Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
About The Position
As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include: Managing program information and conducting analyses to inform and direct policy changes and updates Conducting evaluations for managed care plans Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives Leading on managed care related policy issues, implementations, and targeted reviews Working with the managed care plans to identify areas of concern Reviewing and approving policies Ensuring system updates are implemented timely and accurately, and providing technical assistance when required Communicating any compliance actions to the assigned Managed Care Plans There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with.
Requirements
- Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance
- 12 months experience 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).
- Or 12 months experience as a Medicaid Health Systems Specialist, 65293.
- Or equivalent of Minimum Class Qualifications for Employment noted above.
- Technical Skills: Health Administration
- Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication
Responsibilities
- Managing program information and conducting analyses to inform and direct policy changes and updates
- Conducting evaluations for managed care plans
- Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives
- Leading on managed care related policy issues, implementations, and targeted reviews
- Working with the managed care plans to identify areas of concern
- Reviewing and approving policies
- Ensuring system updates are implemented timely and accurately, and providing technical assistance when required
- Communicating any compliance actions to the assigned Managed Care Plans
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Industry
Executive, Legislative, and Other General Government Support
Number of Employees
1-10 employees
