Medicaid Health Systems Administrator 1 (PN)
Medicaid Health Systems Administrator 1 (PN)
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Job Description
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.
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.
- 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.
- Unusual Working Conditions: Requires travel & may require overnight stay. Must be willing & able to secure a Drivers License or supply your own transportation.
Join Our Team!
Accepting applications for Medicaid Health Systems Administrator 1
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 thrive. Our core values reflect our focus on the experience of each person we support:
- Inclusion
- Partnership
- Respect
The Division of Medicaid Development and Administration (MDA) works with state agency personnel and stakeholders to develop policies related to Medicaid funded services for people with developmental disabilities.
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.
Completion of graduate core program in business management or public administration public health health administration social or behavioral science or public finance AND 12 months experience 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.
What will you do
- Works within the Division of Medicaid Development & Administration to plan evaluate research analyze & direct the Medicaid long-term services & supports administered by the Ohio Department of Developmental Disabilities (DODD) for intermediate care facilities (ICF) for individuals with intellectual disabilities (e.g. program access program analysis & application surveillance or policy analysis & development)
- Coordinates development of policies procedures &/or rules
- Coordinates program planning
- Assists higher-level administrators in development &/or coordination of programs related to Medicaid long-term services & supports
- Conducts needs assessment
- Directs data analysis related to access rates & service utilization of Medicaid programs administered by DODD; directs prepares &reviews reports
- Reviews grant requests &/or budget proposals
- Responds to sensitive inquiries & contacts from public providers & government officials
- Advises management regarding data trends in access costs &/or utilization of ICFs
- Originates correspondence
- Reviews cost report edits annually & clears cost reports for rate setting
- Oversees the bed hold approval & audit process
- Tracks & updates franchise permit fee invoices
- Monitors ICF licensure & development in relation to franchise permit fees & ICF system access
- Leads new program & information technology initiatives as assigned
- Represents department &/or the Division of Medicaid Development & Administration at various meetings training conferences & seminars & stakeholder committees for issues related to Medicaid-funded long-term services & supports
- Acts as a liaison with community stakeholder & other state agencies
- Testifies at legislative or public hearings
- Develops & delivers presentations for county boards of developmental disabilities providers &/or advocates
- Attends staff meetings & trainings
- Works collaboratively with relevant state & local agencies & other department staff in all aspects of job duties
- Performs other dutiesas assigned
Required Experience:
Unclear Seniority
Employment Type
Full-Time
