HYBRID - Non-Institutional Policy Program Manager (Medicaid Health Systems Administrator 1)
Columbus, Ohio
Employer: Ohio Department of Aging
Industry: Classified
Salary: Competitive
Job type: Full-Time
What You Will Do at ODM:
Office: Policy
Bureau: Health Plan Policy
Classification: Medicaid Health Systems Administrator 1 (PN 20038857)
Job Overview:
The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare administrator to be part of ODM's Non-Institutional Policy Team. As a Non-Institutional Policy Program Manager, your responsibilities will include:
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:
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, may be substituted for the experience required, but not for the mandated licensure, if required. Note: education & experience is to be commensurate with approved position description on file. -If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.
-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Job Skills: Health Administration
Technical Skills: Public Health
Professional Skills: Responsiveness, Teamwork, Problem Solving, Collaboration
Office: Policy
Bureau: Health Plan Policy
Classification: Medicaid Health Systems Administrator 1 (PN 20038857)
Job Overview:
The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare administrator to be part of ODM's Non-Institutional Policy Team. As a Non-Institutional Policy Program Manager, your responsibilities will include:
- researching federal and state regulations, current and previous policies, and applicable court cases in the formulation of Medicaid coverage and payment policies
- researching, analyzing, and evaluating the impact of federal and state regulations regarding the Medicaid program and all downstream applications and infrastructure
- developing statewide policies regarding coverage and payment for Medicaid covered services
- managing critical budget initiatives and rule policy work for Medicaid covered services and provider types such as skilled therapy service providers; preventative services providers and optometrists, clinical lab and diagnostic lab services, acupuncture and other therapy services, and disability medical assistance
- serving as the agency liaison and working collaboratively with stakeholders (e.g., Medicaid providers, managed care entities, sister state agencies and health related organizations) to develop Medicaid policies
- making recommendations regarding necessary legislative changes to support Medicaid policies
- serving as a Subject Matter Expert (SME) on various workgroups and projects
- assisting higher-level ODM administrators with the development and coordination of Medicaid policies
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 )
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, may be substituted for the experience required, but not for the mandated licensure, if required. Note: education & experience is to be commensurate with approved position description on file. -If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.
-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Job Skills: Health Administration
Technical Skills: Public Health
Professional Skills: Responsiveness, Teamwork, Problem Solving, Collaboration
Created: 2024-08-22
Reference: 240008CO
Country: United States
State: Ohio
City: Columbus
ZIP: 43026
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