Jobs · Healthcare · Ohio

Medicaid Health Systems Specialist

State of Ohio · Columbus, OH · 1 mo ago
Healthcare$36.01/hrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Remove boilerplate. Must preserve all substantive info. We need to parse the posting. Key info: - Role involves monitoring, evaluating, supporting Medicaid-related projects and programs focusing on populations served by PCSAs. Work independent and cross-functional. Collaborate with technical staff, policy experts, partner agencies, stakeholders. - Key Activities (list): - Conduct complex statistical, financial, and program analyses, including reviewing and comparing federal and state regulations. - Compile and interpret data from multiple health care and programmatic sources. - Resolve issues related to medical service delivery and coverage for Medicaid recipients. - Monitor managed care contracts to ensure compliance and develop performance based summaries. - Use advanced databases and systems such as CCWIS, and Ohio Benefits to perform technical updates, process control file changes, and produce detailed reports. - Provide consultative expertise, technical assistance, and training to internal and external stakeholders. - Act as a liaison to agencies and divisions such as ODM, DODD, DYS, DCY's Policy team, and IT. - Coordinate activities among entities responsible for implementing Medicaid policy related to PCSA involved youth. - Participate in committees, task forces, conferences, and workshops, including projects like the Multi System Youth Grant initiative. - Reconcile complex enrollment and disenrollment records and respond to inquiries from consumers, providers, CDJFS, PCSAs, officials, and contractors. - Prepare position papers, research documents, monitoring reports, and evaluation summaries. - Use computer systems and online resources to gather information and generate spreadsheets, correspondence, and reports. - Assist with reviewing, drafting, and implementing Medicaid rules, especially those affecting youth under age 21. - Collaborate with IT teams to ensure policy changes are accurately reflected in statewide systems. - Compile and maintain Medicaid policy manual content. - Support the promulgation of Ohio Administrative Code rules by analyzing legislation, reviewing policy alignment, and working with stakeholders. - Pay Information: details about salary steps, hourly and annual amounts, longevity supplements after 5 years, cost of living increases, etc. - Background Check Information: final candidate will undergo criminal background check; assessment of convictions. - Status of posted positions: instructions to check status online; contact email for questions. - 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 Organization Department of Children and Youth Agency Contact Name and Information Ashley.Sydebotham@childrenandyouth.ohio.gov - Unposting Date Sep 28, 2026, 10:59:00 PM - Work Location Children&Youth N. High Complex Primary Location United States of America-OHIO-Franklin County-Columbus - Compensation $36.01 per hour - Schedule Full-time - Work Hours 8:00 AM - 5:00 PM - Classified Indicator Classified - Professional Skills Analyzation, Attention to Detail - Agency Overview About us: mission statement etc. - Location Requirements: core hours Mon-Fri 8-5, may vary, employees may begin as early as 7am & as late as 9am, based on supervisory approval. This position performs work on-site daily at DCY’s office space. We need to produce sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real specific content. Let's map: - About the role: could be the introductory paragraph describing role: monitoring, evaluating, supporting Medicaid-related projects and programs with focus on PCSAs, independent and cross-functional, collaborate with technical staff, policy experts, partner agencies, stakeholders. That's substantive. - Responsibilities: the list of key activities (the bullet list). That's substantive. - Requirements: includes licensing/education/experience requirements: RN license + 24 months nursing OR undergraduate core program + 24 months exp specific subject area with 12 months spreadsheet/database OR 24 months experience as Medicaid Health Systems Analyst (65291) etc. Also background check? Might be considered requirement. Also maybe "Professional Skills Analyzation, Attention to Detail". But we can include those under Skills. - Qualifications: maybe overlapping with Requirements. But we need to avoid duplication. Could treat Requirements as mandatory qualifications (license, experience). Qualifications could be preferred or additional? The posting includes "Job Skills: Health Administration Organization Department of Children and Youth Agency Contact Name and Information". That seems like contact info not skill. Actually "Job Skills: Health Administration Organization Department of Children and Youth Agency Contact Name and Information Ashley.Sydebotham@childrenandyouth.ohio.gov". That seems misplaced; maybe it's contact. We'll treat contact info as not needed for sections. - Skills: could list "Analyzation, Attention to Detail" plus maybe "Health Administration". But we need to see if there is a specific skills list. The posting includes "Professional Skills Analyzation, Attention to Detail". Also maybe "Health Administration Organization". We'll include those. - Benefits: The posting mentions "generous benefit options and a flexible work life balance" in Agency Overview. Also mentions longevity supplements after 5 years, cost of living increases. Those are compensation/benefits. Could include Benefits section: longevity supplements, cost of living increases, generous benefit options, flexible work life balance. However we need to check if we should create Benefits section only if posting actually states them. It does: "At DCY, we offer our employees a rewarding work experience in public service helping Ohioans achieve a sustainable lifestyle that includes generous benefit options and a flexible work life balance making our agency a great place to work!" Also longevity supplements after 5 years, cost of living increases awarded annually. So we can include Benefits. - Pay: we have detailed pay progression table. Must include Pay section. - Schedule: we have Schedule Full-time, Work Hours 8:00 AM - 5:00 PM, core hours Mon-Fri 8-5, may vary, employees may begin as early as 7am & as late as 9am, based on supervisory approval. Also location: on-site daily. So we can include Schedule section. We must not include headings with filler like "commensurate with experience". Avoid those. We must not repeat job title. We must not include Job ID/requisition numbers. We must remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. The posting includes "Status of posted positions You can check the status of your application online be signing into your profile and clicking the “My Jobpage” tab to view completed submissions and submission details. If you have questions other than your applications status, please direct them to DCY.HumanResources@childrenandyouth.ohio.gov." That's application instructions; we should remove. Also "Background Check Information" is substantive? It's about requirement; we could include under Requirements or maybe separate but we can incorporate. "Unposting Date" maybe metadata; we can drop. "Work Location" maybe location; could be part of Schedule or separate but we have no Location section; we could incorporate into Schedule or maybe not needed. Since we only have allowed sections, we can include location info under Schedule or maybe under About the role? Probably better to include under Schedule (work location). But schedule section is about time; location maybe not fit. Could add a brief note in Schedule about on-site. We must not invent or summarize away detail. Must preserve all substantive information. Thus we need to include all substantive info from the posting, organized into sections. Let's extract all substantive info: Intro paragraph: "This role involves monitoring, evaluating, and supporting Medicaid-related projects and programs with a focus on populations served by Public Children’s Services Agencies (PCSAs). Work is performed both independently and as part of cross functional teams. You will regularly collaborate with technical staff, policy experts, partner agencies, and stakeholders." Key Activities list (as above). Pay Information: details about salary steps, hourly and annual amounts, longevity supplements after 5 years, cost of living increases annually. Background Check Information: final candidate will undergo criminal background check; assessment of convictions. Position requiring assessment or reassessment of clinical appropriateness ... license requirements etc. Job Skills: Health Administration Organization Department of Children and Youth Agency Contact Name and Information Ashley.Sydebotham@childrenandyouth.ohio.gov (maybe contact). We'll treat contact as not needed for sections. Unposting Date: drop. Work Location: Children&Youth N. High Complex Primary Location United States of America-OHIO-Franklin County-Columbus. Compensation $36.01 per hour (already covered in pay). Schedule Full-time. Work Hours 8:00 AM - 5:00 PM. Classified Indicator Classified. Professional Skills Analyzation, Attention to Detail. Agency Overview About us: mission statement etc. Location Requirements: DCY’s core hours of operation are Mon-Fri from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across DCY divisions. Employees may begin as early as 7:00am & as late as 9:00am, based on supervisory approval. This position performs work on-site daily at DCY’s office space. We need to ensure we don't duplicate. Now decide sections: - About the role: intro paragraph. - Responsibilities: the list of key activities. - Requirements: include license/education/experience requirements, background check, maybe also "Professional Skills Analyzation, Attention to Detail"? But those are skills. - Qualifications: maybe we can combine with Requirements; but we need to avoid thin sections. Could omit Qualifications if not distinct. The posting includes "Job Skills: Health Administration Organization Department of Children and Youth Agency Contact Name and Information". That seems like contact info not skill. Could treat as Skills? But we have Professional Skills already. Better to have Sections: About the role, Responsibilities, Requirements (including licensure, experience, background check), Skills (including Professional Skills Analyzation, Attention to Detail, Health Administration), Benefits (including generous benefit options, flexible work life balance, longevity supplements after 5 years, cost of living increases), Pay (including salary progression), Schedule (including full-time, work hours, core hours, flexible start/end, on-site location). We must not include sections with filler. All these have content. Now we need to format using

for each section heading. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We must not include / or markdown. We must output only HTML fragment. Let's craft. Section About the role:

    About the role

    This role involves monitoring, evaluating, and supporting Medicaid-related projects and programs with a focus on populations served by Public Children’s Services Agencies (PCSAs). Work is performed

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