Special Enrollments Supervisor (PSA Opt 1)

Illinoiscomptroller; Springfield (IL); Hybrid; USD 96,000 - 141,000; Full time

Job summary

Illinois Department of Healthcare and Family Services is seeking a Special Enrollments Supervisor to lead the Bureau of Provider Enrollment Services. The role requires directing the Special Enrollments Unit and coordinating with sister agencies and managed care organizations.

The ideal candidate has three years of supervisory experience, three years in provider enrollment, and is skilled at interpreting Medicaid policies.

Qualifications

• Requires completion of a four-year college education.
• Three years of progressively responsible administrative experience in a public or business organization.
• Three years of professional experience in provider enrollment, credentialing providers into a large medical health plan.

Responsibilities

• Plan, direct, and evaluate the Special Enrollments Unit for Sister Agencies and Managed Care Organizations.
• Serve as working supervisor and develop and review studies for data elements in the Provider Database.
• Interpret Medicaid policies to Department staff, officials, the medical community, and other agencies.

Skills

Staff supervision

Provider enrollment

Medicaid policies interpretation

Education

Four-year college degree

Tools

MMIS databases

Provider database

Data warehouse database

Job description

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Special Enrollments Supervisor (PSA Opt 1)

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:56282
BPIS: 08354

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 effective 7/1/26; $8571, Full salary range $8571-$12,651/monthly
Job Type: Salaried
Category:Full Time
County: Sangamon
Number of Vacancies: 1
Bargaining Unit Code:RC063 Professional Employees, Educators,Juvenile Justice School Counselors and Special Education Resources Coordinators,and Physicians AFSCME
Merit Comp Code:

This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.

Position Overview:

The Department of Healthcare and Family Services is seeking to hire a motivated candidate to serve as a Special Enrollments Manager assigned to the Bureau of Provider Enrollment Services. Under the direction of the Bureau Chief and Provider Enrollment Services Manager. This position plans, directs and evaluates the Special Enrollments Unit for Sister Agencies and Managed Care Organizations.

The ideal candidate will demonstrate excellent verbal and written communication skills, excellent leadership skills, ability to thrive in a high volume and fast paced environment and demonstrate the ability to collaborate with internal and external entities to ensure enrollment procedures are followed. The preferred candidate should possess the ability to analyze data and work with internal and external entities to determine the best possible course of action for enrollment discrepancies. HFS values employees with different backgrounds, life experiences, and talents.

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)

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 Special Enrollments Supervisor by planning, directing, and evaluatingthe Special Enrollments Unit for the Bureau


• Serves as working supervisor


• Develops, directs and reviews management studies that identify and implement new data elements for theProvider Database, as it relates to Section programs


• Interprets Medicaid policies and the specifics of the section and other agency incentive programs to Departmentstaff, officials, the medical community, and other agencies


• Organizes, directs, and manages the establishment of Provider Database records for newly approved providers


• Implements process to terminate or suspend providers that are convicted or found guilty of fraudulent Medicaidbilling by the department’s Bureau of Medicaid Integrity, the U.S. Department of Health and Human Services, and/orthe Department of Professional Regulations


• Serves as backup to the Provider Enrollment Services unit supervisor


• Performs other duties as required or assigned which are reasonably within the scope of the duties enumeratedabove

Minimum Qualifications

• Requires 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

Specialized Skills

• Three (3) years of professional experience in provider enrollment, credentialing providers into a large medical health plan


• Three (3) years of experience with applications such as Medicaid Management Information System (MMIS) databases, provider database, payee database or data warehouse database, including maintenance and upgrades

Preferred Qualifications

• Three (3) years of professional experience in provider enrollment, credentialing providers into a large medical health plan


• Three (3) years of experience with applications such as Medicaid Management Information System (MMIS) databases, provider database, payee database or data warehouse database, including maintenance and upgrades


• Minimum of three (3) years of experience interpreting Medicaid policies to ensure compliance with state and federal mandates and guidelines


• Minimum of two (2) years of professional experience utilizing public or business administration, principles and practices


• Minimum of two (2) years of experience supervising staff, providing employment motivation and development

Conditions of Employment

• Requires completion of a background check and self-disclosure of criminal history


• Requires the ability to utilize and maintain state issued equipment such as a laptop


• 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 am - 5:00 pm
Headquarter Location: 201 S Grand Ave E, Springfield, Illinois, 62704
Work County: Sangamon
Agency Contact: [e-mail]
Posting Group: Leadership & Management

This position DOES contain “Specialized Skills” (as that term is used in CBAs).