HYBRID - HCBS Waiver Provider Oversight Supervisor (Medicaid Health Systems Administrator 1)

THIS POSITION WILL BE TELEWORK ELIGIBLE ON A HYBRID BASIS.

About Us

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.

Responsibilities

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.

What You Will Do At ODM

Office: Network Compliance

Bureau: Network Management

Classification: Medicaid Health Systems Administrator 1 (PN 20087026)

Job Overview

The Ohio Department of Medicaid (ODM) is seeking an experienced, team focused health system administrator to supervise the Home and Community Based Service (HCBS) Waiver Provider Oversight unit in the Bureau of Network Management. As the HCBS Waiver Provider Oversight Supervisor, you will be responsible for the following:

Supervise and direct the work activities (e.g. Notice of Operational Deficiencies, Plan of Corrections, Proposed Adjudication Orders, quality reviews, etc.) of the Provider Oversight staff Manage staff timekeeping and performance evaluations Collaborate with the ODM Provider Oversight Contractor on waiver provider oversight activities Attend meetings and provide input as the waiver provider oversight subject matter expert Research and evaluate waiver provider oversight policies, procedures, rules, and regulations Respond to complex waiver provider oversight inquiries from providers, members, internal teams, and sister state agencies

The preferred candidate will have a growth mindset and possess effective communication skills and conflict resolution abilities.

What’s In It For You

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

Medical Coverage

Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans.

Dental, Vision and Basic Life Insurance

Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.

Time Away From Work and Work/Life Balance

Paid time off, including vacation, personal, and sick leave 11 paid holidays per yearChildbirth/Adoption leave

Employee Development Funds

The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.

Ohio Public Employees Retirement System

OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.

Deferred Compensation

The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. 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 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 4723.03-4723.09 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

Primary Location

United States of America-OHIO-Franklin County-Columbus

Work Locations

Lazarus 4

Organization

Ohio Department of Medicaid

Classified Indicator

Classified

Bargaining Unit / Exempt

Exempt

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Compensation

$35.74/hour

Unposting Date

Apr 23, 2024, 10:59:00 PM

Primary Job Skill

Health Administration

Technical Skills

Health Administration

Professional Skills

Collaboration, Consultation, Performance Management

Agency Contact Name

ODM Human Resources

Agency Contact Information

HumanResources@medicaid.ohio.gov