Non-Modified Adjustment Gross Income Rules Engine Supervisor

Illinois Comptroller; Springfield, Northern (IL, KY); Hybrid; USD 95,000 - 117,000; Full time

Benefits offered by this job

Health, Life, Vision, and Dental

Pension Plan

Flexible work schedules

Paid holidays

Job summary

Illinois Department of Healthcare and Family Services (HFS) in Illinois is seeking a manager to oversee a team of Information System Analysts and Management Operations Analysts. As the Non-MAGI Rules Administrator, you will drive the statewide rules engine for Medicaid eligibility with cross-agency collaboration.

You will lead complex SQL data tasks, ensure compliant policy interpretation, and present findings to diverse audiences.

Qualifications

• Requires completion of four years of college.
• Three years of progressively responsible administrative experience in a public or business organization.
• Three years of experience interpreting and analyzing Federal and State Medicaid and child health insurance laws.

Responsibilities

• Plan, direct, and evaluate the statewide Non-MAGI Rules Engine Program.
• Direct and implement rules engine logic for accurate medical eligibility decisions.
• Present complex research findings to stakeholders and answer technical questions.
• Monitor compliance with Department guidelines and Federal/state rules.
• Collaborate with HF and other agencies to improve health benefits coverage.

Skills

Rules engine knowledge

Relational databases

SQL queries

Leadership

Data presentation

Education

Bachelor's degree

Tools

SQL software

Data governance tools

Job description

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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 [e-mail] or call [phone] 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), nor is the State able to provide extensions of optional practical training (OPT) under the STEM-designated degree program for F-1 students. 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.

Job Requisition ID:58372

BPIS: 10239 Opening Date: 09/03/2026 Closing Date: 09/18/2026 Agency: Department of Healthcare and Family Services Class Title:PUBLIC SERVICE ADMINISTRATOR - 37015 Skill Option:General Administration/Business Marketing/Labor/Personnel Bilingual Option:None Salary: Anticipated Starting Salary $8,500 Full Salary Range $8,500-$10,500 Monthly Job Type: Salaried Category:Full Time Number of Vacancies: 1 Bargaining Unit Code:None Merit Comp Code:Gubernatorial (Management Bill) Exclusion from RC063 Collective Bargaining Coverage

Work Hours: Monday - Friday 8:30 a.m. - 5:00 p.m.
Anticipated Hybrid Work Schedule Availability:1 to 5 Days per week in office, depending on operational needs
Headquarter Location: Springfield - 201 S Grand Ave E
Work County: Sangamon
Agency Contact: [e-mail]

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 Eligibility Integrity, is seeking to hire a manager to oversee a team of Information System Analysts and Management Operations Analysts. As the Non-MAGI Rules Administrator, you will work with a large team of colleagues in HF and in other state agencies to improve the lives of Illinoisians by assuring that HFS Programs provide accurate health benefits coverage to eligible Illinoisians consistent with State and Federal requirements. You will become a part of a team committed to providing health benefits to maximize the health and well-being of our customers, with consistent and responsive customer service, and based on a foundation of equity for all customers.

The ideal candidate must have knowledge/experience of rules engine logic in a public means benefit system, understanding of relational databases, and creating complex SQL queries with knowledge of State and Federal Medicaid laws. The ideal candidate must be a proven leader, strong researcher, and have proven experience with SQL logic in a relational database. The ideal candidate will be able to demonstrate the ability to present data to explain complex medical policy in ways that are easy to understand for a variety of audiences.

The nature of the work is very collaborative and requires good working relationships with other staff and bureaus in HFS, other agencies, and contacts. This position is a fast-paced environment requiring flexibilities, excellent prioritization skills and dedication to teamwork.

HFS values employees with different backgrounds, life experiences, and talents. If you are seeking a new opportunity, and this position appeals to you,

Essential Functions

• Subject to management approval, serves as the Non-Modified Adjustment Gross Income (MAGI) Rules EngineSupervisor in planning, directing and evaluating the statewide Non-MAGI Rules Engine Program
• Serves as full line supervisor
• Directs and implements the development of rules engine logic deployed to the rules engine for the accurateprocessing of medical eligibility decisions in accordance with State and Federal laws, rules and regulations
• As Rules Engine Specialist, attends meetings to present complex research findings and answer technicalquestions
• Monitors program functions to ensure compliance with Department guidelines and other State or Federal rulesand regulations involving eligibility
• Performs other duties as required or assigned, which are reasonably within the scope of the duties enumeratedabove

Minimum Qualifications

• Required knowledge, skill, and mental development equivalent to completion of four (4) years of college
• Requires prior experience equivalent to three (3) years of progressively responsible administrative experience in a public or business organization

Preferred Qualifications

• Three (3) years of professional experience interpreting and analyzing Federal and State Medicaid and child health insurance laws
• Three (3) years of experience in database management systems for automated decision-making comparable to Medicaid eligibility systems and experience applying rules engine logic to implement medical programs eligibility policy
• Three (3) years of professional experience analyzing large sets of data in comparison to administrative programs and adopting and effective course of action for a public or private organization, State or Federal agency
• Three (3) years of professional experience developing, installing, and evaluating new and revised methods, procedures, and performance standards to meet Federal and State guidelines
• Three (3) years of professional experience exercising judgement and discretion in developing, implementing, and interpreting organizational policies and procedures for a public or private organization, State or Federal agency
• Three (3) years of professional supervisory experience working with labor and employment development, including staff utilization and employee motivation
• Three (3) years of professional experience in Medicaid eligibility specifically administrative experience developing data abstracts with SQL software in regards to a relational database

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 and/or cell phone
• 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
  
  • The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description

About the Agency

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.

Benefits Statement

Employees receive a robust benefit package including:

• 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
• 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)