Encounter Data Policy & Analytics Liaison

State of Ohio; Columbus (OH); On-site; USD 50,000 - 72,000; Full time

Benefits offered by this job

Medical Coverage

Dental and Vision Insurance

Paid time off and holidays

Retirement benefits

Job summary

The State of Ohio's Medicaid agency seeks a Health Systems Administrator 2 to join the EDI & Encounters Team in Columbus. You will ensure data accuracy for rate setting, policy compliance, and quality care delivery, while coordinating with managed care organizations on data quality metrics and new initiatives.

You will report to the Data & Integrated Systems office and contribute to rate setting, claim investigations, and cross-department communication.

Qualifications

• Graduate program in business/public health or related field with health services experience.
• Experience in planning or managing health services projects is preferred.
• Familiarity with Medicaid data systems and data reporting is a plus.

Responsibilities

• Serve as liaison for post-adjudication encounter data reporting and quality assurance.
• Develop policy, evaluate programs, and support data-driven decisions.
• Lead bi-weekly meetings with managed care organizations to discuss data quality and initiatives.

Skills

Health Administration

Data Analytics

Public Health

Collaboration

Analyzation

Attention to Detail

Interpreting Data

Education

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

24 months experience in planning & administering health services program or health services project management

Tools

MITS

Vue360

Administrator

X12 formats (837, PACDR 837, 835, 999, 824, 277CA, 270)

Job description

The State of Ohio's Medicaid agency seeks a Health Systems Administrator 2 to join the EDI & Encounters Team in Columbus. You will ensure data accuracy for rate setting, policy compliance, and quality care delivery, while coordinating with managed care organizations on data quality metrics and new initiatives.

You will report to the Data & Integrated Systems office and contribute to rate setting, claim investigations, and cross-department communication.