Health Systems Improvement Manager; Medicaid Health Systems Administrator

Health Research & Quality Office

Health Innovation & Quality

Health Research & Quality

Medicaid Health Systems Administrator 1 (PN )

As the Health Systems Improvement Manager in the Office of Health Innovation & Quality, Ohio Department of Medicaid (ODM), your responsibilities will include:

• Serving as the agency manager to evaluate Medicaid’s programs and initiatives for children to transform health systems through partnership with Ohio’s Medicaid Institutional and non-institutional providers supporting children
• Conducting program development, program analysis and comparative studies to determine the impact of Medicaid children’s initiatives
• Evaluating goal achievement of providers participating in programs (e.g. state directed payments) designed to improve health outcomes to Ohio’s most vulnerable populations, specifically children
• Providing strategic oversight of policies and procedures governing state directed payments for providers of services to children and other similar programs
• Analyzing and interpreting federal and state regulations, rules and laws to ensure program compliance

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
• Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.

Health Administration

Collaboration, Managing Meetings, Verbal Communication, Written Communication, Consultation, Innovation

Human Resourceso.gov

Lazarus 5

United States of America-OHIO-Franklin County-Columbus

$40.40/hour

Full-time

8:00 am - 5:00 pm

Classified

Exempt from Union

Collaboration, Consultation, Innovation, Managing Meetings, Verbal Communication, Written Communication

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.