Senior Manager - MCO Plan Performance, HCI & Stakeholder Liaison

State of Illinois; Illinois; On-site; USD 90,000 - 140,000; Full time

Job summary

The State of Illinois Department of Healthcare and Family Services seeks a Senior Manager to oversee account management operations for Illinois’ Managed Care Organization programs, ensuring contract compliance with HealthChoice Illinois. This strategic leader will serve as a key liaison between internal and external stakeholders and drive performance improvements statewide.

They will supervise MCO Account Manager Stakeholder Leads, represent HFS in high-level stakeholder meetings, and strengthen

Qualifications

• Four years of progressively responsible administrative experience overseeing Medicaid programs including contract management.
• Four years establishing and maintaining effective working relationships with internal and external stakeholders including executive leadership.
• Four years of project management experience managing multiple projects simultaneously.
• Four years of professional experience in healthcare including direct Medicaid program experience.
• Four years of experience ensuring contract compliance for managed care health plans.

Responsibilities

• Oversee account management operations for Illinois' Managed Care Organization programs.
• Serve as liaison between internal and external stakeholders to strengthen operations.
• Drive performance improvements across MCO programs and contracts.
• Supervise MCO Account Manager Stakeholder Leads and coordinate related activities.

Skills

Contract management

Stakeholder relations

Project management

Healthcare/Medicaid domain knowledge

Leadership & supervision

Job description

The Department of Healthcare and Family Services seeks a Senior Manager to oversee account management operations for Illinois' Managed Care Organization programs, ensuring contract compliance with HealthChoice Illinois. This strategic leader will serve as a key liaison between internal and external stakeholders, drive performance improvements, supervise MCO Account Manager Stakeholder Leads, and represent HFS in high-level stakeholder meetings to strengthen managed care operations statewide.

Key qualifications:

• Four years of progressively responsible administrative experience overseeing Medicaid programs including contract management
• Four years establishing and maintaining effective working relationships with internal and external stakeholders including executive leadership
• Four years of project management experience managing multiple projects simultaneously
• Four years of professional experience in healthcare including direct Medicaid program experience
• Four years of experience ensuring contract compliance for managed care health plans
• Four years of supervisory experience managing team performance