Managed Care Reconciliation Specialist (Medicaid Health Systems Specialist)
About The Position
As the Managed Care Reconciliation Specialist in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include: Creating and running reports to identify managed care enrollment discrepancies Reviewing and analyzing managed care enrollment Collaborating with both state staff and stakeholders to ensure proper managed care enrollment Correcting enrollment spans using both manual and mass upload processes Completion of undergraduate core program in business administration, social or behavioral science, health or statistics; additional 24 mos. exp. specific to subject area of which 12 mos. exp. in use of spreadsheet and database software. Note: education & experience to be commensurate with approved position description on file. Or 24 months experience as Medicaid Health Systems Analyst, (65291) Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Requirements
- Completion of undergraduate core program in business administration, social or behavioral science, health or statistics; additional 24 mos. exp. specific to subject area of which 12 mos. exp. in use of spreadsheet and database software.
- 24 months experience as Medicaid Health Systems Analyst, (65291)
- Equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Responsibilities
- Creating and running reports to identify managed care enrollment discrepancies
- Reviewing and analyzing managed care enrollment
- Collaborating with both state staff and stakeholders to ensure proper managed care enrollment
- Correcting enrollment spans using both manual and mass upload processes
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Executive, Legislative, and Other General Government Support
Number of Employees
5,001-10,000 employees
