THIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS.
About Us:
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:
Office: Strategic Initiatives
Bureau: OhioRISE (Resilience through Integrated Systems and Excellence)
Classification: Medicaid Health Systems Administrator 3 (PN 20097962)
Job Overview
The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare leader to oversee program and policy development for the OhioRISE Program. As the OhioRISE Program and Policy Development Section Chief, your responsibilities will include:
- supervising the OhioRISE Program and Policy Development Team
- establishing goals and monitoring and evaluating performance of assigned staff
- developing policies and directing implementation of the OhioRISE Program
- directing the development of state and federal statues and administrative rules governing OhioRISE, OhioRISE procurement, and contracts
- monitoring current operations and making policy and operational recommendations for improving member/family and provider experiences
- managing the approval of OhioRISE-related authorities (1915b, 1915c, SPAs, and pre-prints) with the Centers for Medicare and Medicaid (CMS)
- serving as lead in regard to the agency’s communications with CMS’ Medicare and Medicaid Coordination Office
- coordinating OhioRISE work and resources, including personnel, with managed care and SPBM program and policy work and resources
- working collaboratively with internal and external stakeholders across a variety of departments, levels, state agencies, and managed care plans to improve services for OhioRISE members
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:
Medical Coverage
- 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
- Childbirth/Adoption leave
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.
Deferred Compensation
- 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
- The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.
Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 36 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 base analysis).
-Or 12 months experience as a Medicaid Health Systems Administrator 2, 65296.
Note: education & experience is to be commensurate with approved position description on file.
-Or equivalent of Minimum Class Qualifications for Employment noted above.