Nursing Facility Policy Section Chief (Medicaid Health Systems Administrator 3)

Ohio Department of Medicaid; Columbus (OH); On-site; USD 86,000 - 117,000; Full time

Benefits offered by this job

Exempt from Union

Job summary

Ohio Department of Medicaid is seeking an LTSS policy leader to oversee the Nursing Facility (NF) Policy Section. The NF Policy Section Chief will guide policy interpretation, development and implementation, coordinate with ODM divisions, and drive strategic directions with external stakeholders. The role emphasizes leadership, collaboration, and policy execution across fiscal, legal, care coordination and managed care units.

Qualifications

• Graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance.
• 36 months of experience in planning & administering health services program or health services project management (e.g., health care data analysis, contract management, market & financial expertise, budget development, HMO & hospital rate development, health services eligibility, data analysis).
• Or 12 months experience as a Medicaid Health Systems Administrator 2; education & experience commensurate with position description on file.
• Or equivalent of Minimum Class Qualifications for Employment noted above.

Responsibilities

• Act as a strategic leader for NF policy across ODM, overseeing interpretation, development and implementation related to ORC, OAC, and operational standards.
• Oversee the organization’s NF claim resolution strategy to ensure policy alignment, operational efficiency, and risk mitigation.
• Provide leadership to a tiered team structure, offering direct support to frontline staff while guiding and developing management.
• Represent ODM as the senior leader in key stakeholder discussions on NF policy, guiding strategic direction and resolving complex issues.
• Serve as the executive liaison for NF policy, presenting recommendations to ODM leadership and shaping long-term policy strategy.
• Drive cross-functional collaboration across ODM divisions including fiscal, legal, care coordination, and managed care to ensure coordinated and unified policy execution.

Skills

Health Administration

Management

Program Management

Leading Others

Collaboration

Coaching

Organizing and Planning

Education

Graduate degree in public administration or related field

Job description

What You Will Do At ODM

Office: Policy

Bureau: Long Term Services & Supports (LTSS)

Classification: Medicaid Health Systems Administrator 3 (PN 20047496)

Job Overview

The Ohio Department of Medicaid (ODM) is seeking an LTSS policy leader to join our team. This position will oversee our Nursing Facility (NF) Policy Section. As the NF Policy Section Chief, your responsibilities will include:

• Acting as a strategic leader for NF policy across ODM, overseeing interpretation, development, and implementation related to ORC, OAC, and operational standards.
• Overseeing the organization’s NF claim resolution strategy to ensure policy alignment, operational efficiency, and risk mitigation.
• Providing leadership to a tiered team structure, offering direct support to frontline staff while guiding and developing management.
• Representing ODM as the senior leader in key stakeholder discussions on NF policy, guiding strategic direction and resolving complex issues.
• Serving as the executive liaison for NF policy, presenting recommendations to ODM leadership and shaping long‑term policy strategy.
• Driving cross-functional collaboration across ODM divisions including fiscal, legal, care coordination, and managed care to ensure coordinated and unified policy execution.

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 36 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 base analysis).

• Or 12 months experience as a Medicaid Health Systems Administrator 2, 65296. 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

Technical Skills:

Management, Program Management

Professional Skills:

Leading Others, Collaboration, Coaching, Establishing Relationships, Organizing and Planning

Agency Contact Name and Information

[e-mail]

Unposting Date

Oct 11, 2026, 11:59:00 PM

Work Location

Lazarus 5

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$48.93/hour

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Unclassified

Union

Exempt from Union

Professional Skills

Coaching, Collaboration, Establishing Relationships, Leading Others, Organizing and Planning

Agency Overview

About Us:

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.

Responsibilities

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.