Medicaid Health Systems Administrator 2 (pn 20102249) at Ohio Department of Administrative Services

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Full Time

Start Date

Immediate

Expiry Date

13 Apr, 26

Salary

0.0

Posted On

13 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Health Administration, Project Management, Data Analysis, Policy Development, Cost Management, Stakeholder Engagement, Communication, Training, Problem Solving, Process Improvement, Strategic Thinking, Results Oriented

Industry

Government Administration

Description

What will you do? Project Leadership & Management: o Lead cross-functional projects to evaluate, enhance, and implement Medicaid services and programs, ensuring they meet quality, cost, and efficiency goals. o Oversee the planning, execution, and monitoring of projects from initiation to completion. o Manage resources effectively, including staff, budgets, and timelines, to achieve project goals. o Provide leadership and direction to project teams and ensure project milestones are met. Data Analysis & Reporting: o Analyze Medicaid service data, including expenditures, service authorizations, and program performance. o Ensure the accuracy and consistency of data entered into Medicaid systems, identifying and correcting discrepancies when necessary. o Prepare and present regular reports on program performance, cost savings, and other key metrics. o Use data to drive decision-making, program improvements, and policy changes. Policy Development & Implementation: o Develop, revise, and implement Medicaid policies and procedures to ensure compliance with state and federal regulations. o Evaluate the effectiveness of policies and recommend changes to improve service delivery, cost-effectiveness, and patient outcomes. o Work with internal and external stakeholders to ensure alignment and understanding of new and revised policies. o Monitor the implementation of policies and conduct periodic reviews to assess their impact. o Direct and administer initiatives to support system innovations and technical assistance. o Use clinical background to conduct reviews of Individual Service Plans and related service authorizations to make recommendations on service improvement and service authorization Cost Management & Efficiency: o Evaluate and direct activities that support DODD HCBS waiver utilization management. o Analyze service delivery costs and implement strategies to improve cost-efficiency without compromising the quality of care. o Review and manage high-cost services, ensuring they are cost-effective and meet the needs of individuals. o Work with service providers and other stakeholders to identify cost-saving opportunities and enhance service delivery. o Conduct cost-benefit analyses for Medicaid waivers, services, and programs. Stakeholder Engagement & Communication: o Work collaboratively with multiple internal teams, county boards, external agencies, and service providers to ensure Medicaid programs are effectively managed and aligned with organizational objectives. o Facilitate discussions and negotiations with stakeholders to resolve issues, align goals, and achieve consensus on policy initiatives. o Provide clear and effective communication to all stakeholders regarding policy updates, program changes, and best practices. Regulatory Compliance & Risk Management: o Ensure Medicaid programs and services comply with all relevant state and federal regulations, guidelines, and policies. o Conduct regular audits to assess program compliance and identify potential risks or areas for improvement. o Stay updated on changes in Medicaid regulations and adjust practices accordingly to ensure ongoing compliance. Training & Staff Development: o Develop and deliver training materials for staff on Medicaid policies, service delivery standards, and system processes. o Provide ongoing support to staff to ensure they are equipped to deliver high-quality services. o Create and deliver presentations on complex Medicaid topics to various audiences, ensuring material is easily understood. Problem Solving & Process Improvement: o Identify opportunities for process improvements in Medicaid service delivery, ensuring that all operations are running efficiently and cost-effectively. o Work with teams to resolve any issues related to program underperformance or service quality concerns. o Lead initiatives to improve the overall quality of Medicaid services and ensure continuous improvement in service delivery. To request a reasonable accommodation due to disability, please contact the ADA Coordinator by email at EEO-DiversityAffairs@dodd.ohio.gov. 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. Job Skills: Health Administration, Project Management, Research, Collaboration, Strategic Thinking, Results Oriented

Responsibilities

The Medicaid Health Systems Administrator 2 will lead cross-functional projects to enhance Medicaid services and manage resources effectively. They will also analyze data, develop policies, and ensure compliance with regulations.