State of Illinois

Job Requisition ID: 48308

Start date: 7/3/25

Closing Date: 07/18/2025

Agency: Department of Healthcare and Family Services

BPIS: 12328

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

Bargaining Unit Code: None

Merit Comp Code: Term Appointment/ Agency

• 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, dedicated to improving lives for 3.2 million Illinoisans, is seeking to hire a highly motivated, qualified individual in the Bureau of Quality Management to serve as the Manager of Quality Management. This position will plan, develop, evaluate and manage the Quality Assurance Programs in a managed care setting, including overseeing the development and monitoring of quality standards for care coordination entities and managed care organizations; develop policies and procedures to ensure client access to quality health care.

The ideal candidate will demonstrate their dedication to teamwork, the ability to work in a fast-paced, ever-changing environment, a strong supervisory background including experience managing staff, managing large scale operations, and the desire to promote and provide quality services on behalf of the State of Illinois. 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 Quality Assurance Manager by planning, developing, evaluating and managing the Quality Assurance Programs in a managed care setting, including overseeing the development and monitoring of quality standards for care coordination entities and managed care organizations
• Plans, organizes and directs the quantitative and qualitative analysis regarding policy program issues in the Medical Assistance Program
• Serves as full line supervisor
• Develops policies and procedures to ensure client access to quality health care
• Directs the planning, evaluation and implementation of the Quality Assurance Program
• 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

• Minimum of three (3) years of professional experience managing a quality assurance program in a managed care setting
• Minimum of three (3) years of professional experience developing and implementing program and operational policies and procedures to be adhered to by providers and incorporated as essential elements in multi-million-dollar contracts
• Minimum of three (3) years of professional experience in the field of managed care quality improvement, with knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) measurements, coding and related data definitions
• Minimum of three (3) years of professional experience working with Medicaid policies and procedures
• Minimum of three (3) years of professional experience developing and managing a major program for a public or private organization
• Minimum of three (3) years of experience analyzing quality data
• Minimum of two (2) years of professional experience serving as a spokesperson for an organization addressing internal and external stakeholders such as Managed Care Organizations (MCOs), hospital associations, medical providers, and/or elected officials
• Prefers a clinical degree or advanced degree in a relevant field

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
• 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: 201 South Grand Ave E Springfield, IL 62704-3803

Email: HFS.DMPApps@illinois.gov

Posting Group: Leadership & Management

Term Appointment:

Candidates hired into a term position shall be appointed for a term of 4 years and are subject to a probationary period. The term may be renewed for successive four-year terms at the Director of the Department of Healthcare and Family Services’s discretion.

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

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