Assistant Medicaid Medical Director (Physician Administrator 2)

State of Ohio • Columbus, OH

14d • Onsite

About The Position

The Ohio Department of Medicaid (ODM) is recruiting for a Physician Administrator with significant clinical experience. As the Assistant Medicaid Medical Director, your duties will include directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department’s population health strategies, health equity, and other goals aimed at improving the quality of, and access to, services delivered to the Medicaid population. You will also direct other agency/department staff/teams to implement utilization management and quality improvement policies, operations, and/or programs. This role involves providing leadership for cross-functional teams with clear communication, interpretation of shared data and structured processes to ensure consistency across different Medicaid populations and programs. You will develop and oversee processes to ensure oversight of managed care organizations’ adherence to provider agreement requirements, and state and federal regulatory requirements. Additionally, you will ensure policies and operations reflect industry standards for utilization management that can be applied to individual circumstances, using a person-centered, equity-focused approach. You will provide consultation on the application of structured quality improvement tools (e.g. Key Driver Diagrams and simplified Failure Effectiveness Mode Analyses to drive insights and improvements in health outcomes for varied Medicaid populations using a person-centered and equity focused approach. Finally, you will provide expertise of effective organizational and leadership skills to coach internal and external personnel, ensuring team progress in meeting agency goals. The work location for this position is 50 West Town Street, Columbus, Ohio 43215.

Requirements

• Certificate to practice medicine in state of Ohio as issued by State Medical Board pursuant to Section 4731.14 & 4731.281 of Revised Code.
• Medical Professional Skills: Collaboration, Goal Setting, Innovation, Leading Others, Managing Meetings, Organizing and Planning, Performance Management, Priority Setting, Decision Making, Delegation, Strategic Thinking
• Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Responsibilities

• Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department’s population health strategies, health equity, and other goals aimed at improving the quality of, and access to, services delivered to the Medicaid population
• Directing other agency/department staff/teams to implement utilization management and quality improvement policies, operations, and/or programs
• Providing leadership for cross-functional teams with clear communication, interpretation of shared data and structured processes to ensure consistency across different Medicaid populations and programs
• Developing and overseeing processes to ensure oversight of managed care organizations’ adherence to provider agreement requirements, and state and federal regulatory requirements
• Ensuring policies and operations reflect industry standards for utilization management that can be applied to individual circumstances, using a person-centered, equity-focused approach
• Providing consultation on the application of structured quality improvement tools (e.g. Key Driver Diagrams and simplified Failure Effectiveness Mode Analyses to drive insights and improvements in health outcomes for varied Medicaid populations using a person-centered and equity focused approach
• Providing expertise of effective organizational and leadership skills to coach internal and external personnel, ensuring team progress in meeting agency goals.

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 ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Ph.D. or professional degree