HYBRID - Waiver Provider Oversight Specialist (Medicaid Health Systems Spec.)
📋 Role Overview & Responsibilities
THIS POSITION WILL BE TELEWORK ELIGIBLE ON A HYBRID BASIS.
About Us
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio’s Medicaid program - focusing on the individual rather than the business of managed care.
The goals of the next generation of Ohio Medicaid are
Emphasize a personalized care experience Improve care for children and adults with complex behavioral health needs Improve wellness and health outcomes Support providers in better patient care and Increase program transparency and accountability
What You Will Do At ODM
Office: Operations
Bureau: Network Management
Classification: Medicaid Health Systems Specialist, PN 20046531
Job Preview
As a Waiver Provider Oversight Specialist in the Bureau of Network Management, you will be responsible for the following:
Issuing deficiency notices alert Home and Community Based Services (HCBS) waiver providers of Medicaid rule violations that must be corrected Monitoring compliance by evaluating Plans of Corrections Analyzing compliance history of former providers who are seeking re-enrollment as providers and determining if re-enrollment should be rejected Providing education on HCBS waiver provider Medicaid rules and best practices for compliance Preparing and delivering training, responding to inquiries
The preferred candidate has experience researching and operationalizing federal and state rules and regulations and strong analytical skills.
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 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 24 months experience as Medicaid Health Systems Analyst, (65291) may be substituted for the experience required.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
Bargaining Unit
Schedule
Full-time
Work Hours
8:00 am - 5:00 pm
Compensation
$31.86/hour
Unposting Date
May 2, 2024, 10:59:00 PM
Primary Job Skill
Health Administration
Technical Skills
Health Administration
Professional Skills
Analyzation, Responsiveness, Verbal Communication, Written Communication
Agency Contact Name
ODM Human Resources
Agency Contact Information
HumanResources@medicaid.ohio.gov
Frequently Asked Questions
How do I apply for the HYBRID - Waiver Provider Oversight Specialist (Medicaid Health Systems Spec.) position at Ohio Department of Medicaid? ▼
Click the “Apply for this Position” button on this page to submit your application directly to Ohio Department of Medicaid without recruitment intermediary fees.
Is this position eligible for remote work or visa sponsorship? ▼
This position is located in Columbus, OH with potential relocation and sponsorship assistance depending on candidate qualifications.
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