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 Administrator 2 (PN: 20097955)
Job Overview :
The External Review Liaison Administrator is responsible for ensuring that Ohio Department of Medicaid (ODM) provides timely and accurate responses to all inquiries from external auditing entities (e.g. Centers for Medicare and Medicaid Services, Internal Revenue Service, Office of Budget and Management, Auditor of State, Health and Human Services-Office of Inspector General). Your duties will include:
- Supervising the Audit Coordination Team
- Organizing and monitoring ODM audit responses from ODM offices/bureaus and timelines
- Supervising the Medicaid Eligibility Quality Control (MEQC) unit supervisor
- Coordinating agency remediation efforts and corrective action plans
- Reviewing ODM documentation and policy information with partner state agencies, ODM Legal Counsel, ODM leadership, and others
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; 24 months of experience 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.
-Or equivalent of Minimum Class Qualifications for Employment noted above.