2) years of experience developing and implementing policies and procedures for a public or private organization

Conditions of Employment

Requires completion of a background check and self-disclosure of criminal history

Requires the ability to utilize and maintain state issued equipment such as a laptop

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 : HFS.DMPApps@illinois.gov

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 Illinois.jobs2web.com homepage in the blue ribbon.

Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com 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 Illinois.jobs2web.com – 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 :

donotreply@SIL-P1.ns2cloud.com

systems@SIL-P1.ns2cloud.com