Health Systems Improvement Manager (Medicaid Health Systems Administrator 2)

State of Ohio • Columbus, OH

6d

About The Position

The Ohio Department of Medicaid (ODM) is recruiting for Health Systems Improvement Manager to direct activities to advance ODM’s Population Health and Quality Strategy through the Statewide Hospital System Learning Networks and the State Directed Payment Program. As the selected candidate you will perform the following job duties: . Supervises assigned staff (e.g., directs work, establishes unit goals in accordance with bureau and agency goals and objectives) · Manages the development and implementation of the Statewide Hospital System Learning Networks and the State Directed Payment Program · Manages the development of value-based programs with health systems to incentivize outcomes improvement (e.g., set accountability structures, communications, and technical assistance) · Develops strategies for collecting and analyzing of data to evaluate hospital system performance in improving quality health care outcomes · Analyzes and interprets federal and state regulations, rules, and laws to ensure program compliance · Acts as liaison with other agency representatives and/or outside agencies, providers, advocates, beneficiaries &/or consumers The preferred candidate will have knowledge of learning networks, value-based arrangements, and quality improvement science. The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting. Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 mos. exp. in planning & administering 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 analysis). -Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note\: education & experience is to be commensurate with approved position description on file. -Or equivalent of Minimum Class Qualifications for Employment noted above. Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help. Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by: Delivering a personalized care experience to more than three million people served. Improving care for children and adults with complex behavioral health needs. Working collectively with our partners and providers to measurably strengthen wellness and health outcomes. Streamlining administrative burdens so doctors and healthcare providers have more time for patient care. Ensuring financial transparency and operational accountability across all Medicaid programs and services. At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website !

Requirements

• Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance
• 24 mos. exp. in planning & administering 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 analysis).
• Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295.
• Note\: education & experience is to be commensurate with approved position description on file.
• Or equivalent of Minimum Class Qualifications for Employment noted above.
• Health Administration
• Attention to Detail
• Collaboration
• Critical Thinking
• Decision Making
• Goal Setting
• Managing Meetings
• Organizing and Planning
• Verbal Communication
• Written Communication

Nice To Haves

• knowledge of learning networks
• value-based arrangements
• quality improvement science

Responsibilities

• Supervises assigned staff (e.g., directs work, establishes unit goals in accordance with bureau and agency goals and objectives)
• Manages the development and implementation of the Statewide Hospital System Learning Networks and the State Directed Payment Program
• Manages the development of value-based programs with health systems to incentivize outcomes improvement (e.g., set accountability structures, communications, and technical assistance)
• Develops strategies for collecting and analyzing of data to evaluate hospital system performance in improving quality health care outcomes
• Analyzes and interprets federal and state regulations, rules, and laws to ensure program compliance
• Acts as liaison with other agency representatives and/or outside agencies, providers, advocates, beneficiaries &/or consumers

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: Manager