Cross-System Collaboration Administrator (Medicaid Health Systems Administrator 2)

State of Ohio • Columbus, OH

5d • Onsite

About The Position

Ohio Department of Medicaid (ODM) is recruiting for a healthcare professional experienced in population health to manage and direct the Cross-System Collaboration unit within the Office of Health Innovation & Quality. As the Cross-System Collaboration Administrator, your responsibilities will include supervising one unit responsible for the Next Generation of Managed Care programs requiring cross-system collaboration between managed care plans and large health systems, local communities, or providers (e.g., Managed Care Community Reinvestment). You will also direct the unit charged with administering payor best practice and clinical best practice programs [e.g., Regional Quality Improvement Hubs, Pediatric Accountable Care organization (ACOs), and School-Managed Care Organizations (MCOs) Partnership programs]. This role involves aligning the unit's work with other value-based purchasing efforts and ODM’s population-based quality strategy with ODM’s managed care programs to achieve quality and performance goals. Additionally, you will direct collaboration with other ODM offices, community-based organizations, state agencies, ODM’s Managed Care Entities (MCEs), academic centers, health systems, advisory committees, and other internal & external stakeholders and partners to facilitate improvement project development, design, and implementation.

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.
• Or equivalent of Minimum Class Qualifications for Employment noted above.
• Health Administration
• Critical Thinking
• Collaboration
• Goal setting
• Interpreting Data
• Leading Others
• Managing Meetings
• Organizing and Planning
• Decision Making
• Motivating Others
• Verbal Communication
• Written Communication

Responsibilities

• Supervising one unit responsible for the Next Generation of Managed Care programs requiring cross-system collaboration between managed care plans and large health systems, local communities, or providers (e.g., Managed Care Community Reinvestment)
• Directing unit charged with administering payor best practice and clinical best practice programs [e.g., Regional Quality Improvement Hubs, Pediatric Accountable Care organization (ACOs), and School-Managed Care Organizations (MCOs) Partnership programs]
• Aligning work of unit with other value-based purchasing efforts and ODM’s population-based quality strategy with ODM’s managed care programs to achieve quality and performance goal
• Directing collaboration with other ODM offices, community-based organizations, state agencies, ODM’s Managed Care Entities (MCEs), academic centers, health systems, advisory committees, and other internal & external stakeholders and partners to facilitate improvement project development, design, and implementation

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: Mid Level