Medicaid Encounter Data Liaison & Policy Lead

Ohio Department of Medicaid; Columbus (OH); On-site; USD 71,000 - 86,000; Full time

Job summary

The Ohio Department of Medicaid seeks a healthcare professional to join the EDI & Encounters Team as a data-focused liaison for post-adjudication reporting. You will support data-driven decisions and collaborate with managed care plans to ensure data accuracy for rate setting and policy compliance.

Primary responsibilities include leading data quality discussions, supporting NexGen MyCare implementation across departments, and communicating data trends to stakeholders, ensuring transparent

Qualifications

• Graduate-level program in business, management or public administration, public health, health administration, social or behavioral science or public finance.
• 24 months of experience in planning & administering health services program or health services project management.

Responsibilities

• Deliver a personalized care data liaison role for post-adjudication reporting.
• Lead bi-weekly meetings with MCOs to discuss encounter data quality metrics and initiatives.
• Coordinate across departments for NexGen MyCare launched 1/1/2026.
• Support rate setting, claims remittance investigations and financial team collaboration.

Skills

Health Administration

Public Health

Data Analytics

Education

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

Tools

MITS

Vue360

Administrator

Job description

The Ohio Department of Medicaid seeks a healthcare professional to join the EDI & Encounters Team as a data-focused liaison for post-adjudication reporting. You will support data-driven decisions and collaborate with managed care plans to ensure data accuracy for rate setting and policy compliance.

Primary responsibilities include leading data quality discussions, supporting NexGen MyCare implementation across departments, and communicating data trends to stakeholders, ensuring transparent