Human Services Program Consultant

State of Ohio • Columbus, OH

6d • Onsite

About The Position

The Ohio Department of Developmental Disabilities is hiring a Human Services Program Consultant to review and determine eligibility for initial and renewal registration or certification of providers of Medicaid and non-Medicaid services statewide. The consultant evaluates, processes, and monitors applications and certification or registration status for multiple program areas, including home and community-based services waivers, Superintendent, investigative agent, early intervention, and state-funded supported living. The role implements applicable policies and procedures under Ohio statutes, administrative rules, Centers for Medicare & Medicaid Services requirements, and the Medicaid State Plan.

The consultant coordinates application processing and service delivery, including checking applications and supporting documentation for completeness, reviewing criminal-record checks and required registries, notifying applicants of decisions, requesting additional information, assessing credentials, and answering complex correspondence. The position uses provider and workflow systems and databases to review applications, track case status, maintain records, generate reports, and coordinate with applicants, agencies, the Division of Information Technology Services, and the Ohio Department of Medicaid. The consultant also provides technical assistance, represents the department at specified appeal hearings, develops follow-up procedures, and helps assess and plan service delivery coordination.

The position researches and coordinates program data, develops feedback criteria and forms, and uses collected information to refine certification and registration policies. It provides training and technical assistance to service providers, conducts in-service seminars, maintains information about approved courses and seminars, and approves continuing professional development for registration and certification renewals. Clerical duties include filing documents and preparing mass mailings. Other duties may be assigned within the classification.

The position is permanent, full-time, classified, and located at 30 East Broad Street, 18th Floor, Columbus, Ohio. Work hours are 8 a.m. to 5 p.m. The stated compensation is $32.69 per hour, paid at step 1 unless otherwise specified by the applicable collective bargaining agreement or rules.

Requirements

• Completion of an undergraduate core program in social or behavioral science, health, pre-medicine, or a comparable field, plus 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, plus 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
• Equivalent of the stated minimum class qualifications for employment.
• Human services skills.
• Critical thinking, teamwork, decision-making, and attention to detail.
• Written and verbal communication skills.
• Final 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.
• Ensure applicants meet initial provider standards and evaluate, process, and monitor applications and certification or registration status across program areas.
• Implement policies and procedures in accordance with Ohio statutes, administrative rules, CMS requirements, and the Medicaid State Plan.
• Review applications and required documentation for completeness and compliance with registration and certification requirements.
• Review and interpret criminal-record checks and conduct required registry checks to determine whether applicants meet departmental standards.
• Notify applicants of approval or denial, request additional information, coordinate with agencies and applicants, and provide technical assistance on requirements and documentation.
• Review applications in Provider Services Management, the Universal Document System, SharePoint, and other workflow software; make limited, documented application changes as appropriate.
• Evaluate applicants’ credentials, distribute completed applications and credentials, and coordinate with IT Services to support certification-system databases.
• Work with the Ohio Department of Medicaid to obtain Medicaid provider numbers for final enrollment, and use databases to add or delete records, monitor application status, and generate reports.
• Respond to internal and external inquiries about registration or certification verification and modifications, and develop follow-up procedures for cases and outstanding applications.
• Represent the department in 119 appeal hearings involving proposed denial, suspension, or revocation of registration or certification.
• Monitor and evaluate compliance with standards and the Medicaid State Plan, and assist in assessing and planning service-delivery coordination.
• Research and coordinate with offices and agencies to gather program data, develop feedback criteria and forms, and use collected information to refine certification and registration policies.
• Provide technical assistance and training to service providers and conduct in-service training seminars.
• Maintain and update files of approved courses and seminars, correspond with providers about certification and registration criteria, and approve continuing professional development for renewals.
• Perform clerical duties, including filing documents, stuffing envelopes, and preparing mass mailings.
• Perform other duties as assigned within the scope of the classification.

Benefits

• Medical coverage.
• Dental, vision, and basic life insurance premiums covered after the eligibility period.
• Paid 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level