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 : Legal Counsel
Bureau : Program Integrity
Classification: Medicaid Health Systems Specialist (PN: 20043125)
Job Overview :
The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to be a part of our Data Support team for the Surveillance and Utilization Review Section (SURS). SURS is part of the Bureau of Program Integrity which focuses on fraud, waste, and abuse related activities and supports quality of care. As a Medicaid Data Support Specialist, your responsibilities will include:
- Compiling complex, data reports and/or summaries for internal and external entities related to reviewing Medicaid Providers for compliance using a variety of technological systems and applications
- May assist IT staff as an SME in the development and/or testing of technology systems (e.g. Enterprise Data Warehouse (EDW)) and analytical systems for decision support
- Establishing standards for data consistency, reporting and analytic support
- Handling confidential records and information
- Coordinating with department staff and systems
The preferred candidate will have experience compiling and analyzing complex data reports.
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 one year of continuous service.
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.
Qualifications
Completion of undergraduate core program in business administration, social or behavioral science, health or statistics; additional 24 mos. exp. specific to subject area of which 12 mos. exp. in use of spreadsheet and database software.
Note: education & experience to be commensurate with approved position description on file.
-Or for positions other than those requiring valid license as registered nurse, 24 months experience as Medicaid Health Systems Analyst, (65291) may be substituted for the experience required, but not for the mandated licensure.
-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.