Network Management Contract Manager; Medicaid Health Systems Administrator

What You Will Do At ODM
Office: Operations
Bureau: Network Management
Classification: Medicaid Health Systems Administrator 1 (PN )
Job Overview As the Bureau of Network Management Contract Manager in the Office of Operations, Ohio Department of Medicaid (ODM), your responsibilities will include:

• Manage invoicing and purchase order processes for vendors.
• Review Service Level Agreements (SLA) for vendors to ensure that providers remain compliant with Ohio Medicaid expectations/metrics.
• Perform research and answer questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives.
• Participate in Request For Proposal (RFP) processes and decision points.
• Manage grant programs.
• Assist the department with budget processes and decision points.
• Work with internal and external customers to meet agency goals and initiatives.

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 database 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 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.

Job

Skills:

Health Administration

Organization Medicaid

Agency Contact Name and Information Human Resourceso.gov

Work Location Lazarus 4

Primary Location United States of America-OHIO-Franklin County-Columbus

Compensation $39.22/hour

Schedule Full-time

Work Hours 8:00 am - 5:00 pm

Classified Indicator Classified

Union Exempt from Union

Primary Job Skill Health Administration

Technical Skills Health Administration

Professional Skills Critical Thinking, Verbal Communication, Written Communication

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 and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.

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 our 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.