Managed Care Contract Manager (Medicaid Health Systems Administrator 1

What You Will Do At ODM

Office:
Managed Care
Bureau:
Contract Management & Compliance
Classification:
Medicaid Health Systems Administrator 1 (PN: )

• Managing program information and conducting analyses to inform and direct policy changes and updates
• Conducting evaluations for managed care plans
• Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives
• Leading on managed care related contract issues, implementations, and targeted reviews
• Working with the Managed Care plans to identify areas of concern and provide technical assistance as needed.
• Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements
• Communicating any compliance actions to the assigned Managed Care Plans

There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with.

• Anthem Blue Cross and Blue Shield
• Buckeye Health Plan
• Care Source
• Molina Health Care of Ohio, Inc.

• Ameri Health Caritas Ohio, Inc.
• Anthem Blue Cross and Blue Shield
• Buckeye Health Plan
• Care Source
• Humana Healthy Horizons in Ohio
• Molina Health Care of Ohio, Inc.
• United Healthcare Community Plan

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.

Health Administration

Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication

Human Resourceso.gov

Aug 7, 2026, 11:59:00 PM

Lazarus 5

United States of America-OHIO-Franklin County-Columbus

$40.40

Full-time

8:00 am - 5:00 pm

Classified

Exempt from Union

Collaboration, Innovation, Verbal Communication, Written Communication, Confidentiality, Continuous Improvement

About Us:

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.

• 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.