Human Services Program Consultant

State of Ohio • Columbus, OH

6d • Onsite

About The Position

The Human Services Program Consultant works statewide for the Ohio Department of Developmental Disabilities, reviewing and determining applicants’ eligibility for initial and renewal registration or certification as providers of Medicaid and non-Medicaid services. The role evaluates, processes, and monitors applications and provider certification and registration status, ensuring applicants meet applicable standards and that policies and procedures comply with Ohio statutes, administrative rules, regulations mandated by the Centers for Medicare & Medicaid Services, and the Medicaid State Plan.

The position coordinates application processing and service delivery, including reviewing documentation and criminal-record checks, communicating decisions and requests for information, maintaining application records and databases, providing technical assistance, and coordinating with applicants, agencies, the Ohio Department of Medicaid, and the department’s IT services. It also represents the department in appeal hearings concerning proposed denials, suspensions, or revocations of registration or certification.

The consultant provides technical assistance and training to service providers, conducts in-service seminars, maintains information on approved courses and seminars, and approves continuing professional development for renewal of registration and certification. The role also gathers and reports program data, helps refine processing policies, performs related clerical duties, and carries out other duties within the scope of the classification.

Requirements

• Completion of an undergraduate core program in social or behavioral science, health or pre-medicine, or a comparable field, and 18 months of experience delivering human services, health care services, or medical assistance in a governmental, community, or private human support services agency or medical provider; or
• Completion of a graduate core program in social or behavioral science, a medicine-related field, or a comparable field, and 6 months of experience delivering human services, health care services, or medical assistance in a governmental, community, or private human support services agency or medical provider; or
• An equivalent combination meeting the stated minimum class qualifications for employment.
• Job skills include human services, critical thinking, teamwork, decision making, attention to detail, and written and verbal communication.
• The selected candidate must undergo a criminal background check.

Responsibilities

• Review and determine applicants’ eligibility for initial and renewal registration or certification as providers of Medicaid and non-Medicaid services statewide.
• Evaluate, process, and monitor applications and provider certification and registration status, ensuring applicants meet required standards.
• Implement program policies and procedures in accordance with Ohio statutes, administrative rules, CMS requirements, and the Medicaid State Plan.
• Review application materials and required documentation, including criminal-record checks, for completeness and compliance with applicable standards.
• Notify applicants of approval or denial, request additional information, coordinate with agencies and applicants, and provide technical assistance on requirements and documentation.
• Use provider workflow systems, databases, and registry searches to review applications, maintain records, monitor application status, and generate reports.
• Coordinate with the Ohio Department of Medicaid on Medicaid provider numbers and with the Division of Information Technology Services on certification-system database functionality.
• Respond to inquiries about registration and certification, develop follow-up procedures for outstanding applications, and represent the department in appeal hearings regarding proposed denial, suspension, or revocation.
• Monitor and evaluate compliance with the Medicaid State Plan and assist with assessing and planning coordination of service delivery.
• Research and coordinate with other offices and agencies to gather program data, develop feedback criteria and forms, compile reports, and use findings to refine processing policy.
• Provide technical assistance and training to service providers on policies, procedures, and registration and certification processes; conduct in-service training seminars.
• Maintain and update files of approved courses and seminars, correspond with course providers about relevant criteria, and approve continuing professional development for renewal.
• Perform clerical duties, including filing documents and preparing and mailing correspondence, and perform other duties within the scope of the classification.

Benefits

• Medical coverage.
• Free dental, vision, and basic life insurance premiums after completion of the eligibility period.
• Paid time off, including vacation, personal leave, 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.

What This Job Offers

• Job Type: Full-time