Medicaid School Program Administrator - PN 20047507 (Medicaid Health Systems Administrator 2)

State of Ohio; Columbus (OH); Sur place; USD 52 000 - 72 000; Plein temps

Avantages offerts par ce poste

Medical Coverage

Paid time off

Education and Development Opportunites

Public Retirement Systems

Résumé du poste

The Ohio Department of Medicaid is seeking an experienced healthcare leader to oversee the Medicaid School Program, ensuring student access to health-related services in school settings. You will oversee policy development, interagency collaboration, and coordination with OSDE and CMS to improve outcomes.

As Administrator, you will implement administrative rules, monitor operations, and liaise with managed care organizations to optimize program effectiveness and efficiency.

Qualifications

• Graduate degree in business/ public administration or health-related field with relevant training.
• 2+ years of experience in planning and administering health services programs or health services project management.

Responsabilités

• Becoming a subject matter expert on the Medicaid School Program.
• Developing policies and directing implementation of the Medicaid School Program.
• Directing the development of administrative rules, state plans, and interagency agreements governing the Medicaid School Program.
• Monitoring current operations and making policy and operational recommendations for reducing administrative burden and increasing appropriate utilization.
• Serving as lead in ODM’s communications with sister agencies, school districts, and federal partners such as CMS.
• Coordinating Medicaid School Program work and resources with managed care organizations and operational contractors.
• Working collaboratively with internal and external stakeholders across departments and agencies to optimize program and student outcomes.

Connaissances

Health Administration

Formation

Graduate degree in health administration or related field

Description du poste

All job postings will expire at 11:59 PM Eastern Time on the application deadline.

Organization: Medicaid

Work Location: 50 West Town Street Columbus, Ohio, 43215 United States

Compensation: $44.38/hour

Schedule: Permanent - Full Time

Work Hours: 8:00AM - 5:00PM

Classified Indicator: Classified

Union: Exempt from union

Overtime Status: Exempt

Primary Job Skill: Health Administration

Who We Are

Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.

Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:

• Delivering a personalized care experience to more than three million people served.
• Improving care for children and adults with complex behavioral health needs.
• Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.
• Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.
• Ensuring financial transparency and operational accountability across all Medicaid programs and services.

What You'll Do

Office: Strategic Initiatives

Classification: Medicaid Health Systems Administrator 2 (PN 20047507)

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare leader to oversee ongoing program policy and new policy development for the Medicaid School Program. The Medicaid School Program is jointly administered by ODM and the Ohio Department of Education and Workforce and exists to ensure student access to necessary health-related services in the school setting. As the Medicaid School Program Administrator, your responsibilities will include:

• becoming a subject matter expert on the Medicaid School Program
• developing policies and directing implementation of the Medicaid School Program
• directing the development of administrative rules, state plans, and interagency agreements governing the Medicaid School Program
• monitoring current operations and making policy and operational recommendations for reducing administrative burden and increasing appropriate utilization
• serving as lead in the ODM’s communications with sister agencies, school districts, and federal partners such as the Centers for Medicare and Medicaid Services (CMS)
• coordinating Medicaid School Program work and resources with managed care organizations and operational contractors (e.g., provider network module, fiscal intermediary, actuary)
• working collaboratively with internal and external stakeholders across departments, agencies, stakeholders, and managed care organizations to optimize program and student outcomes

Additional Information

The Ohio Department of Medicaid does not provide employment-based visa sponsorship.

Compensation is as listed on the posting unless required by legislation or union contract.

Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Why Work for the State of Ohio:

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems such as OPERS, STRS, SERS, and HPRS & Optional Deferred Compensation Ohio Deferred Compensation

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance 24 mos. exp. in planning & administering health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise health services program communication health services budget development, HMO & hospital rate development, health services eligibility, health services data analysis). -Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note: education & experience is to be commensurate with approved position description on file. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Health Administration

ADA Statement

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Drug-Free Workplace

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.