OHC Waiver Policy and Contract Manager (Medicaid Health Systems Administrator 1)

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

Job summary

The Ohio Department of Medicaid seeks an OHC Waiver Policy and Contract Manager responsible for overseeing program compliance and policy development for health services. This role requires collaboration with various teams to enhance community-based services while ensuring alignment with Medicaid standards. Ideal candidates have a strong background in healthcare administration and project management.

Qualifications

• Experience in health services project management or Medicaid Health Systems.
• Completion of a relevant graduate program.
• Strong organizational and evaluative skills.

Responsibilities

• Develop program requests and manage procurement processes.
• Oversee contractor compliance with program policies.
• Provide technical assistance and guidance on OHC program requirements.

Skills

Health Administration

Public Health

Program Management

Collaboration

Critical Thinking

Innovation

Education

Graduate core program in business or public administration

Job description

OHC Waiver Policy and Contract Manager (Medicaid Health Systems Administrator 1)

Join to apply for the OHC Waiver Policy and Contract Manager (Medicaid Health Systems Administrator 1) role at Ohio Department of Medicaid

OHC Waiver Policy and Contract Manager (Medicaid Health Systems Administrator 1)

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Join to apply for the OHC Waiver Policy and Contract Manager (Medicaid Health Systems Administrator 1) role at Ohio Department of Medicaid

What You Will Do At ODM

Office: Policy

Bureau: Long Term Services & Supports

Classification: Medicaid Health Systems Administrator 1 (PN 20046552)

Job Overview

The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare professional to be part of ODM’s Home and Community-Based Services (HCBS) Policy Team. The HCBS Policy Team is responsible for policy development and oversight of a variety of state-wide programs aimed at supporting the needs of individuals located throughout their community. Programs include 1915(c) waiver programs operated by ODM (Ohio Home Care), the Department of Aging (Assisted Living and PASSPORT), and the Department of Developmental Disabilities (Individual Options, Level 1 and SELF). As the Ohio Home Care (OHC) Waiver Policy and Contract Manager, your responsibilities will include:

• working with ODM staff members on developing program request for proposal, participating in the procurement process, and the implementation of the contract and contract amendment activities
• directing purchase orders and invoice payment processing
• managing contractor compliance with contract requirements
• collaborating with internal ODM Teams (e.g., Care Management, Provider Oversight) with OHC program responsibilities
• overseeing contract and OHC waiver program policy technical assistance
• directing the coordination of contractors’ case access to ODM managed systems
• overseeing and ensuring OHC program and policy requirements are in alignment with OHC waiver application approved by CMS
• interpreting OHC policy and providing guidance to internal and external stakeholders
  
  

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. in the delivery of a 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 has Medicaid Health Systems Specialist, 65293. Note: education & experience is to be commensurate with approved position description on file.
• Or equivalent of Minimum Class Qualifications for Employment.
  
  

Job Skills: Health Administration

Technical Skills: Public Health, Program Management

Professional Skills: Collaboration, Innovation, Critical Thinking

Organization

Medicaid

Agency Contact Name and Information

[e-mail]

Unposting Date

Jun 22, 2025, 11:59:00 PM

Work Location

Lazarus 5

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$37.53/hour

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

Exempt from Union

Primary Job Skill

Health Administration

Technical Skills

Program Management, Public Health

Professional Skills

Collaboration, Critical Thinking, Innovation

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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Health Care Provider

• Industries

  Government Administration

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