Medical Insurance Manager

Illinois State University; Normal (IL); Hybrid; USD 60,000 - 79,000; Full time

Benefits offered by this job

Insurance benefits

Retirement options

Tuition waiver

Paid holidays

Paid benefit time

Job summary

Illinois State University is seeking a Medical Insurance Manager in Health Services to oversee the administration and marketing of the student health insurance (SHI) program on campus. The role requires deep knowledge of claims processing, prior authorizations, and regulatory considerations to ensure quality service for students and staff.

Core hours align with campus operations, and the position offers comprehensive benefits and retirement options.

Qualifications

• Six years of combined education/work experience in health-related field or management.
• Experience supervising or managing with healthcare claims, denials, referrals and prior authorizations.

Skills

Supervision

Healthcare experience

Claims processing

Prior authorizations

Strategic planning

Customer service

Regulatory knowledge

Education

College coursework

Bachelor's degree

Tools

Healthcare software

Job description

Title: Medical Insurance Manager
Division Name: Student Affairs
Department: Health Services

Job Summary

Responsible for the administration and marketing of the student health insurance (SHI) program.

Additional Information

University Benefit Highlights:

• Insurance benefits
• Retirement and supplemental retirement planning options
• Tuition waiver benefits available to staff as well as their eligible dependents
• Paid holiday/administrative closures during Thanksgiving and Winter Breaks
• Paid benefit time

Additional University Benefit information, including information regarding eligibility to participate in the State Universities Retirement System and the State of Illinois Group Insurance program, can be reviewed here: https://hr.illinoisstate.edu/benefits/

Salary Rate / Pay Rate

$5,039 to $6,548 per month

Required Qualifications

1. Any one or any combination totaling six (6) years (72 months), from the categories below:
(A) College coursework in a health-related field, business administration/management, human resource management, or closely related fields, as measured by the following conversion table or its proportional equivalent:
- 30 semester hours equals one (1) year (12 months)
- Associate’s Degree (60 semester hours) equals eighteen months (18 months)
- 90 semester hours equals two (2) years (24 months)
- Bachelor’s Degree (120 semester hours) equals three (3) years (36 months)
(B) Work experience in supervision or management or other positions of similar responsibility with experience in a healthcare environment working with medical claims, denials, rejections, referrals, and prior authorizations.

Preferred Qualifications

1. Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership techniques, production methods, and coordination of people and resources.
2. Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluating customer satisfaction.
3. Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
4. Extensive knowledge of medical insurance claims processing and Extensive knowledge of medical terminology, referrals, and prior authorizations.
5. Skill in evaluating information to determine compliance with standards. Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, standards and ensuring that lower-level employees are following standards.
6. Skill in personnel resources management through motivating, developing, and directing people as they work, identifying the best people for the job.
7. Skill in monitoring/assessing the performance of self, other individuals, or organizations to make improvements or take corrective action.
8. Skill in identifying the development needs of others and coaching, mentoring, or otherwise helping others improve their knowledge or skills.
9. Ability to train employees and plan, assign, and supervise the work of others.
10. Ability to work collaboratively, building strategic relations with colleagues, coworkers, constituents.
11. Ability to identify complex problems and review related information to develop and evaluate options and implement solutions.
12. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
13. Ability to use good judgment and decision-making skills while considering potential actions' relative costs and benefits and choosing the most appropriate one.

Work Hours

Core hours are 8am to 5pm, Monday through Friday

Functional Expectations

Must be able to complete the following with or without a reasonable accommodation:

1. Remain at a workstation for extended periods
2. Move about in various locations across campus as needed to complete day-to-day work.
3. Effectively communicate on a daily basis.

Proposed Starting Date

October 2026

Required Applicant Documents

• Resume
• Cover Letter

Optional Applicant Documents

• Transcripts - See Special Instructions section for additional options
• Certification of Retirement Annuity

Special Instructions for Applicants

Sponsorship: Applicants for this position must be currently legally authorized to work for Illinois State University in the United States. Illinois State University will not sponsor or take over the sponsorship of an employment visa for this opportunity. Illinois State University is not a qualifying employer for the STEM OPT benefit: only the 12-month OPT may be used to work at Illinois State University.

Contact Information for Applicants

Breanna Crippen
Human Resources
309-438-8315
[e-mail]

Important Information for Applicants

This position is subject to a criminal background investigation and if applicable, an employment history review, based on University Policy 3.1.30 and any offer of employment is contingent upon you passing a satisfactory criminal background investigation and/or an employment history review. You may not begin work until the criminal background investigation results have been received and cleared by Human Resources.

Illinois State University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

If you are an individual with a disability and need a reasonable accommodation under the Americans with Disabilities Act (ADA) or other state or federal law you may request an accommodation by contacting the Office of Equal Opportunity and Access at [phone]. The Office of Equal Opportunity and Access will hold any confidential information you provide in confidence.

If you are having difficulty accessing the system, please call Human Resources at [phone].