HYBRID - Performance Improvement Manager (Medicaid Health Systems Administrator 1)

What You Will Do At ODM:

Office : Health Innovation & Quality

Bureau : Health Research & Quality

Classification: Medicaid Health Systems Administrator 1 (PN: 20099235 )

Job Overview:

The Performance Improvement Manager is an integral part of the Ohio Department of Medicaid's (ODM's) Health Innovation & Quality team. As Performance Improvement Manager, your responsibilities will include:

• Managing the development, implementation, and reporting of quality improvement projects (QIPs) for targeted Medicaid populations (i.e. Children with Chronic Conditions)
• Directing the design of Children with Chronic Conditions QIPs, to include (but not limited to) a focus on improving disparate outcomes and improvement of care transitions for consumers with specific disease conditions
• Directing and/or conducting research evidence-based interventions/strategies for Children with Chronic Conditions QIP topics
• Coordinating the identification of applicable quality measures and the collection and analysis of health services data to support the design and evaluation of Children with Chronic Conditions QIPs for the OhioRISE Plan
• Developing a methodology and implementation timeline for monitoring and evaluating Children with Chronic Conditions QIPs, including outcome measurement and impact on population health
• Reviewing applicable rules, policies, laws and guidelines to ensure compliance with Centers for Medicare and Medicaid Services (CMS) rules & regulations, as well as all applicable state regulations, rules and laws
• Managing and directing contracted consultant staff and services supporting the design, development, implementation, evaluation and reporting related to the quality improvement initiatives for the PIHP
• Formulating policy and recommending legislative changes for Children with Chronic Conditions QIPs.

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