Medicaid Central Processing Specialist (Medicaid Health Systems Specialist)

Ohio; Columbus (OH); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a Medicaid Health Systems Specialist to join their Central Processing Team. In this role, you will engage in vital research and communication tasks, supporting eligibility determinations and liaising with stakeholders. Your expertise in health administration will be crucial as you monitor policy questions and conduct user acceptance testing for system updates. This position offers a unique opportunity to contribute to the efficiency of health systems while working in a collaborative environment that values your insights and skills.

Qualifications

• Undergraduate degree in relevant fields with 24 months of experience.
• Experience as a Medicaid Health Systems Analyst is also acceptable.

Responsibilities

• Research and respond to Legislative & Consumer Inquiries.
• Support eligibility determinations and liaise with external teams.
• Conduct user acceptance testing for eligibility system updates.

Skills

Health Administration

Communication Skills

Research Skills

Spreadsheet Software

Database Software

Education

Undergraduate Degree in Business Administration

Undergraduate Degree in Social or Behavioral Science

Undergraduate Degree in Health

Undergraduate Degree in Statistics

Tools

Spreadsheet Software

Database Software

Job description

What You Will Do at ODM:

Office: Operations

Bureau: Eligibility Operations

Classification: Medicaid Health Systems Specialist (PN20097685)

Job Overview:

As a Central Processing Team staff member, your responsibilities will include:

1. Researching and responding to Legislative & Consumer Inquiries, both in written and verbal form.
2. Communicating via email and letter with internal and external stakeholders.
3. Supporting eligibility determinations for specified populations.
4. Liaising with the external central processing team.
5. Monitoring and responding to policy questions related to presumptive eligibility.
6. Conducting user acceptance testing for upcoming eligibility system releases and updates.

Qualifications:

• Completion of an undergraduate core program in business administration, social or behavioral science, health, or statistics; plus an additional 24 months of experience specific to the subject area, including 12 months of experience using spreadsheet and database software.
• Or 24 months of experience as a Medicaid Health Systems Analyst (65291).
• Or equivalent of minimum class qualifications for employment as noted above, which may be substituted for the experience required.

Note: Education and experience should be commensurate with the approved position description on file.

Job Skills: Health Administration