Medicaid Central Processing Specialist Medicaid Health Systems Specialist
Medicaid Central Processing Specialist Medicaid Health Systems Specialist
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Job Description
The State of Ohio is a drugfree workplace which prohibits the use of (recreational /nonmedical cannabis). Please note this position may be subject to additional restrictions pursuant to the State of Ohio DrugFree Workplace Policy (HR39 and as outlined in the posting.
Ohio 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.
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 DeWines agenda for Ohios 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 governors vision. As the single state Medicaid agency responsible for administering highquality personcentric healthcare the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:
- Delivering a personalized care experience to more than three million people served.
- Improving care for children and adults with complex behavioral health needs.
- Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.
- Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.
- Ensuring financial transparency and operational accountability across all Medicaid programs and services.
Compensation is as listed on the posting unless required by legislation or union contract.
Travel required as needed. Must provide own transportation. Or in order to operate a state vehicle you must have a valid drivers license from state of residence.
Resumes and/or attachments are not reviewed. Therefore please provide detail in the work experience section of your application.
What You Will Do at ODM:
Office:Operations
Bureau:Eligibility Operations
Classification:Medicaid Health Systems Specialist (PN
Job Overview:
As a Central Processing Team staff member your responsibility will include:
Researches and responds to Legislative & Consumer Inquiries in both written and verbal form
Communicates via email and letter with internal and external stakeholders
Supports eligibility determinations for specified populations
Liaises with external central processing team
Monitors and responds to policy questions related to presumptive eligibility
Conducts user acceptance testing for upcoming eligibility system releases and updates
Completion of undergraduate core program in business administration social or behavioral science health or statistics; additional 24 months experience specific to subject area of which 12 months experience in use of spreadsheet and database software.
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.
Note: education & experience to be commensurate with approved position description on file.
Job Skills: Health Administration
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 fulltime and parttime employees*. For a list of all the State of Ohio Benefits visit ourTotal Rewards website! Our benefits package includes:
- Medical Coverage
- Free Dental Vision and Basic Life Insurance premiums after completion of eligibility period
- Paid time off including vacation personal sick leave and 11 paid holidays per year
- Childbirth Adoption and Foster Care leave
- Education and Development Opportunities (Employee Development Funds Public Service Loan Forgiveness and more)
- Public Retirement Systems such as OPERS STRS SERS and HPRS&Optional Deferred Compensation Ohio Deferred Compensation
*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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
