EXECUTIVE II
Springfield, IL, US, 62701-1634
Agency: Department of Healthcare and Family Services
Closing Date/Time: 04/19/2021
Salary: $5,100 - $7,661 Anticipated Monthly
Job Type: Salaried Full Time
County: Sangamon
Number of Vacancies: 1
Plan/BU: RC062
ABOUT THE POSITION:
The Bureau of Professional and Ancillary Services, Pharmacy Billing and Customer Relations unit is the unit tasked with educating Professional and Ancillary Service Providers and Clients on Health Policy and the Billing Education Program. We are seeking a bright, well spoken, communicator with policy experience to advise management on needs and opportunities to educate professional and ancillary service providers through the development of educational programs and materials. The new staff member would need the ability to both understand and respond to proposed legislation and legislative inquiries as well as assist in the review, research, and response to proposed legislations to assess the impact and ensure agency compliance.
Collective Bargaining Agreement language applies to this requisition:
We are currently transitioning away from a paper application process to an electronic application process. This position has not been transitioned. Please follow the directions below when applying to this position.
DO NOT APPLY ONLINE
**DO NOT CLICK THE APPLY BUTTON**
CMS100/B Employment Application and all applicable documentation should be submitted to the Agency contact listed below.
Posting Identification #33-22-1641-MP2775
Job Responsibilities
1. Organizes, plans, executes, controls, evaluates and manages the Statewide Professional and Ancillary Services Provider/Client Health Policy and Billing Education Program; implements policies; organizes goals and objectives; serves as liaison with operational areas of the Department and other state agencies involved with professional and ancillary services utilization issues such as Department of Human Services, Department on Aging and Department of Children and Family Services; develops and implements programs to improve healthcare utilization of Medicaid enrolled clients through client education and provider education; assigns and implements system and procedures to improve professional and ancillary services to clients and to enhance reporting, monitoring and evaluating performance of the programs.
2. Directs and evaluates the Medical Assistance Program operation of the Professional and Ancillary Services Provider/Client Health Policy and Billing Education Program; confers with management on the integration of the program activities; reviews, researches and responds to legislative, provider and client billing inquiries; assists management in researching and responding to proposed legislation to assess impact on the Department to ensure compliance with State and federal rules and regulations; resolves administrative problems and recommends/implements program function improvements to improve the policies related to education of Medicaid providers and Medicaid clients; drafts informational notices to educate providers regarding program function improvements, implements management studies for program evaluation.
3. Assists management in identifying professional and ancillary services educational needs for providers/clients and recommends and develops educational materials to address those needs; identifies and corrects systematic problems and recommends procedures for program implementations; creates and maintains complex spreadsheets to compile and analyze specific data on professional and ancillary services utilization patterns; reviews statistical data to determine educational needs for program planning.
4. Drafts reports and correspondence; submits correspondence, reports and briefings to the administration.
5. Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above.
Minimum Requirements
- Requires knowledge, skill and mental development equivalent to completion of four years of college preferably with courses in business or public administration
- Requires two years of responsible administrative experience in a public or business organization
Knowledge, Skills and Abilities
- Requires extensive knowledge of the principles and practices of public and business administration
- Requires working knowledge of the functions of State government and of the character of relationships between the executive branch with the other branches, and between the State and higher and lower levels of government
- Requires ability to exercise judgment and discretion in developing, implementing and interpreting departmental policies and procedures
- Requires ability to analyze administrative problems and adopt an effective course of action
- Requires the ability to develop and manage a supportive agency program
- Requires ability to develop and maintain cooperative working relationships
Special Skills
- Of the two years of experience outlined above, requires one year of experience with the Medicaid program in areas such as program eligibility, client education, or provider education/relations
- Requires extensive knowledge of agency programs, services objectives, activities and operational systems
- Requires experience in analyzing and interpreting Medicaid policies, regulations and laws
- Requires extensive experience creating, maintaining and updating complex Excel spreadsheets with formulas.
- Requires experience drafting written correspondence, including letters, memorandums and policy documents
Conditions of Employment
- Requires ability to pass a background check
Work Hours: 8:30 a.m. - 5:00 p.m. Monday - Friday
Work Location: 607 E Adams St Springfield, IL 62701-1634
Agency Contact: Robert Fehrholz
Job Function: Administration/Management; Fiscal/Finance/Business; Health Services; Legal and Compliance
ABOUT THE AGENCY/BUREAU/PROGRAM
At the Illinois Department of Healthcare and Family Services (HFS), we work in a spirit of teamwork to help millions of people in Illinois lead healthier and more successful lives. 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. HFS is an equal opportunity employer.
HFS is committed to promoting and preserving a workplace culture that embraces diversity 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.
CANDIDATES MUST SUBMIT A SEPARATE BID FORM (as applicable) AND CMS-100/B FOR EACH POSTED VACANCY APPLIED FOR.
APPLICATION INSTRUCTIONS
DO NOT APPLY ONLINE.
Please submit application via email to: HFS.DMPApps@illinois.gov
Current State Employees:
- Seeking a Promotion – Submit an Official Position Vacancy Bid Form and CMS-100B Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
- Older versions of the CMS-100B will not be graded or returned to applicants.
- Failure to complete and submit the new CMS-100B(version dated 9/2020 or after) will result in your application being rejected.
- Seeking a Transfer – Submit an Official Position Vacancy Bid Form, Transfer Request, and CMS-100 Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
- A separate Bid form and Application is required for each Posting Identification#/Job Requisition ID # or your bid will be rejected.
- Failure to complete and submit the new CMS-100 version (dated 9/2020 or after) will result in your application being rejected.
- Seeking a Reduction - Submit an Official Position Vacancy Bid Form and CMS-100 Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
- A separate Bid form and Application is required for each Posting Identification#/Job Requisiton ID # or your bid will be rejected.
- Failure to complete and submit the new CMS-100 (version dated 9/2020 or after) will result in your application being rejected.
Former State Employees:
- Submit an Official Position Vacancy Bid Form and CMS-100 Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
- A separate Bid form and Application is required for each Posting Identification#/Job Requistion ID # or your bid will be rejected.
- Failure to complete and submit the new CMS-100 (version dated 9/2020 or after) will result in your application being rejected.
Non-State Employees:
- Submit a CMS-100 Employment Application (version dated 9/2020 or after)and official college transcripts(Where applicable) to the Agency Contact address listed above.
- Documentation is required for each Posting/Bid ID or your application(s)will be rejected.
- Failure to complete and submit the new CMS-100 version (dated 9/2020 or after) will result in your application being rejected.