HCBS Waiver Provider Oversight Supervisor (Medicaid Health Systems Administrator 1)

State of Ohio • Columbus, OH

5d • Onsite

About The Position

The Ohio Department of Medicaid (ODM) is seeking an experienced, team focused health system administrator to supervise the Home and Community Based Service (HCBS) Waiver Provider Oversight unit in the Bureau of Network Management. As the HCBS Waiver Provider Oversight Supervisor, you will be responsible for the following:
Supervise and direct the work activities (e.g. Notice of Operational Deficiencies, Plan of Corrections, Proposed Adjudication Orders, quality reviews, etc.) of the Provider Oversight staff
Manage staff timekeeping and performance evaluations
Collaborate with the ODM Provider Oversight Contractor on waiver provider oversight activities
Attend meetings and provide input as the waiver provider oversight subject matter expert
Research and evaluate waiver provider oversight policies, procedures, rules, and regulations
Respond to complex waiver provider oversight inquiries from providers, members, internal teams, and sister state agencies
The preferred candidate will have a growth mindset and possess effective communication skills and conflict resolution abilities. Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Requirements

• Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance
• 12 mos. exp. in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis).
• 12 months experience has Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure, if required.
• If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.
• Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.

Nice To Haves

• The preferred candidate will have a growth mindset and possess effective communication skills and conflict resolution abilities.

Responsibilities

• Supervise and direct the work activities (e.g. Notice of Operational Deficiencies, Plan of Corrections, Proposed Adjudication Orders, quality reviews, etc.) of the Provider Oversight staff
• Manage staff timekeeping and performance evaluations
• Collaborate with the ODM Provider Oversight Contractor on waiver provider oversight activities
• Attend meetings and provide input as the waiver provider oversight subject matter expert
• Research and evaluate waiver provider oversight policies, procedures, rules, and regulations
• Respond to complex waiver provider oversight inquiries from providers, members, internal teams, and sister state agencies

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: Mid Level