Job Description

Job Requisition ID: 48676 

Start date : 7/23/25
Closing Date: 08/06/2025
​Agency:  Department of Healthcare and Family Services

BPIS: 07191
Class Title: EXECUTIVE I - 13851 
Skill Option:  None 
Bilingual Option:  None
Salary: Anticipated starting salary $5,928; Full salary range $5,928-$8,493
Job Type: Salaried
Category: Full Time 
County: Sangamon
Number of Vacancies: 1
Bargaining Unit Code:  RC062 Technical Employees, AFSCME
Merit Comp Code:  

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.

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 Illinois Department of Healthcare and Family Services, Division of Finance, Bureau of Collection Services is seeking to hire a Medicaid Recovery Caseworker responsible for reviewing and implementing policies and procedures to recover amounts owed to the State Medicaid program. This position will consult with external attorneys, representatives from the Attorney General’s Office, Circuit Clerk offices, third-party payers, and others to determine the status of cases and legal proceedings. The caseworker will also initiate and monitor the referral of all case documentation to the Attorney General’s Office for assistance with recovery efforts; r eview documentation and corresponds with attorneys, insurance companies, and Department of Human Services (DHS) local offices regarding recoveries of cases; c onfer with management and recommend the resolution of claims based on the facts and circumstances of each case; and compile and develop periodic statistical and financial reports as directed by management to monitor case progress and assess completion of tasks and goals.

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

• Under direction, serves as a Medicaid Recovery Caseworker for the Illinois Department of Healthcare and FamilyServices (HFS), Division of Finance, Bureau of Collection Services by reviewing and implementing policies and procedures to recover amounts owed to the State Medicaid program
• Consults with external attorneys, representatives from the Attorney General’s Office, Circuit Clerk offices, thirdparty payers, and others to determine the status of cases and legal proceedings
• Initiates and monitors the referral of all case documentation to the Attorney General’s Office for assistance with recovery efforts
• Reviews documentation and corresponds with attorneys, insurance companies, and Department of Human Services (DHS) local offices regarding recoveries of cases
• Confers with management and recommends the resolution of claims based on the facts and circumstances of each case
• Compiles and develops periodic statistical and financial reports as directed by management to monitor case progress and assess completion of tasks and goals
• Participates in special projects and collaborative work groups
• 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, preferably with coursework in business or public administration
• Requires one (1) year of responsible administrative experience in a public or business organization, or completion of an agency approved professional management training program

Preferred Qualifications

• One (1) year of experience researching and analyzing medical/case records related to casualty, Workers’ Compensation or estate recovery cases
• One (1) year of experience negotiating case settlements with insurance carriers, attorneys, or similar entities
• One (1) year of experience utilizing medical systems such as: Medical Management Information Systems (MMIS), Integrated Eligibility Systems (IES), Enterprise Data Warehouse (EDW), or Medical Expenditure Reporting and Analysis (MERA)
• One (1) year of experience in medical case management
• One (1) year of experience utilizing Microsoft Excel, Word, and Outlook

Conditions of Employment

• Requires completion of a background check and self-disclosure of criminal history
• Requires the ability to utilize and maintain state issued equipment such as a laptop
  • 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.
Work Location: 201 South Grand Ave E Springfield, IL 62704-3803
Email: HFS.DMPApps@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

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