Assistant Medicaid Medical Director - PN 20100458 (Physician Administrator 2)
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 Office and Bureau of Health Innovation & Quality. The role directs activities in a clinical area of expertise—Utilization Management or Quality Improvement—to align with the department’s population health strategies, health equity priorities, and goals for improving the quality of and access to services for the 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.
Requirements
- Hold a certificate to practice medicine in Ohio issued by the State Medical Board pursuant to Sections 4731.14 and 4731.281 of the Ohio Revised Code.
- Significant clinical experience.
- Must report full-time to the work location at 50 West Town Street, Columbus, Ohio.
- Travel as needed; must provide own transportation or hold a valid driver’s license from the state of residence to operate a state vehicle.
Responsibilities
- Direct activities in a clinical area of expertise, either Utilization Management or Quality Improvement, in alignment with department population health strategies, health equity, and goals to improve quality of and access to Medicaid services.
- Direct agency or department staff and teams in implementing utilization management and quality improvement policies, operations, and programs.
- Lead cross-functional teams using 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 comply with provider agreement requirements and state and federal regulations.
- Ensure policies and operations reflect utilization management industry standards while addressing individual circumstances with a person-centered, equity-focused approach.
- Provide consultation on structured quality improvement tools, such as Key Driver Diagrams and simplified Failure Effectiveness Mode Analyses, to identify insights and improve health outcomes for varied Medicaid populations.
- Use organizational and leadership expertise to coach internal and external personnel and help teams meet 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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
