The Illinois Department of Public Health is seeking a highly motivated individual to perform the duties of Executive 1. Under direction, serves as a Regional ADAP Coordinator 1. Designs, coordinates, and implements the operation of the Continuation of Health Insurance Assistance Program (CHIC-PAP). 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-MAP).
1. Serves as a Regional CHIC - Insurance Assistance Program (CHIC-PAP) Eligibility Benefit Specialist.
Designs, coordinates, and implements the operations of the CHIC - Insurance Assistance Program (CHIC-PAP).
Assesses PAP applications to ensure all eligibility criteria are fulfilled and final, time sensitive enrollment eligibility.
Functions as a liaison with the CHIC-PAP payment agent.
Receives and reviews fiscal vouchers/statements for accuracy and submits statements to the fiscal unit to initiate reimbursement of CHIC-PAP services to payment agent.
Coordinates client contact and follow up with CHIC-PAP payment agent to resolve issues, such as, non-payment of client portion, termination of insurance policies, 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 - MAP).
2. Critically assesses, makes final determination, and coordinates correspondence with ADAP - MAP applicants and appropriate case managers associate with ADAP - MAP applications, in particular as it relates 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).
Assist in the assessment of application to determine benefits, enrolling clients in necessary services.
Performs entries of action steps taken into the Department’s approved data system.
3. Responds by phone, fax, electronic correspondence or in writing to inquiries generated by consumers, outside stakeholders, and providers regarding ADAP-MAP/CHIC-PAP related topics including insurance compatibility, premium payments, termination of COBRA benefits, renewal options, coordination with Medicare, Medicaid and wrap around programs, eligibility requirements and application status updates.
4. Travels to develop, organize, and lead trainings 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.
5. Works cooperatively with the Administrator, Client Services Coordinator, Benefits Coordinator, and other staff to ensure daily operations and community outreach related to ADAP-MAP and CHIC-PAP topics are timely, responsive, and customer focused.
6.Assists in the development and enforcement of policies and procedures associated with ADAPMAP and CHIC-PAP in consort with the Administrator to ensure that both ADAP-MAP and CHIC-PAP programs are consistent and compliant with federal and state regulations and statues.
7. Performs other duties as required or assigned which are reasonable within the scope of the duties enumerated above.
Requires knowledge, skill, and mental development equivalent to completion of four years of college, preferably with coursework in business, public health, 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.
Of the experience above, one year of experience with 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-MAP and CHIC-PAP.
One year of experience with 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 ADAPMAP and CHIC-PAP.
One year of experience in working with personal health information (PHI) and highly confidential material.
One year experience in training case managers and consumers of how they intersect with a health care system focused on complicated health issues and audiences.
One year of experience that demonstrates ability to exercise judgment and discretion in developing, implementing and interpreting departmental policies and procedures.
Two years of experience with computer skills with working knowledge of Word, Excel, Access, PowerPoint, and Information Systems.
Two years of experience in demonstrated ability to develop and maintain cooperative working relationships.
Two years of experience in demonstrated ability to communicate effectively both written and verbal, with consumers and professionals.
In Illinois, if you have eaten at a restaurant ... required hospital or nursing home care ... vacationed at a campground or swam at a public beach or pool ... drank a glass of milk ... got married or divorced ... had a baby, the Illinois Department of Public Health (IDPH) has touched your life in some important way.
Assuring the quality of our food, setting the standards for hospital and nursing home care, checking the safety of recreation areas, overseeing the inspection of milk producing farms and processing plants, maintaining the state's vital records and screening newborns for genetic diseases are just some of the duties of IDPH.
In fact, IDPH has 200 different programs that benefit each state resident and visitor, although its daily activities of maintaining the public's health are rarely noticed unless a breakdown in the system occurs. With the assistance of local public health agencies, these essential programs and services make up Illinois' public health system, a system that forms a frontline defense against disease through preventive measures and education. Public health has provided the foundation for remarkable gains in saving lives and reducing suffering. Today, lif...e expectancy is 80 years for women and 74 years for men compared with fewer than 50 years at the at the beginning of the 20th century.
In the past, IDPH directed state efforts to control smallpox, cholera and typhoid, virtually eliminated polio, reduced dental decay through fluoridation of community water supplies, and corrected sanitary conditions that threatened water and food supplies.
Today, IDPH has programs to deal with persistent problems that require continued vigilance – infectious diseases, such as AIDS (acquired immunodeficiency syndrome), HIV (human immunodeficiency virus), SARS (severe acute respiratory syndrome) and meningococcal disease; foodborne and communicable diseases, such as E. coli 0157: H7, monkeypox, salmonella and West Nile virus; vaccine preventable diseases; lead poisoning; lack of health care in rural areas; health disparities among racial groups, breast, cervical and prostate cancer; Alzheimer's disease; and other health threats -- sexually transmitted diseases, tobacco use, violence, and other conditions associated with high-risk behaviors. In addition, IDPH has been charged with handling the state's response to the COVID-19 pandemic and the threat of bioterrorism.
IDPH, which is one of the state's oldest agencies, was first organized in 1877 with a staff of three and a two-year budget of $5,000. IDPH, now has an annual budget of $2.9 billion in state and federal funds, headquarters in Springfield and Chicago, seven regional offices located around the state, three laboratories, and 1,200 employees.
IDPH is organized into 12 offices, each of which addresses a distinct area of public health. Each office operates and supports numerous ongoing programs and is prepared to respond to extraordinary situations as they arise.