Agency Contact Name: ODM Human Resources
HYBRID – Non-Institutional Policy Administrator (Medicaid Health Systems Administrator 2)
THIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS.
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio’s Medicaid program – focusing on the individual rather than the business of managed care.
The goals of the next generation of Ohio Medicaid are:
Emphasize a personalized care experience
Improve care for children and adults with complex behavioral health needs
Improve wellness and health outcomes
Support providers in better patient care
Increase program transparency and accountability
What You Will Do at ODM:
Bureau: Health Plan Policy
Classification: Medicaid Health Systems Administrator 2 (PN 20097829)
The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare administrator to supervise one of ODM’s Non-Institutional Policy Teams. You will manage a team that researches federal and state regulations, current and previous policies, and applicable court cases in the formulation of Medicaid coverage and payment policies. Your responsibilities will include:
overseeing the development of Ohio Administrative Code rule policy work and systems work for provider types (e.g., clinics, dental providers, professional and skilled therapy providers)
directing subordinates in submitting and maintaining federal approval for subject matter area state plan amendments and applicable documents
directing the research, analysis, and evaluation of the impact of federal and state regulations regarding the Ohio Medicaid program
formulating high-level statewide policies and providing policy recommendations regarding coverage and payment for Medicaid covered services
serving as the agency liaison and working collaboratively with stakeholders (e.g., Medicaid providers, managed care entities, sister state agencies and health related organizations) to develop Medicaid policies
overseeing technical assistance provided to Ohio Managed Care Entities and other stakeholders for the administration of Medicaid-covered services
What’s In It For You:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
Quality, affordable, and competitive medical benefits are offered through the Ohio Med PPO plan.
Dental, Vision and Basic Life Insurance
Dental, Vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.
Time Away From Work and Work/Life Balance
Paid time off, including vacation, personal, and sick leave
11 paid holidays per year
Ohio Public Employees Retirement System
OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.
The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
Employee Development Funds
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 mos. exp. in planning & administering health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data analysis).
Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295.
Note: education & experience is to be commensurate with approved position description on file.
Compensation is as listed on the posting unless required by legislation or union contract.
Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver’s license from state of residence.
THIS POSITION IS OVERTIME EXEMPT.
Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.
Ohio is a Disability Inclusion State and strives to be a Model Employer of Individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Background Check Information
The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant’s prior criminal convictions will be made before excluding an applicant from consideration.