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Managed Care Reconciliation Specialist (Medicaid Health Systems Specialist) at Ohio Department of Administrative Services
, , -
Full Time

Start Date

Immediate

Expiry Date

13 Feb, 26

Salary

0.0

Posted On

15 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Health Administration, Collaboration, Interpreting Data, Verbal Communication, Written Communication, Analyzation

Industry

Government Administration

Description
What You Will Do At ODM: Office: Managed Care Bureau: Member Services Classification: Medicaid Health Systems Specialist (PN: 20047473, 20047567) Job Overview: As the Managed Care Reconciliation Specialist in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include: Creating and running reports to identify managed care enrollment discrepancies Reviewing and analyzing managed care enrollment Collaborating with both state staff and stakeholders to ensure proper managed care enrollment Correcting enrollment spans using both manual and mass upload processes Completion of undergraduate core program in business administration, social or behavioral science, health or statistics; additional 24 mos. exp. specific to subject area of which 12 mos. exp. in use of spreadsheet and database software. Note: education & experience to be commensurate with approved position description on file. -Or 24 months experience as Medicaid Health Systems Analyst, (65291) -Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure. Technical Skills: Health Administration Professional Skills: Collaboration, Interpreting Data, Verbal Communication, Written Communication, Analyzation
Responsibilities
The Managed Care Reconciliation Specialist will create and run reports to identify managed care enrollment discrepancies and review and analyze managed care enrollment. The role involves collaborating with state staff and stakeholders to ensure proper managed care enrollment and correcting enrollment spans using manual and mass upload processes.