Encounter Data Liaison (Medicaid Health Systems Administrator 2

Organization

Organization:
Medicaid

Agency Contact Name and Information :
Human Resourceso.gov

Unposting Date:
Aug 31, 2026, 3:59:00 AM

Work Location:

Lazarus 5 50 West Town Street Columbus 43215

Primary

Location:

United States of America-OHIO-Franklin County-Columbus

Compensation : $44.38/hour

Schedule:

Full-time

Union :
Exempt from Union

Primary Job Skill:
Health Administration

Technical Skills :
Data Analytics, Public Health

Professional Skills :
Analyzation, Attention to Detail, Collaboration, Interpreting Data

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.

Data & Integrated Systems

Medicaid Health Systems Administrator 2 (PN )

The Ohio Department of Medicaid is seeking a healthcare professional to be part of our EDI & Encounters Team. This position serves as a technical and policy liaison for post-adjudication encounter data reporting submitted by managed care plans. Also, this position plays a critical role in ensuring data accuracy for rate setting, policy compliance, and quality care delivery. As the Encounter Data Liaison, your responsibilities will include:

• Developing policy, conducting program evaluation, and supporting data-driven decision-making.
• Serving as the primary liaison for encounter data reporting and quality assurance.
• Leading bi-weekly meetings with managed care organizations (MCOs) to discuss:
  • Delivery kick payments
  • Encounter data quality metrics
  • Quality-based assignments
  • New initiatives such as Nex Gen My Care
• Acting as the point person for the Nex Gen MyCare program launched 1/1/2026, coordinating across multiple departments.
• Supporting rate setting, claims remittance investigations, and financial team collaboration.
• Interpreting and communicating data trends and anomalies to internal and external stakeholders.

The following qualifications are not required, but are preferred for success in this role:

• Familiarity with X12 formats (e.g. 837, PACDR 837, 835, 999, 824, 277CA, 270).
• Proficiency in Medicaid data systems (i.e. MITS, Vue
  360, and/or Administrator).

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…