Health Planning Administrator 2 (PN20014264)

State of Ohio • Columbus, OH

5d • Onsite

About The Position

The Ohio Department of Health’s Bureau of HIV, STI, and Viral Hepatitis is seeking a collaborative, results-oriented professional to manage the Ohio HIV Drug Assistance Program (OHDAP), including the Health Insurance Premium Payment (HIPP) program for eligible clients enrolled in the Ryan White Part B program. The role leads program operations and policy development, manages contracted vendors, supervises staff, and serves as a liaison across state, federal, and community partners. The position supports public health outcomes for Ohioans living with HIV.

The administrator oversees daily OHDAP and HIPP operations, including Medicaid and Medicare assistance; develops and maintains program policies, procedures, forms, and enrollment criteria; recommends policy and ensures compliance with state and federal requirements; and maintains the drug formulary using Medical Advisory Committee input and current HIV treatment standards. The role responds to inquiries from clients, case managers, pharmacists, physicians, and internal staff.

The position serves as the primary contact for the contracted pharmacy benefit manager (PBM), coordinates PBM service RFPs, monitors contract and pharmacy operations, billing, and data reporting, and resolves issues involving medication access, insurance coverage, eligibility, delivery, and third-party billing. It also manages required federal and internal reporting, represents the programs at partner meetings and events, monitors enrollment, spending, formulary use, and related clinical factors, completes grant and reporting materials, and leads assigned staff.

This is a permanent, full-time, classified, exempt hourly position in Columbus, Ohio. Normal hours are Monday through Friday, 8:00 a.m. to 5:00 p.m., with a flexible schedule. The stated starting rate is $40.40 per hour, with an opportunity for an increase after six months of satisfactory performance and annual raises thereafter.

Requirements

• Four years of experience planning and administering health programs, commensurate with the approved position description; or an accepted alternative qualification.
• Alternative: completion of a graduate core program in public health, health administration, preventive medicine, social work, nursing or another health-related field, public policy and management/public administration, or business administration, plus 12 months of experience planning and administering health programs.
• Alternative: 12 months of experience as a Health Planning Administrator 1 (65245).
• Equivalent of the stated minimum class qualifications for employment.
• Relevant skills include organizing and planning, program management, collaboration, decision making, establishing relationships, leading others, and problem solving.

Responsibilities

• Oversee daily operations of OHDAP and HIPP, including Medicaid and Medicare assistance.
• Develop, maintain, and update program policies, procedures, forms, and enrollment criteria.
• Provide policy recommendations and ensure compliance with state and federal requirements.
• Maintain and update the OHDAP drug formulary based on Medical Advisory Committee input and evolving HIV treatment standards.
• Respond to inquiries from clients, case managers, pharmacists, physicians, and internal staff.
• Serve as the primary contact for the contracted pharmacy benefit manager (PBM).
• Develop and coordinate Requests for Proposals for PBM services.
• Monitor PBM contract performance, retail pharmacy operations, billing processes, and data reporting.
• Troubleshoot medication access, insurance coverage, eligibility, delivery, and third-party billing issues.
• Manage federal and internal reporting requirements, including dispense data and program metrics.
• Represent OHDAP/HIPP in federal calls, national conferences, workshops, and statewide meetings.
• Serve as liaison to national and state partners, including NASTAD and Medicare/Medicaid partners, and monitor policy impacts on program operations.
• Participate in the Ryan White Part A Planning Council and other assigned committees.
• Track program enrollment, pharmacy expenditures, formulary utilization, and relevant clinical factors.
• Monitor and manage program spending to remain within budget.
• Identify and address third-party payment issues and collaborate with IT on data discrepancies.
• Complete OHDAP/HIPP sections of the Ryan White grant application, federal reports, and required surveys.
• Supervise assigned staff by delegating work, providing training and coaching, and onboarding new employees.
• Participate in recruitment activities and candidate evaluations.
• Approve leave requests, complete performance evaluations, and support employee growth and accountability.
• Lead staff meetings to communicate goals, updates, and expectations.

Benefits

• Medical coverage
• Free dental, vision, and basic life insurance premiums after completion of the eligibility period
• Paid 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
• Optional deferred compensation through Ohio Deferred Compensation

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed