ate: Mar 22, 2024Location:

Springfield, IL, US, 62702-5056

Job Requisition ID: 36279

Agency: Department of Public Health
Office: Disease Control

Division: HIV/Hepatitis/STI/TB

Posting ID: 86-23-0225 and 86-23-0226 / 36279

Posted: 3/22/2024-4/8/2024
Salary: $5,311 - $7,856/month plus 5% bilingual pay
Job Type: Salaried
County: Sangamon
Number of Vacancies: 2
Plan/BU: RC062

Title: Executive I, Opt SS

This position/ is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.

All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.

Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.

Posting Identification Number: 86-23-0225 and 86-23-0226 / 36279

Job Responsibilities

Serves as a Regional CHIC (Continuation of Health Insurance Coverage) Eligibility Coordinator. Designs, coordinates, and implements the operations of the CHIC Program. Assesses CHIC applications to ensure all eligibility criteria are fulfilled and final, time sensitive enrollment eligibility. Functions as a liaison with the CHIC payment agent. Receives and reviews fiscal vouchers/statements for accuracy and submits statements to the fiscal unit to initiates reimbursement of CHIC services to payment agent. Coordinates client contact and follow up with CHIC payment agent to resolve issues, such as, non-payment of client portion, termination or insurance policies, and renewal concerns. Develops, coordinates, and implements the Medicare and Commercial Insurance tracking process for clients applying for or already enrolled in the AIDS Drug Assistance Program (ADAP).

Critically assesses, makes final determination, and coordinates correspondence with ADAP applicants and appropriate case managers associated with ADAP applications, in particular as it related to applicant’s Medicare eligibility. Oversees tracking/monitoring and action steps required to transition enrolled individuals to other state assistance programs, Medicaid, Insurance Marketplace, and the Medicare wrap-around Program through Social Security (Low Income Subsidy). Assists in the assessment of application to determine benefits, enrolling clients innecessary services. Performs entries of action steps taken into the Provide Enterprise database.

Responds by phone, fax, electronic correspondence or in writing to inquiries generated by consumers, outside stakeholders, and providers regarding ADAP/CHIC related topics including insurance compatibility, premium payments, termination of COBRA (Consolidated Omnibus Budget Reconciliation Act) benefits, renewal options, coordination with Medicare, Medicaid and wrap around programs, eligibility requirements and application status updates.

Travels to develop, organize, and lead training and updates regarding commercial insurance plans, Medicare, Medicaid or Medicare wrap-around programs with Medicare associated state and federal agencies, planning groups, and task forces, as well as other internal IDPH unit,division, and departmental staff to assist in maintaining staff competency.

Works cooperatively with the Administrator, Client Services Coordinator, Benefits Coordinator, and other staff to ensure daily operations and community outreach related to ADAP and CHIC topics are timely, responsive, and customer focused.

Speaks and writes in Spanish to clients and groups. Answers inquiries from members of the Spanish speaking community. Translates documents into Spanish text for community distribution.

Assists in the development and enforcement of policies and procedures associated with ADAP and CHIC in consort with the Administrator to ensure that both ADAP and CHIC programs are consistent and compliant with federal and state regulations and statutes.

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 years of college, preferably with coursework in business or public administration.

Requires one year of responsible administrative experience in a public or business organization, or completion of an agency approved professional management training program.

Requires the ability to speak and write Spanish at a colloquial skill level.

Preferred Qualifications

One year of experience having knowledge of the following: Medicare Part D benefits, Social Security “Extra Help” benefits, Illinois Medicare wrap-around program, Medicaid, and Commercial Insurance plans with thorough understanding and capability to train case managers and consumers of how they intersect with ADAP and CHIC.

One year experience working with personal health information (PHI) and highly confidential material.

One year experience training case managers and consumers of how they intersect with ADAP and CHIC or with other health issues and audiences.

One year experience working with protected health information and requirements associated with managing health information in a confidential manner.

Two years’ experience using Word, Excel, Access, PowerPoint, and Information Systems.

One year experience providing public presentations with program constituents or medical providers.

Conditions of Employment

Requires the ability to travel in the performance of duties.

Requires appropriate, valid driver's license.

Work Hours: Monday - Friday 8:30am - 5:00pm
Work Location: 525 W Jefferson St, Springfield, Illinois, 62702-5056
Agency Contact: DPH.HRRecruiter@illinois.gov

Posting Group: Leadership & Management

This position DOES NOT contain “Specialized Skills” (as that term is used in CBAs).

APPLICATION INSTRUCTIONS

Use the “Apply” button at the top right or bottom right of this posting to begin the application process.

If you are not already signed in, you will be prompted to do so.

State employees should sign in to the career portal for State of Illinois employees – a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon.

Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account.

If you have questions about how to apply, please see the following resources:

State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid

Non-State employees: on Illinois.jobs2web.com – click “Application Procedures” in the footer of every page of the website.

The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:

donotreply@SIL-P1.ns2cloud.com

systems@SIL-P1.ns2cloud.com

Job Type: Full-time

Pay: $5,311.00 - $7,856.00 per month

Benefits:

• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Ability to Relocate:

• Springfield, IL: Relocate before starting work (Required)

Work Location: In person