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 : Managed Care
Bureau : Member Services
Classification : Medicaid Health Systems Administrator 1 (PN 20047445 )
Job Overview :
The Ohio Department of Medicaid (ODM) is seeking a professional to join the Bureau of Member Services. As Managed Care Reconciliation Supervisor, your responsibilities will include:
- Overseeing the day-to-day work of the managed care reconciliation team (e.g. distributing and providing work direction, completing evaluations and Kronos timesheets)
- Reviewing existing reconciliation policies and procedures and making revisions as needed
- Assisting in system change request review sessions and participating in user acceptance testing as needed
- Acting as a liaison for Reconciliation and Special Issues both with internal ODM and sister state agency staff
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 available Ohio Med plans.
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
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.
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 graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. in the delivery of a 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 has Medicaid Health Systems Specialist, 65293,
– Or equivalent of Minimum Class Qualifications for Employment noted above
Technical Skills: Health Administration
Professional Skills: Collaboration, Decision Making, Leading Others, Managing Meetings, Motivating Others, Performance Management, Time Management, Verbal Communication, Written Communication