HYBRID - Managed Care Provider Agreement Manager (Medicaid Health Systems Administrator 1)

What You Will Do At ODM:

Office : Managed Care

Bureau : Managed Care Compliance & Oversight

Classification: Medicaid Health Systems Administrator 1 (PN: 20047489 )

Job Overview:

As Managed Care Provider Agreement Manager , your responsibilities will include:

• Developing and maintaining relationships with Managed Care Entities and stakeholders
• Analyzing contract language
• Organizing and reviewing contract language from various areas
• Developing, monitoring, and tracking changes to contract
• Maintaining a repository of contract changes
• Developing and delivering presentations to MCEs, ODM Leadership, and various stakeholder groups
• Evaluating the need to revise related Medicaid eligibility policies and procedures.
• Submitting proposals to CMS using CMS authorized portals
• Developing and maintaining various Teams channels

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 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.

Technical Skills: Health Administration

Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication