THESE POSITIONS WILL BE TELEWORK ELIGIBLE ON A HYBRID BASIS.
THERE ARE FOUR POSITIONS AVAILABLE, ONLY ONE APPLICATION IS NEEDED TO APPLY FOR THEM.
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 and
- Increase program transparency and accountability
What You Will Do at ODM:
Office: Operations
Bureau: MITS & System Operations
Classification: IT Project Manager 1 (PN 20086812, PN 20100471, PN 20100472, PN 20100473)
Job Preview :
IT Project Assignment Areas:
PN 20086812: Ohio Medicaid Enterprise Systems (OMES) Provider Network Management (PNM)
Module Provider Network Management, Credentialing, and Provider Web Portal
PN 20100471: Ohio Medicaid Enterprise Systems (OMES) Fiscal Intermediary and Medicaid Eligibility, Managed Care, Third Party Liability, Buy-In and Early and Periodic Screening Diagnosis and Treatment Program (EPSDT)
PN 20100472: Ohio Medicaid Enterprise Systems (OMES) Fiscal Intermediary (FI) and Financial and Cost Reports, Transformed Medicaid Statistical Information System (TMSIS), Federal Reporting, Management Account Reporting (MAR) and Surveillance and Utilization Review (SUR)
PN 20100473: Ohio Medicaid Enterprise Systems (OMES) Fiscal Intermediary and Clearinghouse and Electronic Data Interchange (EDI), Managed Care and Fee For Service Prior Authorizations, Claims, Eligibility Look up, Managed Care Files – 834 / Claims / PA / 820, Reference, FFS/Other Paymen t
- Manage assigned project (SEE ABOVE); manage all phases of project (integration, scope, time, cost, quality, resource, communication, and risk)
- Define project requirements, quality standards, timelines (i.e., development, testing and implementation
- Manage and promote functional designs of system by assisting business areas (e.g., Fiscal, Policy, Clinical Operations, and Claims Operations), and operations subject matter experts (SMEs) in the definition of project design, scope, development, and implementation according to business needs
- Identify and evaluate risks that impact project; identify specific activities and associated time frames to be performed to produce project deliverables
- Coordinate with SMEs and vendors to manage and communicate assigned project timelines including milestones for design, development, testing and implementation for target programs
- Interview stakeholders to determine needs and expectations; act as liaison with stakeholders to obtain feedback; review, evaluate and respond to project inquiries and concerns
- Maintain regular contact with stakeholders to ensure user needs and program requirements are met; obtain feedback and ensure system integrity and accuracy
- Analyze and interpret federal and state legislation and regulations to ensure end user operations are compliant with rules, timeframes, and program processes
- Ensure system implementation of state and federal rules governing Medicaid policy
- Serve as agency representative of sub-projects in public forums (e.g., user groups, committees, county agencies) and make project presentations to educate/train end users
ESTIMATED DURATION OF PROJECT: 6/30/2029
Keywords: IT Project Management
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
Successful completion of 2 yrs. post-secondary education majoring in business administration, public administration, computer science/information technology, social science, or health, with major being commensurate with project to be assigned; 12 mos. exp. in budgeting & calculating cost projections of program/projects.
-Or 3 yrs. exp. in project management (i.e., management & development of project/program requirements, design, development, testing/pilot, training & full scale implementation), with experience to be commensurate with project/program &/or position description on file (e.g., specific human service program area, management information sciences, fiscal); 12 mos. exp. in budgeting & calculating cost projections of program/projects.
-Or equivalent of Minimum Class Qualifications for Employment noted above.