Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate, navigation, legal, EEO, duplicated lines, application instructions. Must not create sections with filler like "commensurate with experience". Must include Pay and Schedule only if posting actually states them. The posting includes Compensation $40.40/hour, Schedule Full-time Work Hours 8:00 am - 5:00 pm. So we can include Pay and Schedule sections. We need sections: About the role (maybe from Job Overview?), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to extract content. Let's parse the posting: - Job Overview: "As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include:" then bullet list: Managing program information and conducting analyses to inform and direct policy changes and updates Conducting evaluations for managed care plans Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives Leading on managed care related contract issues, implementations, and targeted reviews Working with the managed care plans to identify areas of concern and provide technical assistance as needed. Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements Communicating any compliance actions to the assigned Managed Care Plans There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with. MyCare Plans list... Managed Care Organizations (MCOs) list... That's responsibilities. Then "Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 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 as a Medicaid Health Systems Specialist, 65293. Or equivalent of Minimum Class Qualifications for Employment noted above." That's qualifications/requirements. Then "Technical Skills: Health Administration Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication" Then "Agency Contact Name and Information HumanResources@medicaid.ohio.gov" (contact info maybe not needed? It's metadata but not job ID; we could fold into a short p maybe but we are told to drop minor metadata into short p or drop it. Probably we can drop contact info as not essential? But it's not boilerplate; but it's minor metadata. We could include a short p with contact email? The instruction: "do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it." So we could include a short p for contact info. But maybe better to drop it as not essential. However we need to preserve ALL substantive information. Contact email is substantive? Might be considered minor metadata. I'd drop it. "Unposting Date Oct 4, 2026, 11:59:00 PM" - minor metadata, drop. "Work Location Lazarus 5 Primary Location United States of America-OHIO-Franklin County-Columbus" - location info maybe substantive? Could be included as a short p? Not a heading. Could be included as a p under About the role? Might be considered metadata. I'd include a short p for location. "Compensation $40.40/hour" -> Pay section. "Schedule Full-time Work Hours 8:00 am - 5:00 pm" -> Schedule section. "Classified Indicator Classified Union Exempt from Union" - minor metadata, drop. "Professional Skills Collaboration, Innovation, Verbal Communication, Written Communication, Confidentiality, Continuous Improvement" - duplicate of earlier skills. "Agency Overview About Us: ..." That's boilerplate about agency; maybe we can include as About the role? Actually "About Us" is agency overview, not role. Could be considered boilerplate but it's substantive about agency. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. Agency overview might be considered boilerplate but it's not legal/EEO. Might be okay to keep as part of About the role? But we already have About the role section from job overview. Could merge agency overview into About the role? Might be redundant. I'd keep About the role as job overview responsibilities. Agency overview maybe not needed. We need to avoid duplicated lines. The skills appear twice; we should deduplicate. Now structure:
About the role
As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include:
- Managing program information and conducting analyses to inform and direct policy changes and updates
- Conducting evaluations for managed care plans
- Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives
- Leading on managed care related contract issues, implementations, and targeted reviews
- Working with the managed care plans to identify areas of concern and provide technical assistance as needed
- Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements
- Communicating any compliance actions to the assigned Managed Care Plans
You will work with 4 MyCare Plans and 7 Managed Care Organizations (MCOs):
- MyCare Plans: Anthem Blue Cross and Blue Shield, Buckeye Health Plan, CareSource, Molina HealthCare of Ohio, Inc.
- Managed Care Organizations (MCOs): AmeriHealth Caritas Ohio, Inc., Anthem Blue Cross and Blue Shield, Buckeye Health Plan, CareSource, Humana Healthy Horizons in Ohio, Molina HealthCare of Ohio, Inc., UnitedHealthcare Community Plan
. Qualification text: "Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 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 as a Medicaid Health Systems Specialist, 65293. Or equivalent of Minimum Class Qualifications for Employment noted above." We'll put that in a
. Now Skills: we have Technical Skills: Health Administration Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication. Also later Professional Skills list duplicates. We'll combine unique: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication. Also maybe Health Administration? That's a domain. Could include as skill? Might be considered a skill area. We'll include as part of skills list: Health Administration, Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication. Now Benefits: The posting does not mention benefits explicitly. No benefits section. So we should not create Benefits section. Pay: we have Compensation $40.40/hour. So Pay section. Schedule: Full-time Work Hours 8:00 am - 5:00 pm. So Schedule section. Location: we could include as a short p under About the role or separate? Not required heading. We'll add a short p after About the role maybe. Contact email: drop. Unposting date: drop. Now ensure we don't repeat job title as heading. We didn't. Now output HTML fragment only. Let's craft:
About the role
As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include:
- Managing program information and conducting analyses to inform and direct policy changes and updates
- Conducting evaluations for managed care plans
- Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives
- Leading on managed care related contract issues, implementations, and targeted reviews
- Working with the managed care plans to identify areas of concern and provide technical assistance as needed
- Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements
- Communicating any compliance actions to the assigned Managed Care Plans
You will work with 4 MyCare Plans and 7 Managed Care Organizations (MCOs):
- MyCare Plans: Anthem Blue Cross and Blue Shield, Buckeye Health Plan, CareSource, Molina HealthCare of Ohio, Inc.
- Managed Care Organizations (MCOs): AmeriHealth Caritas Ohio, Inc., Anthem Blue Cross and Blue Shield, Buckeye Health Plan, CareSource, Humana Healthy Horizons in Ohio, Molina HealthCare of Ohio, Inc., UnitedHealthcare Community Plan
Work location: Lazarus 5, Franklin County, Columbus, Ohio.
Requirements
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 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 as a Medicaid Health Systems Specialist, 65293. Or equivalent of Minimum Class Qualifications for Employment noted above.
Skills
- Health Administration
- Collaboration
- Confidentiality
- Continuous Improvement
- Innovation
- Verbal Communication
- Written Communication
Pay
$40.40 per hour
Schedule
Full-time, 8:00 am – 5:00 pm
Check for any duplicated content: we have not repeated. We removed boilerplate like Agency Overview, Unposting Date, Contact, Classified Indicator, etc. We kept all substantive info: responsibilities, lists of plans, qualification, skills, pay, schedule, location