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Modified Adjustment Gross Income Rules Engine Supervisor (PSA, Opt. 1)
Springfield, IL, US, 62704
Job Requisition ID:51593
Start Date:11/17/25Closing Date:12/03/2025Agency:Department of Healthcare and Family Services
BPIS:10193Class Title:PUBLIC SERVICE ADMINISTRATOR - 37015Skill Option:General Administration/Business Marketing/Labor/PersonnelBilingual Option:NoneSalary:Anticipated starting salary range $9000-$11000/based on experienceJob Type:SalariedCategory:Full TimeCounty:SangamonNumber of Vacancies:1Bargaining Unit Code:NoneMerit Comp Code:Gubernatorial (Management Bill) Exclusion from RC063 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 DOCUMENTSsection of your application if you decide to provide one.
Why Work for Illinois?
Position overview:
The Department of Healthcare and Family Services, Bureau of Eligibility Integrity is seeking to hire a manager to oversee a team of Information System Analysts and Management Operations Analyst. As the MAGI Rules Administrator, you will work with a large team of colleagues in HFS and in other state agencies to improve the lives of Illinoisians by assuring that HFS Programs provide accurate health benefits coverage to eligible Illinoisians consistent with State and Federal requirements. You will become a part of a team committed to providing health benefits to maximize the health and well-being of our customers, with consistent and responsive customer service, and based on a foundation of equity for all customers.
The ideal candidate must have a knowledge/experience of rules engine logic in a public means benefit system, understanding of relational databases, and creating complex SQL queries with knowledge of State and Federal Medicaid laws. The ideal candidate must be a proven leader, strong researcher, and have proven experience with SQL logic in a relational database. The ideal candidate will be able to demonstrate the ability to present data to explain complex medical policy in ways that are easy to understand for a variety of audiences.
The nature of the work is very collaborative and requires good working relationships with other staff and bureaus in HFS, other agencies, and contactors. This position is a fast-paced environment requiring flexibilities, excellent prioritization skills and dedication to teamwork.
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 Modified Adjustment Gross Income (MAGI) Rules Engine Supervisor in planning, directing and evaluating the statewide Non-MAGI Rules Engine Program
- Serves as a full line supervisor
- Directs and implements the development of rules engine logic deployed to the rules engine for the accurate processing of medical eligibility decisions
- As Rules Engine Specialist, attends meetings to present complex research findings and answer technical questions
- Monitors program functions to ensure compliance with Department guidelines and other State or Federal rules and regulations involving eligibility
- 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 three (3) years of progressively responsible administrative experience in a public or business organization
Preferred Qualifications
- Three (3) years of professional experience interpreting and analyzing Federal and State Medicaid and child health insurance laws
- Three (3) years of experience working with database management systems for automated decision making comparable to Medical eligibility systems and experience applying rules engine logic to implement medical programs eligibility policy
- Three (3) years of professional experience analyzing large sets of data in comparison to administrative programs and adopting and effective course of action for a public or private organization, State or Federal agency
- Three (3) years of professional experience developing, installing, and evaluating new and revised methods, procedures, and performance standard to meet Federal and State guidelines
- Three (3) years of professional experience exercising judgement and discretion in developing, implementing, and interpreting organizational policies and procedures for a public or private organization, State or Federal agency
- Three (3) years of professional supervisory experience working with labor and employment development, including staff utilization and employee motivation
- Three (3) years of professional experience in Medicaid eligibility specifically administrative experience developing data abstracts with SQL software in regard to a relational database
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 and/or cell phone
- Overtime is a condition of employment, and you may be requested or required/mandated to work overtime including scheduled, unscheduled, or last-minute overtime. This requires the ability to work evenings and weekends
- 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 a.m. - 5:00 p.m.Headquarter Location:201 South Grand Ave E Springfield, IL 62704-3803Work County:SangamonPosting Group:Leadership & Management
- donotreply@SIL-P1.ns2cloud.com
- systems@SIL-P1.ns2cloud.com
Nearest Major Market:Springfield
Freqently Asked Questions
Mastery of rules engine logic, proficiency in SQL for complex queries, and deep understanding of state and federal Medicaid regulations are essential. This role demands analytical aptitude to translate policy into automated decision-making, along with leadership skills to guide teams in maintaining eligibility accuracy.
Daily tasks blend overseeing rules engine logic development, collaborating with cross-agency teams, monitoring compliance with eligibility standards, and managing analysts. The supervisor balances technical problem-solving with team leadership, ensuring health benefits processes align with evolving federal and state mandates.
Experience in this supervisory position paves the way toward senior management roles in healthcare policy administration, data analytics leadership, or specialized Medicaid program direction. It also offers a strong foundation for roles intersecting IT systems management and public health compliance.
While not mandatory, certifications in healthcare data analytics, Medicaid compliance, or database management such as Certified Medicaid Professional (CMP) or SQL-related credentials can distinguish candidates, especially given Illinois’ focus on Medicaid program integrity and complex eligibility systems.
Springfield presents moderate demand for healthcare eligibility supervisors due to ongoing program expansions. Candidates with combined technical and leadership experience in Medicaid rules engines find a competitive edge, but competition remains steady given the role's specialized skill set.
The anticipated starting salary range of $9,000 to $11,000 per month aligns well with regional standards for managerial roles in public healthcare administration. This reflects Illinois’ commitment to competitive compensation for professionals overseeing Medicaid eligibility and policy adherence.
The department emphasizes a blend of strategic oversight and in-depth technical knowledge, requiring supervisors to not only manage teams but also actively engage with complex data systems and Medicaid regulations. This dual focus ensures program integrity and effective policy implementation.
Navigating multi-agency collaborations, staying current with changing federal/state Medicaid laws, and maintaining automated eligibility accuracy are key hurdles. Balancing swift decision-making with thorough compliance checks in a fast-paced, public sector environment requires adaptability and proactive communication.
Springfield’s manageable traffic and public transit options support reasonable commute times, facilitating a balanced schedule. The department’s Monday-Friday workweek and flexible scheduling policies further enhance work-life harmony for supervisors managing complex Medicaid systems.
Engagement with Illinois healthcare associations, state government IT forums, and Medicaid policy groups in Springfield offers valuable knowledge exchange and collaboration opportunities. These networks support staying informed on regulatory shifts and foster connections with peers facing similar public health challenges.
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