HYBRID - Care Coordination Oversight Manager (Medicaid Health Systems Administrator 1)

What You Will Do at ODM:

Office: Policy

Bureau: Long Term Services & Supports

Classification: Medicaid Health Systems Administrator 1 (PN 20087324)

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to be part of ODM's Managed Care Care Coordination Team. This position will provide care coordination oversight for the following Managed Care Organizations (MCOs):

UnitedHealthcare

Humana Healthy Horizons

As a Care Coordination Oversight Manager, your responsibilities will include:

• overseeing and monitoring care coordination delivery services provided by ODM's MCOs
• providing oversight in the development of innovative program initiatives designed to improve access to health services
• overseeing the coordination of policy and program planning by researching delivery systems within a population health model and providing feedback on findings
• reviewing, analyzing, and interpreting data (e.g., analysis data collected from consumer surveys) and reports and providing recommendations for follow up activities related to performance
• overseeing external quality review activities, including the development of administrative reports
• working collaboratively with internal and external stakeholders across a variety of departments, levels, state agencies, and MCOs to improve care coordination for the individuals served by ODM

Preferable licensure for this position is: Licensed Social Worker, Licensed Professional Counselor, Registered Nurse, or Licensed Allied Health Professional

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
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

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. Note: education & experience is to be commensurate with approved position description on file.

-Or equivalent of Minimum Class Qualifications for Employment.

Job Skills: Health Administration

Technical Skills: Public Health, Human Services

Professional Skills: Collaboration, Attention to Detail, Analyzation, Innovation