LTC Rate Strategy & Policy Manager

Ohio Department of Medicaid; Columbus (OH); On-site; USD 82,000 - 86,000; Full time

Job summary

Ohio Department of Medicaid is seeking an experienced professional to join the Nursing Facility Long-Term Care Rate Setting Team. The NF LTC Rate Setting Manager will oversee rate development, data analysis, and related policy work within OMES to support Ohio’s NF reimbursement program.

Responsibilities include developing semi-annual NF rates, reviewing legislative proposals, and collaborating with Policy, Budget, Data Governance, and LTC Enrollment teams.

Qualifications

• Graduate core program in business, management or public administration; public health, health administration, social or behavioral science or public finance experience.
• 12 months’ experience in delivering a health services program or health services project management.
• Experience as Medicaid Health Systems Specialist or equivalent, commensurate with position description on file.
• Equivalent of Minimum Class Qualifications for Employment.

Responsibilities

• Develop semi-annual NF rates and manage rate adjustments.
• Perform data analysis on NF claims, cost reports, and related calculations.
• Maintain NF rate setting components within OMES.
• Review legislative proposals, inquiries, statutes, and rules related to NF rates.
• Collaborate with Policy, Budget, Data Governance, Fiscal, and LTC Enrollment teams.
• Manage the NF Private Room Incentive Program and monitoring claims.
• Monitor NF enrollment, MDS trends, cost report patterns, and beds.
• Respond to inquiries from NF associations and providers.

Skills

Health Administration

Collaboration

Critical Thinking

Problem Solving

Innovation

Education

Graduate core program in business, management or public administration

Job description

Ohio Department of Medicaid is seeking an experienced professional to join the Nursing Facility Long-Term Care Rate Setting Team. The NF LTC Rate Setting Manager will oversee rate development, data analysis, and related policy work within OMES to support Ohio’s NF reimbursement program.

Responsibilities include developing semi-annual NF rates, reviewing legislative proposals, and collaborating with Policy, Budget, Data Governance, and LTC Enrollment teams.