Assistant Medicaid Medical Director - PN 20100458 (Physician Administrator 2)

State of Ohio • Columbus, OH

7d • Onsite

About The Position

The Ohio Department of Medicaid is recruiting a Physician Administrator with significant clinical experience to serve as Assistant Medicaid Medical Director in the Health Innovation & Quality Bureau. The role directs a clinical area of expertise—Utilization Management or Quality Improvement—in alignment with the department’s population health strategies, health equity goals, and efforts to improve the quality of and access to services for Ohio’s Medicaid population. The position is based at 50 West Town Street, Columbus, Ohio, and requires reporting to that location full-time. Travel is required as needed, and the employee must provide their own transportation or have a valid driver’s license from their state of residence to operate a state vehicle.

Requirements

• Certificate to practice medicine in Ohio, issued by the State Medical Board pursuant to Sections 4731.14 and 4731.281 of the Revised Code.
• Significant clinical experience.

Responsibilities

• Direct activities in a clinical area of expertise, either Utilization Management or Quality Improvement, in alignment with population health strategies, health equity, and other departmental goals.
• Direct agency or department staff and teams implementing utilization management and quality improvement policies, operations, and programs.
• Lead cross-functional teams through clear communication, interpretation of shared data, and structured processes to support consistency across Medicaid populations and programs.
• Develop and oversee processes to ensure managed care organizations adhere to provider agreement requirements and state and federal regulations.
• Ensure policies and operations reflect industry standards for utilization management and are applied to individual circumstances using person-centered, equity-focused approaches.
• Consult on structured quality improvement tools, such as Key Driver Diagrams and simplified Failure Effectiveness Mode Analyses, to identify insights and improve health outcomes.
• Coach internal and external personnel using organizational and leadership expertise to support progress toward agency goals.

Benefits

• Medical coverage.
• Free dental, vision, and basic life insurance premiums after completion of the eligibility period.
• Paid vacation, personal, and sick leave.
• 11 paid holidays per year.
• Childbirth, adoption, and foster care leave.
• Education and development opportunities, including Employee Development Funds and Public Service Loan Forgiveness.
• Public retirement systems, including OPERS, STRS, SERS, and HPRS.
• Optional deferred compensation through Ohio Deferred Compensation.

What This Job Offers

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