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Senior Manager, MCO Plan , HCI & Dual Programs

Job in Springfield, Sangamon County, Illinois, 62701, USA
Listing for: State of Illinois
Full Time position
Listed on 2026-11-01
Job specializations:
  • Management
    Healthcare Management
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 110000 - 160000 USD Yearly USD 110000.00 160000.00 YEAR
Job Description & How to Apply Below
Position: 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 Health Choice 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
Position Requirements
10+ Years work experience
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