Managed Care Policy Administrator (Medicaid Health Systems Administrator 2) at Ohio Department of Administrative Services

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Full Time

Start Date

Immediate

Expiry Date

28 Apr, 26

Salary

0.0

Posted On

28 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Health Administration, Attention to Detail, Collaboration, Critical Thinking, Decision Making, Goal Setting, Managing Meetings, Organizing and Planning, Verbal Communication, Written Communication

Industry

Government Administration

Description

What You Will Do At ODM: Office: Managed Care Bureau: Policy & Program Development Classification: Medicaid Health Systems Administrator 2 (PN: 20094621) Job Overview: As the Managed Care Policy Administrator in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities may include: Planning, managing, evaluating, and analyzing policies related to member and provider contracted deliverables in Medicaid Managed Care Programs Implementing Medicaid State Plan Amendment (SPA) and Ohio Administrative Code (OAC) rule changes, changes to managed care programs Communicating responsibility and obligation of managed care entities (MCEs) to individuals and other government agencies Developing policy, provider agreements and guidance memorandum Providing additional direction in the processing of provider agreements, administrative rules, state directed payments, and federal authorities Assisting in providing strategic oversight of policies and procedures governing Medicaid managed care Ensuring that managed care program policies and procedures comply with federal and state regulations by researching applicable regulations and working with appropriate ODM staff, federal and state agencies Assisting higher level administrators in development and coordination of overall programs relating to Medicaid health delivery systems and contacting managed care plans Formulating policy and recommends legislative and programmatic changes 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. Technical Skills: Health Administration Professional Skills: Attention to Detail, Collaboration, Critical Thinking, Decision Making, Goal Setting, Managing Meetings, Organizing and Planning, Verbal Communication, Written Communication

Responsibilities

The Managed Care Policy Administrator is responsible for planning, managing, evaluating, and analyzing policies related to Medicaid Managed Care Programs. This includes implementing changes to managed care programs and ensuring compliance with federal and state regulations.