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 : Managed Care Compliance & Oversight
Classification : Medicaid Health Systems Administrator 3 (PN: 20099275)
Job Overview :
The O hio Department of Medicaid (ODM) is recruiting for a healthcare professional with significant experience to manage and direct the Managed Care Compliance & Oversight section within the Office of Managed Care. As the Managed Care Contract Compliance & Oversight Section Chief , your responsibilities will include:
- Managing a team of staff responsible for an array of program functions including work and professional development goals
- Developing standards for the oversight of Medicaid Managed Care
- Building implementation strategies for the State’s monitoring of Managed Care Entity (MCE) compliance with State standards
- Leading meetings and presentations with both internal and external stakeholders
- Representing the agency in workgroups
- Drafting, reviewing, and interpreting rules and statutes offering written feedback and recommendations
- Serving as liaison to other program areas and teams within ODM and the MCEs
- Building program and organizational strategy to improve operations and member outcomes
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 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.