Senior Manager, MCO Plan Performance-HCI & DCFS Medicaid Programs Job Details | State of Illinois

Illinois Department of Children & Family Services; Chicago (IL); Hybrid; USD 123,000 - 145,000; Full time

Job summary

The Illinois Department of Healthcare and Family Services (HFS), Bureau of Managed Care, seeks a Senior Manager to oversee MCO Plan Performance for HealthChoice Illinois and a DCFS Medicaid program. You will manage complex contracts, drive performance improvements, and supervise account teams while representing HFS in high-level stakeholder engagements.

The ideal candidate will have strong leadership, health policy knowledge, and experience with Medicaid programs serving at-risk youth.

Qualifications

• Requires completion of four years of college with coursework in health administration, public policy, public administration, business administration or related fields.
• Requires four years of progressively responsible administrative experience overseeing Medicaid programs.

Responsibilities

• Oversee account management operations for MCO programs.
• Ensure contract compliance with HealthChoice Illinois and DCFS Medicaid programs.
• Drive performance improvements and supervise Account Managers.
• Lead stakeholder meetings and governance processes.
• Support research, benchmarking and policy development.

Education

Bachelor's degree in health administration / public policy / public administration / business administration or related fields

Job description

Senior Manager, MCO Plan Performance-HCI & DCFS Medicaid Programs

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 .

Date: Nov 5, 2026

Location: Chicago, IL, US, 60607

Job Requisition ID: 60089

Opening Date: 11/05/2026

Closing Date: 11/20/2026

Agency: Department of Healthcare and Family Services

Class Title: SENIOR PUBLIC SERVICE ADMIN (40070)

Skill Option: Health and Human Services

Bilingual Option:

Salary: Anticipated starting salary range $11,000-$13,000 Monthly

Job Type: Salaried

Category: Full Time

Number of Vacancies: 1

Bargaining Unit Code: None

Merit Comp Code: Term Appointment/ Agency

Work Hours: Monday - Friday 8:30 a.m. - 5:00 p.m.

Anticipated Hybrid Work Schedule Availability: 2 to 5 Days per week in office, depending on operational needs

Headquarter Location: 401 S Clinton St, Chicago, Illinois, 60607

Work County: Cook

Agency Contact: [e-mail]

A resume is highly encouraged to evaluate your qualifications and skills as part of your application. Please attach a DETAILED Resume/Curriculum Vitae (CV) to the MY DOCUMENTS section of your application if you decide to provide one.

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 Managed Care is seeking to hire a skilled leader to serve as Senior Manager, MCO Plan Performance, HCI & DCFS Medicaid Programs. This role assists with overseeing account management operations for Illinois' Managed Care Organization (MCO) programs, ensuring contract compliance with the HealthChoice Illinois program and specialized Medicaid programs for DCFS youth, driving performance improvements, and supervising Account Managers. The position represents HFS in high-level stakeholder meetings and leads initiatives to strengthen managed care operations and service delivery for Medicaid members statewide.

The ideal candidate for this position is a strategic, results-driven leader with deep expertise in managed care and Medicaid, experience with programs serving at-risk youth, exceptional communication skills, and a proven ability to drive performance, foster collaboration, and navigate complex challenges with professionalism and precision. While this position is posted for Cook County, applicants from Sangamon County are welcome and encouraged to apply. The Bureau is flexible regarding position location.

Essential Functions

• Serves as the Senior Manager, MCO Plan Performance - HCI & DCFS Medicaid Programs for Managed Care Organizations (MCOs) participating in the HealthChoice Illinois (HCI) Program, as well as MCOs participating in a specialized program for DCFS youth. This position is a part of the Bureau of Managed Care (BMC) within the Illinois Department of Healthcare and Family Services (HFS)
• Leads and drives stakeholder representation and executive communication
• Oversees performance management processes for specialized Medicaid programs for DCFS involved youth and HealthChoice Illinois. Monitors contract performance, measuring outcomes, and supporting managed care risk management and mitigation
• Serves as a full line supervisor
• Leads and directs research, benchmarking and policy development
• Leads reporting, analytics and governance processes
• 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 with course work in health administration, public policy, public administration, business administration or related fields
• Requires prior experience equivalent to four (4) years of progressively responsible administrative experience in a public or private organization overseeing Medicaid programs

Preferred qualifications

• Four (4) years of professional experience working with programs, services, or initiatives that support DCFS-involved youth, at-risk youth, or vulnerable populations, preferably in a healthcare, social services, or managed care environment
• Four (4) years of professional experience in the healthcare industry, including direct experience with Medicaid programs
• Four (4) years of experience establishing and maintaining effective working relationships with internal and external stakeholders, including executive leadership, and to address sensitive or controversial issues with tact and professionalism
• Four (4) years of professional experience ensuring contract compliance for managed care health plans, including adherence to applicable federal, state and organizational regulations
• Four (4) years of experience designing, implementing, and evaluating new or revised methods, procedures, and performance standards in a healthcare setting
• Four (4) years of experience supervising staff and managing team performance
• Four (4) years of experience demonstrating knowledge of medical concepts, healthcare organizations, and administrative processes, preferably within a managed care health plan environment

Conditions of employment

• Requires completion of a background check and self-disclosure of criminal history
• Requires the ability to maintain state issued equipment such as laptop
• Requires the ability to travel in the performance of duties, with overnight stays as appropriate
• 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 may require 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
• 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 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

• 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)

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.

Statement of Economic Interest

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 are required to file a Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings.

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.

Communication

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:

• [e-mail]
• [e-mail]