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Dispute Analyst (Executive I)

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). 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:  May 27, 2025
Location: 

Springfield, IL, US, 62704

Job Requisition ID:  47446

Job Requisition ID: 47446 

Start date: 5/27/25
Closing Date: 06/10/2025
​Agency: Department of Healthcare and Family Services

BPIS: 09883
Class Title: EXECUTIVE I - 13851 
Skill Option: None 
Bilingual Option: None
Salary: Anticipated starting salary (Effective 7/1/25) $5,928; Full salary range $5,928 - $8,493
Job Type: Salaried
Category: Full Time 
County: Sangamon
Number of Vacancies: 1
Bargaining Unit Code: RC062
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 Finance, Bureau of Budget and Cash Management is seeking to hire a Dispute Analyst. Under direction, this position plans and manages the Managed Care Organization (MCO) Pharmacy and Physician Rebate Programs; confers with drug manufacturers to explain policies and procedures for the MCO Pharmacy and Physician Rebate Programs;serves as a liason to the Bureau of Fiscal Operations regarding disputes from drug manufacturers participating inthe MCO Pharmacy  and Physician Rebate Programs; plans, organizes, and develops management reports regarding rebate disputes and dispute resolution activities; and confers with management on the integration of MCO Pharmacy and Physician Rebate Program activities to resolve administrative problems and improve program functions.

 

The ideal candidate will demonstrate excellent verbal and written communication skills.  The position will be working with entities both internal and external to respond and resolve disputes that may occur from the Drug Rebate Process. The ideal candidate should possess the ability to analyze data and work closely with internal and external entities to determine the best possible course of action for dispute resolution.  The preferred candidate will exhibit the ability to plan, prioritize, and follow up on tasks to ensure they are completed accurately and timely.

 

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 Maternity/Paternity 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

  • Serves as a Dispute Analyst for the Department of Healthcare and Family Services, Division of Finance, Bureau of Budget and Cash Management, Drug Rebate Unit
  • Confers with drug manufacturers to explain policies and procedures for the MCO Pharmacy and Physician Rebate programs, in accordance with the Healthcare Common Procedure Coding System (HCPCS) and state and federal laws and regulations regarding manufacturer rebates
  • Serves as a liaison to the Bureau of Fiscal Operations regarding disputes from drug manufacturers participating in the MCO, Pharmacy, and Physician Rebate Programs
  • Plans, organizes, and develops management reports regarding rebate disputes and dispute resolution activities
  • Confers with management on the integration of MCO Pharmacy and Physician Rebate Program activities to resolve administrative problems and to improve program functions
  • Provides direction to staff pharmacist regarding policy on dispute issues
  • 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 four years of college, preferably with coursework in business or public administration
  • Requires one year of responsible administrative experience in a public or business organization or completion of an agency approved professional management training program

Preferred Qualifications

  • One (1) year of professional experience conducting qualitative or quantitative analysis of pharmaceutical claims
  • One (1) year of professional experience with the Healthcare Common Procedure Coding System (HCPCS)
  • One (1) year of professional experience communicating with drug manufacturers or healthcare providers regarding pharmaceutical disputes or rebates
  • One (1) year of experience working with state and federal laws and regulations regarding pharmaceutical manufacturer rebates
  • Two (2) years of professional experience drafting correspondence, reports, or similar documents
  • Two (2) years of professional experience using Microsoft Office applications such as Excel, Outlook, and Word or similar software

Specialized Skills

Of the one year of experience noted above:

  • Requires one (1) year of professional experience conducting qualitative or quantitative analysis of pharmaceutical claims
  • Requires one (1) year of professional work experience with the Healthcare Common Procedure Coding System (HCPCS)
  • Requires one (1) year of professional work experience communicating with drug manufacturers or healthcare providers regarding pharmaceutical disputes or rebates

Conditions of Employment

  • Requires the ability to pass a background check
  • 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.DOFApps@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


Nearest Major Market: Springfield

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