HCBS Waiver Provider Oversight Supervisor; Medicaid Health Systems Administrator

Organization

Medicaid

Lazarus 4, 50 West Town Street, Columbus, OH 43215

United States of America-OHIO-Franklin County-Columbus

$39.22 per hour

Full-time

Exempt from Union

Health Administration

Health Administration

Collaboration, Consultation, Performance Management

Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.

Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high‑quality, person‑centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:

• Delivering a personalized care experience to more than three million people served.
• Improving care for children and adults with complex behavioral health needs.
• Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.
• Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.
• Ensuring financial transparency and operational accountability across all Medicaid programs and services.

What You Will Do at ODM:

• Supervise and direct the work activities (e.g., Notice of Operational Deficiencies, Plan of Corrections, Proposed Adjudication Orders, quality reviews, etc.) of the Provider Oversight staff.
• Manage staff timekeeping and performance evaluations.
• Collaborate with the ODM Provider Oversight Contractor on waiver provider oversight activities.
• Attend meetings and provide input as the waiver provider oversight subject matter expert.
• Research and evaluate waiver provider oversight policies, procedures, rules, and regulations.
• Respond to complex waiver provider oversight inquiries from providers, members, internal teams, and sister state agencies.

The preferred candidate will have a growth mindset and possess effective communication skills and conflict resolution abilities.

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*.

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.

• Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance, and 12 months experience in the delivery of a health services program or health services project management.
• Or 12 months experience as a Medicaid Health Systems Specialist (DM 65293), which may be substituted for the experience required but not for the mandated licensure.
• If the position oversees assessment or reassessment of clinical appropriateness of services or payment policies related to Medicaid health services delivery, incumbent must also have a current & valid license as a registered nurse issued by the Ohio Board of Nursing.
• 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

The…