Managed Care Analyst - HCI & Dual Programs

Position overview

The Department of Healthcare and Family Services (HFS), Bureau of Managed Care is seeking a detail‑oriented and highly organized individual to provide operational and analytical support for the State’s managed care programs. This position plays an important role in supporting the account management team by coordinating meeting materials, tracking follow‑up items, preparing operational reports, and maintaining documentation related to Managed Care Organization (MCO) activities. 

The Managed Care Analyst assists with gathering data, organizing information, and supporting routine monitoring activities under the direction of the MCO Account Manager & FIDE SNP Program Lead. The position also attends select MCO meetings in a support capacity, taking notes and preparing summaries to ensure timely follow‑up and clear communication. This role is ideal for a candidate who excels at managing details, working with data, supporting process workflows, and contributing to a collaborative team environment.

The ideal candidate is dependable, organized, and comfortable working in a fast‑paced setting with multiple deadlines. Strong communication skills, proficiency with Microsoft Office, and the ability to compile accurate documentation are essential for success in this position. Applicants with experience providing administrative, operational, and analytical support in healthcare, human services, or similar environments are encouraged to apply.

HFS values employees with different backgrounds, life experiences, and talents. If you are seeking a new opportunity, and this position appeals to you, please apply today!

Essential Functions

• Under direction, independently supports day to day operational and performance monitoring of Managed Care Organization (MCO) activities for assigned MCOs under the direction of the supervising PSA (MCO Account Manager & Duals Program Liaison)
• Provides administrative and operational support for weekly, monthly, and quarterly meetings with MCOs participating in the HealthChoice Illinois program and dual-eligible Medicare-Medicaid programs
• Preparation of routine and ad hoc operational reports
• Provides support in implementing operational procedures and managed care initiatives
• 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, supplemented by a master's degree in business or public administration, with coursework in areas such as economic theory, accounting and finance, organizational theory, and operations research
• Requires three (3) years progressively responsible professional experience in management operations analysis

Preferred qualifications

• Three (3) years of experience providing operational, administrative, or analytical support within a healthcare, human
  services, or managed care environment
• Three (3) years of experience assisting with data collection, data organization, and/or structured reporting for program or
  contract operations
• Three (3) years of experience in the healthcare industry field
• Three (3) years of experience and working knowledge of managed care concepts, healthcare delivery systems, or related
  program operations
• Three (3) years of progressively responsible experience supporting meetings, preparing documentation, and tracking follow
  up activities for projects or program initiatives
• Three (3) years of experience with research, document review, and information gathering to support program staff
• Proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint

Conditions of employment

• Requires completion of a background check and self-disclosure of criminal history
• Requires the ability to maintain state issued equipment such as a laptop
• Requires the ability to travel in the performance of duties, with overnight stays as appropriate
  • The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job
    description

About the agency

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

Benefits statement

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)