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 : Policy
Bureau: Long Term Services & Supports
Classification: Medicaid Health Systems Administrator 1 (PN 20047520)
Job Overview :
The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to be part of ODM’s Care Coordination and Review Team. As the Waiver Clinical Manager, your responsibilities will include:
- overseeing and evaluating care management services and waiver administration practices for Ohio Department of Aging (ODA) and Ohio Department of Developmental Disabilities (DODD) waivers
- assisting in the development of innovative program initiatives designed to improve access to health services for home and community based populations (e.g., individuals with chronic conditions, older adult populations, children with special health care needs, and populations with developmental disabilities)
- overseeing and monitoring collaborative initiatives between Managed Care Plans and Waiver Agency Care Management programs
- managing the reviewal, analyzation, and interpretation of data and reports
- recommending follow up activities related to Managed Care Plan and Waiver Agency Care Management program performance
- coordinating policy and program planning and ensuring care management delivery systems are implemented within a population health model
- collaborating with sister state agencies in order to redesign and promote the Participant Directed model of care
Preferable licensure for this position is: Licensed Social Worker, Licensed Professional Counselor, Registered Nurse, or Licensed Allied Health Professional
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; and 12 months experience 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 as a Medicaid Health Systems Specialist, 65293.
-Or equivalent of Minimum Class Qualifications for Employment noted above.