Behavioral Health Policy Rules Administrator - PN 20047506 (Medicaid Health Systems Administrator 2)
About The Position
The Ohio Department of Medicaid is seeking a healthcare leader to join its Behavioral Health Policy Team. The role is responsible for operational aspects of maintaining the Chapter 27 Community Behavioral Health Rules package, including 5YRR, clearance, and CSIO. It coordinates with the ODM State Plan Amendment team to ensure compliance with State Plan Amendment submissions, oversees the interagency agreement with the Department of Behavioral Health, and leads collaboration on shared processes. The administrator also oversees vendor contracts and compliance with CMS report submissions related to the SUD 1115 waiver, serves as a liaison to other internal state departments whose work intersects with services or populations covered by Behavioral Health policy, and maintains working knowledge of Medicaid reimbursement requirements to ensure regulatory compliance with CMS funding streams. The position is in the Office of Policy, Bureau of Behavioral Health Policy, and is classified as Medicaid Health Systems Administrator 2. It is permanent, full-time work in Columbus, Ohio, with scheduled hours of 8:00 AM to 5:00 PM. 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. The position is exempt from union membership and overtime. The Ohio Department of Medicaid does not provide employment-based visa sponsorship.
Requirements
- Complete a graduate core program in business, management or public administration, public health, health administration, social or behavioral science, or public finance, plus 24 months of experience planning and administering a health services program or health services project management; or have 24 months of experience as a Medicaid Health Systems Administrator 1; or possess an equivalent of the stated minimum class qualifications.
- Experience may include health care data analysis, health services contract management, health care market and financial expertise, health services program communication, health services budget development, HMO and hospital rate development, health services eligibility, or health services data analysis.
- Education and experience must be commensurate with the approved position description on file.
- Must provide own transportation for required travel or hold a valid driver's license from their state of residence to operate a state vehicle.
Responsibilities
- Manage operational aspects of maintaining the Chapter 27 Community Behavioral Health Rules package, including 5YRR, clearance, and CSIO.
- Coordinate with the ODM State Plan Amendment team to ensure compliance with State Plan Amendment submissions.
- Oversee the interagency agreement with the Department of Behavioral Health and lead collaboration on shared processes.
- Oversee vendor contracts and compliance with CMS report submissions related to the SUD 1115 waiver.
- Serve as a liaison for internal state departments whose work intersects with services or populations covered by Behavioral Health policy.
- Maintain working knowledge of Medicaid reimbursement requirements to ensure regulatory compliance with CMS funding streams.
Benefits
- Medical coverage
- Free dental, vision, and basic life insurance premiums after completion of the eligibility period
- Paid time off, including vacation, personal and sick leave, and 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, and optional deferred compensation through Ohio Deferred Compensation
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
