Administrative Aide- OMI (Hybrid/Remote)
University of Illinois

Administrative Aide- OMI (Hybrid/Remote)

Office of Medicaid Innovation

Sponsorship for Work authorization is not available for this position.

Job Summary
Under the supervision of the Assistant Director of Clinical Review, the Administrative Aide will assist the Clinical Review team with data entry and provider communication for Medicaid prior authorization and clinical reviews, post-payment reviews, and other utilization management strategies. The Administrative Aide will utilize their knowledge and experience to ensure Medicaid prior authorization and clinical review requests meet the specific state requirements. HFS is Illinois' single state Medicaid agency and the state organization responsible for administering Illinois' Medical Assistance and Child Support programs. The University of Illinois is an Equal Opportunity, Affirmative Action employer. Minorities, women, veterans, and individuals with disabilities are encouraged to apply. For more information, visithttp://go.illinois.edu/EEO.

Duties & Responsibilities

• 1. Assist with data entry and eligibility verification for administrative reviews, providing consistent entry information on the clinical review process.
• 2. Implement administrative utilization management (UM) processes.
• 3. Uses knowledge of Medicaid services and UM processes to support providers who have process, policy or procedure questions.
• 4. Consults with Clinical Review Coordinator to locate answers to complex policy questions. Identifies issues and discusses strategies for meeting standards.
• 5. Identifies providers who need extra support and initiates communication with providers in partnership with Clinical Review Coordinator.
• 6. Maintains email, phone and in-person communications with statewide providers, for technical, procedural, and policy support related to utilization management.
• 7. Implement and review date tracking to ensure service-level agreement (SLA) timelines remain within compliance.
• 8. Maintains the SLA compliance report.
• 9. Other duties as assigned.

Minimum Qualifications

High school graduation or equivalent Any one or any combination totaling five (5) years (60 months) from the following categories: college course work in business, finance, accounting or a related field: 60 semester hours or an Associate's degree equals one (1) year (12 months) 90 semester hours equals two (2) years (24 months) 120 semester hours or a Bachelor's degree equals three (3) years (36 months) Master's degree or higher equals four (4) years (48 months) progressively more responsible general or specialized office experience which included aspects of supervising staff or a job function, organizing, and performing duties that lead to knowledge of generally accepted office principles

Preferred Qualifications

Preferred Experience
One year of healthcare experience and/or prior authorization, or Utilization Management experience.

Knowledge, Skills and Abilities

• 1. Familiarity with the Illinois Medicaid delivery system.
• 2. Highly organized, self-motivated, and able to work semi-independently.
• 3. Proficient in Microsoft Office, with an emphasis on Excel.
• 4. Excellent interpersonal skills
• 5. Excellent oral and written communications.
• 6. Demonstrated ability to balance multiple tasks

Appointment Information

This is a 100% full-time Civil Service 0058 - Administrative Aide position, appointed on a 12-month basis. The expected start date is as soon as possible after 1/3/2025. The budgeted salary range for the position is $50,000 to $65,000. Salary is competitive and commensurate with qualifications and experience, while also considering internal equity.

System Office jobs such as this one are not eligible for the Referral Program.

Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits.

For more information on Civil Service classifications, please visit the SUCSS web site at https://www.sucss.illinois.gov/pages/classspec/default.aspx .

Application Procedures & Deadline Information

Applications must be received by 6:00 pm (Central Time) on January 22, 2025. Apply for this position using the Apply Now button at the top or bottom of this posting. In order to be considered as a transfer candidate, you must apply for this position. Applications not submitted through https://jobs.illinois.edu will not be considered. If required by the position, transcripts or other documentation of credentials are to be provided no later than the first day of employment. For further information about this specific position, please contact Amanda at abubo2@uillinois.edu. For questions regarding the application process, please contact 217-333-2137.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify .

Applicants with disabilities are encouraged to apply and may request a reasonable accommodation under the Americans with Disabilities Act (2008) to complete the application and/or interview process. Accommodations may also be requested on the basis of pregnancy, childbirth, and related conditions, or religion. Requests may be submitted through the reasonable accommodations portal , or by contacting the Accessibility & Accommodations Division of the Office for Access and Equity at 217-333-0885, or by emailing accessibility@illinois.edu .

Requisition ID: 1028704
Job Category: Professional and Administrative
Apply at: https://jobs.illinois.edu

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