Medicaid Health Transformation Director

Ohio Department of Medicaid; Columbus (OH); On-site; USD 150,000 - 200,000; Full time

Job summary

The Ohio Department of Medicaid seeks a Physician Administrator to provide medical and clinical expertise in overseeing the transformation of health care delivery for Ohio's Medicaid population.

The selected candidate will define goals to enhance health outcomes, serve as clinical authority for Medicaid services, and lead initiatives ensuring compliance with healthcare regulations.

Requires a valid medical certificate and significant clinical oversight experience.

Qualifications

• Valid medical certificate issued by State Medical Board.
• Experience in clinical oversight is essential.

Responsibilities

• Define goals to improve health outcomes for Ohio's Medicaid population.
• Provide clinical oversight and approval for Medicaid coverage policies.
• Lead utilization management and population health initiatives.
• Ensure alignment with state and federal regulations.
• Monitor medical services delivery and cost-effectiveness.
• Supervise ODM personnel including medical directors and bureau chiefs.

Education

Certificate to practice medicine

Job description

The Ohio Department of Medicaid seeks a Physician Administrator to provide medical and clinical expertise in overseeing the transformation of health care delivery for Ohio's Medicaid population.

The selected candidate will define goals to enhance health outcomes, serve as clinical authority for Medicaid services, and lead initiatives ensuring compliance with healthcare regulations.

Requires a valid medical certificate and significant clinical oversight experience.