Medicaid Central Processing Specialist (Medicaid Health Systems Specialist)

Ohio Department of Medicaid; Columbus (OH); On-site; Full time

Job summary

The Ohio Department of Medicaid is seeking a Medicaid Health Systems Specialist to support eligibility operations. Responsibilities include researching inquiries, supporting eligibility determinations, and conducting system testing. Ideal candidates will have experience in health administration and strong communication skills.

Qualifications

• Completion of an undergraduate core program with 24 months experience.
• 12 months experience using spreadsheet and database software.

Responsibilities

• Researching and responding to Legislative & Consumer Inquiries.
• Supporting eligibility determinations for specified populations.
• Conducting user acceptance testing for eligibility system updates.

Skills

Health Administration

Coaching

Responsiveness

Time Management

Verbal Communication

Written Communication

Education

Undergraduate core program in business administration

Social or behavioral science

Health

Statistics

Job description

What You Will Do At ODM

Office: Operations

Bureau: Eligibility Operations

Classification: Medicaid Health Systems Specialist (PN 20097685)

Job Overview

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

1. Researching and responding to Legislative & Consumer Inquiries in both 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 external central processing teams.
5. Monitoring and responding to policy questions related to presumptive eligibility.
6. Conducting user acceptance testing for upcoming eligibility system releases and updates.

Qualifications include:

• Completion of an undergraduate core program in business administration, social or behavioral science, health, or statistics; with 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 an equivalent of the Minimum Class Qualifications for Employment as noted above.

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

Job Skills: Health Administration

Organization: Medicaid

Agency Contact: [e-mail]

Unposting Date: May 15, 2025, 11:59 PM

Work Location: Lazarus 4

Primary Location: United States of America, Ohio, Franklin County, Columbus

Compensation: $33.45/hour

Schedule: Full-time

Work Hours: 8:00 am - 5:00 pm

Classified Indicator: Classified

Union: 1199

Primary Job Skill: Health Administration

Technical Skills: Health Administration

Professional Skills: Coaching, Responsiveness, Time Management, Verbal Communication, Written Communication

Agency Overview

About Us: Investing in opportunities for Ohioans that work for every person and family in every corner of our state is at the heart of Governor DeWine’s agenda for Ohio’s future. To make Ohio "the best place to live, work, raise a family, and start a business," we need strong schools, a high quality of life, and compassion for those in need.

Responsibilities:

The Ohio Department of Medicaid plays a vital role in supporting the governor’s vision by:

• Delivering personalized care to over three million people.
• Improving care for children and adults with complex behavioral health needs.
• Collaborating with partners and providers to improve wellness and health outcomes.
• Streamlining administrative processes to allow healthcare providers more time for patient care.
• Ensuring transparency and accountability across Medicaid programs and services.