Medicaid Health Systems Specialist
Medicaid Health Systems Specialist
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Job Description
Join Our Team!
Accepting applications for Medicaid Health Systems Specialist
The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.
Ohio is the heart of opportunity and we envision Ohio as the best place in the nation for people with developmental disabilities to core values reflect our focus on the experience of each person we support:
- Inclusion
- Partnership
- Respect
- No additional materials will be accepted after the closing date; in addition you must clearly demonstrate how you meet minimum qualifications.
- The final candidate selected for the position will be required to undergo a criminal background check. RuleBackground Investigations for Employment outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities.
- The final applicant selected for this position will be required to submit to urinalysis prior to the appointment to test for illegal drug use.
- Hourly wage will be paid at step 1 unless otherwise specified bycollective bargaining agreement or rules outlined in the ORC/OAC.
- Requires travel throughout State of Ohio & may require overnight stay.
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.
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.
The Division of Medicaid Development and Administration works with state agency personnel and stakeholders to develop policies related to Medicaidfunded services for people with developmental disabilities. Responsibilities include drafting waiver applications statutes rules and guidance for home and communitybased services waivers.
What you will do as a Medicaid Health Systems Specialist:
Design plan and evaluate a regional system of training & technical assistance that supports the local county boards of Developmental Disabilities (DD) service delivery.
Implement initiatives to support system innovations and policy technical assistance related to services available to individuals with developmental disabilities through the provision of locally planned & statewide Medicaid services & supports.
Assist in the development & implementation of Medicaid policy goals & objectives for the department regarding programs & initiatives designs systems & procedures to assess outcomes.
Supply required data & program narrative for department biennial budget requests as requested.
Collaborate with stakeholders to provide interpretation & implementation of Medicaid & other applicable regulations rules & policies as a part of an overall technical assistance & training resource.
Provides training sessions webinars & a variety of activities to share information with the field (CBDD individuals families providers advocates etc. to ensure consistency & uniformity of policy application across the state.
Work as a team in development of training in all components of the Medicaid Service System (MSS) for stakeholders provide system assistance to the field daily.
Additional systems required will be the Medicaid Information Technology System (MITS) and the Imagine365 CRM system. Other technology systems may be required to be utilized.
Coordinate & compose responses to correspondence & inquiries from the field.
Review work for professional presentation accuracy of information clarity etc. & operates personal computer to edit & recommend change to documents letters targeted for general distribution.
Develop materials & presentation required for statewide regional & single site training & technical assistance.
Develops material for publication presentation & use in technical assistance.
Acts as liaison with existing organizations in a regional area (i.e. Ohio Association of Adult Services Ohio Superintendents Association).
Participates in rule & statute review revision & promulgation.
Respond to inquiries and participates in process of acting on requests from providers & CB/DD to waive requirements of Ohio Administrative Code.
Represent department MDA or unit at or attends various local state or national meetings training conferences & seminars to exchange & communicate stateoftheart information to resolve concerns & problems which impact on the quality of life of individuals with DD.
Participate in workgroups as assigned.
Coordinate implementation of stakeholder committees for issues related to case management service coordination.
Work collaboratively with relevant state & local agencies & other department staff in all aspects of job duties.
Monitor data related to costs & services as entered by CB/DD & waiver providers to ensure complete & accurate systems information.
Monitor and directs responses to daily inquiries from electronic mail and telephone for technical assistance.
Provide the followup technical assistance & research required for responding appropriately to issues & problems identified within a system.
Produce informational & management reports regarding specialty areas for review approval & dissemination.
Participate in systems development & provides feedback on system design & makes recommendations for system changes.
Participate in system testing & provides feedback & assistance in system implementation.
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.
Position requiring assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery requires current & valid license as registered nurse as issued by Ohio Board of Nursing pursuant to Sections 4723.03 & 4723.09 of Ohio revised code; additional 24 mos. exp. in nursing.
Or for positions other than those requiring valid license as registered nurse 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 for positions other than those requiring valid license as registered nurse 24 months experience as Medicaid Health Systems Analyst 65291 may be substituted for the experience required but not for the mandated licensure.
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
Required Experience:
Unclear Seniority
Employment Type
Full-Time
