Senior Manager, MCO Plan Performance, HCI & Dual Programs

The Department of Healthcare and Family Services seeks a Senior Manager to oversee account management operations for Illinois' Managed Care Organization programs, including HealthChoice Illinois and dual eligible (Medicare/Medicaid) programs. This strategic leadership role involves driving performance improvements, supervising MCO Account Managers, representing the department in high-level stakeholder meetings, and leading initiatives to strengthen managed care operations statewide. The ideal candidate brings deep expertise in managed care, Medicaid, and Medicare with exceptional communication and collaboration skills.

Key qualifications:

• Four years of progressively responsible administrative experience overseeing Medicare programs, including dual eligibility
• Four years of professional experience developing and implementing policies within a healthcare or medical organization
• Four years of demonstrated experience establishing and maintaining effective working relationships with executive leadership and stakeholders
• Four years of experience ensuring contract compliance for managed care health plans
• Four years of experience supervising staff and managing team performance
• Knowledge of medical concepts and operations, preferably related to managed care health plans