Health Systems Improvement Manager (Medicaid Health Systems Administrator 1)

About the role

As the Health Systems Improvement Manager in the Office of Health Innovation & Quality, Ohio Department of Medicaid (ODM), your responsibilities will include serving as the agency manager to evaluate Medicaid’s programs and initiatives for children to transform health systems through partnership with Ohio’s Medicaid Institutional and non-institutional providers supporting children.

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 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 partners and providers to measurably strengthen wellness and health outcomes; streamlining administrative burdens so doctors and healthcare providers have more time for patient care; and ensuring financial transparency and operational accountability across all Medicaid programs and services.

Work Location: Lazarus 5, Primary Location: United States of America-OHIO-Franklin County-Columbus.
Contact: HumanResources@medicaid.ohio.gov | Unposting Date: Oct 4, 2026, 11:59:00 PM

Responsibilities

• Serving as the agency manager to evaluate Medicaid’s programs and initiatives for children to transform health systems through partnership with Ohio’s Medicaid Institutional and non-institutional providers supporting children
• Conducting program development, program analysis and comparative studies to determine the impact of Medicaid children’s initiatives
• Evaluating goal achievement of providers participating in programs (e.g. state directed payments) designed to improve health outcomes to Ohio’s most vulnerable populations, specifically children
• Providing strategic oversight of policies and procedures governing state directed payments for providers of services to children and other similar programs
• Analyzing and interpreting federal and state regulations, rules and laws to ensure program compliance

Requirements

• Completion of a graduate core program in business, management or public administration, public health, health administration, social or behavioral science, or public finance; 12 months of 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 database analysis)
• Or 12 months experience as a Medicaid Health Systems Specialist (PN 65293)
• Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure

Skills

• Collaboration
• Managing Meetings
• Verbal Communication
• Written Communication
• Consultation
• Innovation

Pay

$40.40/hour

Schedule

Full-time, Work Hours 8:00 am - 5