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Managed Care Provider Agreement Manager (Medicaid Health Systems Administra at Ohio Department of Administrative Services
, , -
Full Time

Start Date

Immediate

Expiry Date

12 Mar, 26

Salary

0.0

Posted On

12 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

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: Managed Care Compliance & Oversight Classification: Medicaid Health Systems Administrator 1 (PN: 20047489) Job Overview: As Managed Care Provider Agreement Manager, your responsibilities will include: Developing and maintaining relationships with Managed Care Entities and stakeholders Analyzing contract language Organizing and reviewing contract language from various areas Developing, monitoring, and tracking changes to contract Maintaining a repository of contract changes Developing and delivering presentations to MCEs, ODM Leadership, and various stakeholder groups Evaluating the need to revise related Medicaid eligibility policies and procedures. Submitting proposals to CMS using CMS authorized portals Developing and maintaining various Teams channels 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 Provider Agreement Manager is responsible for developing and maintaining relationships with Managed Care Entities and stakeholders, analyzing and organizing contract language, and monitoring changes to contracts. Additionally, the role involves evaluating Medicaid eligibility policies and delivering presentations to various groups.