Cross-System Collaboration Administrator (Medicaid Health Systems Administrator 2)

Ohio Department of Medicaid; Columbus (OH); On-site; USD 59,000 - 63,000; Full time

Job summary

Ohio Department of Medicaid (ODM) is seeking a Cross-System Collaboration Administrator to manage the Next Generation of Managed Care programs and partnerships. You will supervise a unit, align efforts with quality strategies, and coordinate with health systems, community groups, and state agencies to drive improvement projects.

The role emphasizes leadership, data interpretation and stakeholder engagement to deliver population-based health outcomes and cost-effective care across Ohio.

Qualifications

• Graduate core program completion in business/public administration/public health or related field.
• 25 months of experience planning and administering health services programs or health services project management.
• Or 24 months as Medicaid Health Systems Administrator 1, equivalent to minimum qualifications.

Responsibilities

• supervise Cross-System Collaboration unit within ODM's Office of Health Innovation & Quality.
• Direct/coordinate payor and clinical best practice programs and partnerships.
• Align unit work with ODM population-based quality strategies and managed care programs.
• Collaborate with ODM offices, community orgs, state agencies, MCEs and health systems to drive improvements.

Skills

Critical Thinking

Collaboration

Goal setting

Interpreting Data

Leading Others

Managing Meetings

Organizing and Planning

Decision Making

Motivating Others

Verbal Communication

Written Communication

Education

Graduate core program in business/public administration/public health/health administration/social or behavioral science/public finance

Job description

What You Will Do At ODM

Office: Health Innovation & Quality

Bureau: Health Research & Quality

Classification: Medicaid Health Systems Administrator 2 (PN: 20101748)

Job Overview

Ohio Department of Medicaid (ODM) is recruiting for a healthcare professional experienced in population health to manage and direct Cross-System Collaboration unit within the Office of Health Innovation & Quality. As the Cross-System Collaboration Administrator, your responsibilities will include:

• Supervising one unit responsible for the Next Generation of Managed Care programs requiring cross-system collaboration between managed care plans and large health systems, local communities, or providers (e.g., Managed Care Community Reinvestment)
• Directing unit charged with administering payor best practice and clinical best practice programs [e.g., Regional Quality Improvement Hubs, Pediatric Accountable Care organization (ACOs), and School-Managed Care Organizations (MCOs) Partnership programs]
• Aligning work of unit with other value-based purchasing efforts and ODM's population-based quality strategy with ODM's managed care programs to achieve quality and performance goal
• Directing collaboration with other ODM offices, community-based organizations, state agencies, ODM's Managed Care Entities (MCEs), academic centers, health systems, advisory committees, and other internal & external stakeholders and partners to facilitate improvement project development, design, and implementation

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 mos. exp. in planning & administering 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 analysis).

• Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note: education & experience is to be commensurate with approved position description on file.
• Or equivalent of Minimum Class Qualifications for Employment noted above.

Technical Skills

Health Administration

Professional Skills

Critical Thinking, Collaboration, Goal setting, Interpreting Data, Leading Others, Managing Meetings, Organizing and Planning, Decision Making, Motivating Others, Verbal Communication, Written Communication

Work Location

Lazarus 4

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$44.38/hour

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

Exempt from Union

Professional Skills

Collaboration, Critical Thinking, Decision Making, Goal Setting, Interpreting Data, Leading Others, Managing Meetings, Motivating Others, Organizing and Planning, Verbal Communication, Written Communication

Agency Overview

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.

Responsibilities

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.