OHC Waiver Policy and Contract Manager (Medicaid Health Systems Administrator 1)
OHC Waiver Policy and Contract Manager (Medicaid Health Systems Administrator 1)
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Job Description
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.
The 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.
What You Will Do at ODM:
Office: Policy
Bureau: Long Term Services & Supports
Classification: Medicaid Health Systems Administrator 1 (PN)
Job Overview:
The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare professional to be part of ODMs Home and Community-Based Services (HCBS) Policy Team. The HCBS Policy Team is responsible for policy development and oversight of a variety of state-wide programs aimed at supporting the needs of individuals located throughout their community. Programs include 1915(c) waiver programs operated by ODM (Ohio Home Care) the Department of Aging (Assisted Living and PASSPORT) and the Department of Developmental Disabilities (Individual Options Level 1 and SELF). As the Ohio Home Care (OHC) Waiver Policy and Contract Manager your responsibilities will include:
working with ODM staff members on developing program request for proposal participating in the procurement process and the implementation of the contract and contract amendment activities
directing purchase orders and invoice payment processing
managing contractor compliance with contract requirements
collaborating with internal ODM Teams (e.g. Care Management Provider Oversight) with OHC program responsibilities
overseeing contract and OHC waiver program policy technical assistance
directing the coordination of contractors case access to ODM managed systems
overseeing and ensuring OHC program and policy requirements are in alignment with OHC waiver application approved by CMS
interpreting OHC policy and providing guidance to internal and external stakeholders
Compensation is as listed on the posting unless required by legislation or union contract.
This position is overtime exempt.
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.
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 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:
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.
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. Note: education & experience is to be commensurate with approved position description on file.
-Or equivalent of Minimum Class Qualifications for Employment.
Job Skills: Health Administration
Technical Skills: Public Health Program Management
Professional Skills: Collaboration Innovation Critical Thinking
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 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:
Manager
Employment Type
Full-Time
