Non-Institutional Policy Program Manager (Medicaid Health Systems Administrator 1)

Non-Institutional Policy Program Manager (Medicaid Health Systems Administrator 1)

The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare administrator to be part of our 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 the following provider types : Clinical laboratory providers, radiology imaging providers, transportation providers, and suppliers of durable medical equipment and supplies
• Serving as an 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

Why Work for the State of Ohio

The State of Ohio provides 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 :

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, 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, Program Management, Technical Writing

Professional Skills : Collaboration, Organizing and Planning, Analyzation, Interpreting Data, Written Communication

Supplemental Information

Compensation is as listed on the posting unless required by legislation or union contract. This position is overtime exempt. Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Resumes and / or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.

ADA Statement

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Drug-Free Workplace

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana / non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.