About Us:
Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.
Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:
What You Will Do at ODM:
Office: Operations
Bureau: Network Management
Classification: Medicaid Health Systems Administrator 1 (PN 20087026)
The Ohio Department of Medicaid (ODM) is seeking an experienced, team focused health system administrator to supervise the Home and Community Based Service (HCBS) Waiver Provider Oversight unit in the Bureau of Network Management. As the HCBS Waiver Provider Oversight Supervisor, you will be responsible for the following:
Supervise and direct the work activities (e.g. Notice of Operational Deficiencies, Plan of Corrections, Proposed Adjudication Orders, quality reviews, etc.) of the Provider Oversight staff
Manage staff timekeeping and performance evaluations
Collaborate with the ODM Provider Oversight Contractor on waiver provider oversight activities
Attend meetings and provide input as the waiver provider oversight subject matter expert
Research and evaluate waiver provider oversight policies, procedures, rules, and regulations
Respond to complex waiver provider oversight inquiries from providers, members, internal teams, and sister state agencies
The preferred candidate will have a growth mindset and possess effective communication skills and conflict resolution abilities.
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. 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 has Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure, if required. Note: education & experience is to be commensurate with approved position description on file. -If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.
-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Job Skills: Health Administration
Supplemental Info:
The Ohio Department of Medicaid does not provide employment-based visa sponsorship.
Compensation is as listed on the posting unless required by legislation or union contract.
The work location of this position is 50 West Town Street, Columbus, Ohio 43215. You will be required to report to this work location full-time, if selected.
Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.
Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.
ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
Employment with the State of Ohio is more than ‘just a job’ – it is a privilege to serve our families, friends and neighbors who rely on us throughout our great state. We are a team of dedicated public servants committed to high performance, innovative thinking, and delivering excellent and efficient services. Our goal is to recruit and retain the best talent for our positions, because when we have the best talent, we get the best results for our community. We are #TeamOhio.
