Managed Care Contract Manager (Medicaid Health Systems Administrator 1) at Ohio Department of Administrative Services

, , -

Full Time

Start Date

Immediate

Expiry Date

15 Jan, 26

Salary

0.0

Posted On

17 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Health Administration, Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication

Industry

Government Administration

Description

What You Will Do At ODM: Office: Managed Care Bureau: Contract Management & Compliance Classification: Medicaid Health Systems Administrator 1 (PN: 20089575) Job Overview: As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include: · Managing program information and conducting analyses to inform and direct policy changes and updates · Conducting evaluations for managed care plans · Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives · Leading on managed care related contract issues, implementations, and targeted reviews · Working with the managed care plans to identify areas of concern and provide technical assistance as needed. · Reviewing and approving submitted deliverables and reports · Communicating any compliance actions to the assigned Managed Care Plans There are 5 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with. MyCare Plans: · Aetna Better Health of Ohio, Inc. · Buckeye Health Plan · CareSource · Molina HealthCare of Ohio, Inc. · UnitedHealthcare Community Plan Managed Care Organizations (MCOs) · AmeriHealth Caritas Ohio, Inc. · Anthem Blue Cross and Blue Shield · Buckeye Health Plan · CareSource · Humana Healthy Horizons in Ohio · Molina HealthCare of Ohio, Inc. · UnitedHealthcare Community Plan Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 months experience 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 as a Medicaid Health Systems Specialist, 65293. -Or equivalent of Minimum Class Qualifications for Employment noted above. Technical Skills: Health Administration Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication

Responsibilities

The Managed Care Contract Manager will manage program information, conduct analyses for policy changes, and evaluate managed care plans. They will also lead contract issues, provide technical assistance, and communicate compliance actions to Managed Care Plans.