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Claims Tech Support Analyst (MOA II)

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public. Bilingual skills welcome

Reasonable Accommodation Statement

The State of Illinois is committed to working with and providing reasonable accommodations to people with disabilities. Further, federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job, interview for a job, or for any other activity related to the hiring process. Examples of reasonable accommodation include, but are not limited to, making a change to the application process (if possible), providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

To be provided a Reasonable Accommodation during the hiring process, you will need to provide a certification of disability from a physician, psychiatrist, school official or an Illinois Department of Human Services (DHS) Division of Rehabilitation Services (DRS) Vocational Rehabilitation (VR) Counselor. Supporting documentation should be uploaded under My Documents → Additional Documents section for each application.

Any questions on Reasonable Accommodations can be directed to Central Management Services Disability Resource Center at CMS.DisabilityResCen@illinois.gov or call (217) 524-7514 for further information and to request or discuss an accommodation.

Sponsorship for Employment

The State of Illinois does not provide sponsorship for employment visa status (e.g. H-1B visa status), nor is the State able to provide extensions of optional practical training (OPT) under the STEM-designated degree program for F-1 students.  To be considered for permanent employment with the State of Illinois, applicants must be currently authorized to work in the United States on a full-time basis.

Disclosure of Salary Information

In compliance with the Illinois Equal Pay Act, 820 ILCS 112/1 et seq., the State does not seek, request, or require a job applicant’s wage or salary history.  Employment decisions are not made based on an applicant’s wage or salary history.  To that end, please do not include wage or salary information in your resume or other profile or application materials.
Date:  Aug 5, 2025
Location: 

Springfield, IL, US, 62704

Job Requisition ID:  48955

Job Requisition ID: 48955 

Start date: 8/5/25
Closing Date: 08/19/2025
​Agency: Department of Healthcare and Family Services
Class Title: MANAGEMENT OPERATIONS ANALYST II - 25542 

BPIS: 11570
Skill Option: None 
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 of Medical Programs; Bureau of Technical Services is seeking to hire a Claims Tech Support Analyst in the claims support area of the bureau. The ideal candidate will possess strong organizational skills, attention to detail, and the ability to handle complex tasks in a fast-paced environment. We are looking for someone with excellent communication abilities, problem-solving skills, and a collaborative mindset to support our claims support team efficiently. The Claims Tech Support Analyst will play a key role in ensuring smooth operations and providing critical support to the department and specializing in institutional claims.

 

The ideal candidate will have extensive hands-on experience in medical claims, including utilizing EDI HIPAA transactions as well as maintaining accurate documentation. A strong understanding of running reports and testing is essential for success in this role. This role will also spend a lot of time developing and maintaining of Project Initialization Requests (PIR), Project Resolution Requests (PRR), and Change Requests (CR) for their section.

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 direction, serves as a Claims Tech Support Analyst by planning and directing the development and maintenance of programs and subsystems that provide a variety of claims information and status
  • Organizes and conducts reviews and evaluations of the systems processing elements relevant to enhancements and changes for compliance with state and federal policies and procedures
  • Coordinates the development of Project Initialization Requests (PIR), Project Resolution Requests (PRR), and Change Requests (CR)
  • Receives, reviews, and evaluates a variety of reports from the claims information systems/subsystems to determine system accuracy
  • Serves as administrative liaison with other bureaus and agencies
  • 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

  • Minimum of two (2) years of professional experience working with uniform medical billing (UB04) forms
  • Minimum of two (2) years of professional experience working with Electronic Data Interchange HIHP837I and 835 transactions as they pertain to processing medical claims and payments
  • Minimum of two (2) years of professional experience with pricing claim methodologies for payment of hospital and noninstitutional medical recipient claims including All Patient Refined Diagnosis Related Groups (APR/DGR), Per Diem and Enhanced Ambulatory Patient Groups (EAPG) pricing for inpatient and outpatient services
  • Minimum of two (2) years of experience working with electronic data processing operations and the manner in which they are utilized in operations analysis
  • Minimum of two (2) years of experience working with the application and conduct of management studies
  • Minimum of two (2) years of experience working with the subject matter of medical claims, specifically institutional claiming
  • Minimum of two (2) years of experience analyzing problems and developing systems of action
  • Minimum of two (2) years of experience working closely with staff and management professionals in planning and developing assignments
  • Minimum of two (2) years of experience maintaining and assisting in the development and review of Project Initialization Requests, Project Resolution Requests, and Change Requests

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: HFS.DMPApps@illinois.gov
Posting Group: Leadership & Management

 

This position DOES NOT 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


Nearest Major Market: Springfield

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