Medicaid School Program Administrator - PN 20047507 (Medicaid Health Systems Administrator 2)

Organization: Medicaid Agency | Contact: HumanResources@medicaid.ohio.gov | Location: 50 West Town Street, Columbus, OH 43215 | Classification: Medicaid Health Systems Administrator 2 (PN 20047507) | Type: Classified, Exempt from union, Overtime Exempt

About the role

The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare leader to oversee ongoing program policy and new policy development for the Medicaid School Program. The Medicaid School Program is jointly administered by ODM and the Ohio Department of Education and Workforce and exists to ensure student access to necessary health-related services in the school setting.

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 DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise a family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help. ODM 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, committed to supporting the health and wellbeing of nearly one in every four Ohioans served.

Responsibilities

Department-wide responsibilities:

• 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
• Ensuring financial transparency and operational accountability across all Medicaid programs and services

Position-specific responsibilities:

• Become a subject matter expert on the Medicaid School Program
• Develop policies and direct implementation of the Medicaid School Program
• Direct the development of administrative rules, state plans, and interagency agreements governing the Medicaid School Program
• Monitor current operations and make policy and operational recommendations for reducing administrative burden and increasing appropriate utilization
• Serve as lead in ODM’s communications with sister agencies, school districts, and federal partners such as the Centers for Medicare and Medicaid Services (CMS)
• Coordinate Medicaid School Program work and resources with managed care organizations and operational contractors (e.g., provider network module, fiscal intermediary, actuary)
• Work collaboratively with internal and external stakeholders across departments, agencies, stakeholders, and managed care organizations to optimize program and student outcomes

Requirements

• Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science, or public finance
• 24 months experience in planning & administering 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 analysis)
• Or 24 months experience as a Medicaid Health Systems Administrator 1 (65295)
• Or equivalent of Minimum Class Qualifications for Employment noted above

Benefits

• 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 (OPERS, STRS, SERS, HPRS) & optional deferred compensation (Ohio Deferred Compensation)

Pay

$44.38/hour

Schedule

Permanent – Full Time, 8:00 AM – 5:00 PM

Additional Information

• The Ohio Department of Medicaid does not provide employment-based visa sponsorship
• Compensation is as listed unless required by legislation or union contract
• Travel required as needed; must provide own transportation or possess a valid driver’s license from state of residence to operate a state vehicle