Long Term Care Reimbursement Unit Manager (Spsa, OPT 1)

Job Requisition ID: MP 44812

BPIS: 10203

Start Date: 2/20/25

Closing Date/Time: 03/06/2025

Agency: Department of Healthcare and Family Services

Class Title: SENIOR PUBLIC SERVICE ADMINISTR - 40070

Skill Option: General Administration/Business Marketing/Labor/Personnel

Bilingual Option: None

Salary: Anticipated starting salary range $10500-$12500/based on experience

Job Type: Salaried

Category: Full Time

County: Sangamon

Number of Vacancies: 1

Plan/BU: None

A RESUME IS REQUIRED FOR THIS JOB POSTING

Please attach a DETAILED Resume/Curriculum Vitae (CV), a copy of your transcripts or diploma for all degrees

earned, and a copy of any applicable professional licensures to the MY DOCUMENTS section of your

application. Please note that the Department of Healthcare and Family Services must verify proof of higher education for

any degree earned (if applicable) before any offer can be extended. You WILL NOT be considered for the

position if you attach a CMS100, CMS100b or any other document in lieu of a Resume or CV.

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, Bureau of Rate Development and Analysis is seeking to hire a manager for the Long Term Care Reimbursement unit. We are seeking an experienced and self-motivated individual to oversee the development of reimbursement rates for long term care providers. The candidate will demonstrate the ability to work effectively with a team of professionals to facilitate development of reimbursement rates for long term care providers.

The ideal candidate will have strong data analysis skills, supervisory experience, a working knowledge of Medicaid reimbursement, excellent organizational and communication skills and possess the ability to effectively lead a team.

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

• Subject to management approval, serves as the Long Term Care (LTC) Reimbursement Unit Manager for the Bureau of Rate Development and Analysis by planning, developing, organizing, and managing the LTC Reimbursement Program, information management development and program development and research activities for the Bureau
• Serves as full line supervisor
• Provides comprehensive analyses utilizing Statistical analysis Software (SAS) and Structured Query Language (SQL) Assistant programs, evaluation and development of the long-term care providers reimbursement system
• Directs the research and development of the geriatric rate system
• Establishes goals and objectives for institutional liability tracking
• Confers with department administrative staff, budget, legislative and program staff regarding budget, policies, rules, regulations, state plan provisions and legislation relating to LTC providers' operations
• 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
• Requires prior experience equivalent to four (4) years of progressively responsible administrative experience in a public or business organization

Preferred Qualifications

• A minimum of three (3) years of professional experience programming with Advanced SAS programming or an equivalent programming language
• A minimum of three (3) years of professional experience accessing large databases using Structured Query Language (SQL)
• A minimum of two (2) years of professional experience with Medicaid Claims Data specifically client, provider, and institutional services
• A minimum of two (2) years of professional experience working with complex Medicaid reimbursement methodologies for a public or private organization
• A minimum of three (3) years of professional experience in medical provider rate setting, including institutional providers
• A minimum of three (3) years of professional experience developing and implementing reimbursement programs, policies, and procedures to ensure compliance with State and Federal guidelines
• A minimum of three (3) years of professional experience developing and implementing new program objectives
• A minimum of two (2) years of experience supervising professional and bargaining unit staff

Conditions of Employment

• Requires the ability to pass 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 (i.e.: laptop, cell phone, etc.)
• 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
• Certain provisions of the revolving door restrictions contained in 5 ILCS 430/5-45 apply to this position. As a result, the employee should be aware that if offered non-State employment during state employment or within one year immediately
• after ending State employment, the employee shall, prior to accepting any such non-State employment offer, notify the Office of the Executive Inspector General for the Agencies of the Illinois Governor (OEIG) or may be subject to a fine
• This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.) requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings
• 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: Springfield- 201 South Grand Ave E

Agency Contact: HFS.DMPApps@illinios.gov

Posting Group: Leadership & Management

Revolving Door:

Certain provisions of the revolving door restrictions contained in 5 ILCS 430/5-45 apply to this

position. As a result, the employee should be aware that if offered non-State employment during

State employment or within one year immediately after ending State employment, the employee shall,

prior to accepting any such non-State employment offer, notify the Office of the Executive

Inspector General for the Agencies of the Illinois Governor ("OEIG") or may be subject to a fine.

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