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Error Resolution Section Manager (SPSA)
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State of Illinois
Remote
Full-Time
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Job Description
Job Requisition ID:
56251BPIS:
10179Opening Date:
06/02/2026Closing Date:
06/16/2026Agency:
Department of Healthcare and Family ServicesClass Title:
SENIOR PUBLIC SERVICE ADMIN
(40070)Skill Option:
General Administration/Business Marketing/Labor/PersonnelBilingual Option:
NoneSalary:
Anticipated starting salary: $10,500 - $12,500/moJob Type:
SalariedCategory:
Full TimeCounty:
SangamonNumber of Vacancies:
1Bargaining Unit Code:
NoneMerit Comp Code:
Federally Funded, Gubernatorial (Management Bill) Exclusion from Collective Bargaining Coverage A resume is highly encouraged to evaluate your qualifications and skills as part of your application. Please attach aDETAILED
Resume/Curriculum Vitae (CV) to theMY DOCUMENTS
section of your application if you decide to provide one. Why Work for Illinois? Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you're helping to improve schools, protect our natural resources, or support families in need, you're part of something bigger—something that touches the lives of every person who calls Illinois home. No matter what state career you're looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.Position Overview:
The Department of Healthcare and Family Services, dedicated to improving lives for Illinoisans, is seeking to hire a highly motivated, qualified individual as a Senior Public Service Administrator who will serve as the Bureau of Claims Processing, Error Resolution Section Manager. The ideal candidate will demonstrate an overall strong skill set that will ensure the Bureau of Claims Processing maintains the highest level of standards in all operations within the Bureau, particularly in processing medical claim documents for timely payments to the provider community, online correction and utilization review of provider submitted invoices for proper payment adjudication. The ideal candidate will demonstrate their dedication to teamwork, the ability to work in a fast-paced, ever-changing environment, a strong supervisory background, including experience managing a large staff, knowledge of the Department's goals and objectives, knowledge and experience managing large scale processing operations, and the desire to promote and provide quality services on behalf of the State of Illinois. We invite qualified candidates to consider joining the Bureau of Claims Processing team to continue the overall mission of the Department of Healthcare and Family Services. HFS values employees with different backgrounds, life experiences, and talents. 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! 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 the Error Resolution Section Manager by planning, developing, and managing the operations of the Error Resolution Section relating to the adjudication and maintenance of medical invoices submitted in accordance with the Medicaid Program, as well as the pricing and prepay processes, special processing of newborn invoices, online-correction processes of Institutional and non-institutional claims with or without attachments, including Medicare crossover claims Serves as full line supervisor Directs the operation of corrections processing for adjudication of medical invoices through the Department's Medicaid Management Information System (MMIS), special processing of newborn invoices, processing of electronic claim submissions with and without attachments for all claim types, review and processing preparation of claims with attachments requiring review, including, but not limited to, hysterectomy and sterilization forms, general and post general mode reports, reject and aged document reports, on line correction processing of all hard copy and electronic claims types for institutional and non-institutional invoices with and without attachments, including Medicare Crossover invoices and the Pricing and Prepay utilization review processes Directs the management of the Pricing/Prepay Unit, Special Program Review Unit, On-line Corrections Unit and Medicare unit on the integration of program activities to resolve administrative, policy and procedural issues Consults with management on the integration of program activities 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 Requires prior experience equivalent to four (4) years of progressively responsible administrative experience in a public or business organization Preferred Qualifications Minimum of four (4) years of experience supervising professional staff in an office setting Minimum of four (4) years of professional experience directing the processing of medical claims and payments for a public or private organization Minimum of three (3) years of professional experience working with on-line claim processing and/or data claim processing Minimum of three (3) years of professional experience developing and implementing program and operational policies and procedures Minimum of three (3) years of professional experience researching and analyzing large sets of claims data Minimum of three (3) years of professional experience communicating with stakeholders at all levels within an organization Minimum of two (2) years of experience working with Microsoft Excel to maintain complex spreadsheets and track daily tasks Licensure in one of the following specialties: Registered Nurse, Licensed Practical Nurse, Speech/Language Pathologist, Respiratory Therapist, Physical Therapist or Occupational Therapist Minimum of one (1) year of experience providing supporting documentation for deposition and/or testimony in a State or Federal court of law 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 This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.) requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description