New Provider Verification Supervisor

Position Overview

The Department of Healthcare and Family Services, Office of Inspector General (OIG), is seeking an experienced and qualified professional to fulfill the responsibilities of a New Provider Verification Supervisor for the Bureau of Investigations. This position will oversee staff tasked with enrolling providers referred from Provider Enrollment Services and Illinois Medicaid Program Advance Cloud Technology. OIG is seeking an individual with strong office experience and customer service skills to add to our professional team. Qualified applicants should have strong leadership skills, be able to make effective recommendations for the New Provider Verification program and follow policies and procedures. The desired applicant must be able to plan, prioritize, and follow up on assignments and/or tasks and ensure timely completion.

HFS values employees with different backgrounds, life experiences, and talents.

Essential Functions

• Under general direction, serves as the New Provider Verification Supervisor in planning, managing, and evaluating the New Provider Verification Program (NPV) program by facilitating the enrollment of providers referred from Provider Enrollment Services (PES) / Illinois Medicaid Program Advanced Cloud Technology (IMPACT)
• Serves as a working supervisor
• Directs the NPV program within the overall mission of the Office of Inspector General
• Oversees the work product and productivity of NPV
• Serves as NPV Supervisor Liaison
• Provides technical assistance on IMPACT to supervisory and investigative staff in obtaining information from various third-party resources
• 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, preferably with courses in business or public administration
• Requires two (2) years of responsible administrative experience in a public or business organization

Preferred Qualifications

• Three (3) years of professional experience working with IMPACT or a similar Medicaid Program Advanced Cloud Technology system
• Three (3) years of professional investigative research experience
• Three (3) years of professional experience interpreting and applying a state’s Administrative Code preferably for the State of Illinois
• Three (3) years of professional experience analyzing administrative problems and adopting an effective course of action
• Three (3) years of professional experience developing, implementing, and interpreting policies and procedures for a public or private organization

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
• 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:

• 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)

If you are seeking a new opportunity, and this position appeals to you, please apply today!