Ohio Benefits Program Specialist - PN 20096292 (Medicaid Health Systems Specialist)
About The Position
The Ohio Department of Medicaid is hiring a Medicaid Health Systems Specialist in the Managed Care Bureau, Member Services office. The role is based at 50 West Town Street in Columbus, Ohio. The posting describes the position as permanent, full-time, classified, and represented by union 1199, with work hours of 8:00 AM to 5:00 PM. The compensation listed is $36.01. The Ohio Department of Medicaid administers healthcare programs serving nearly one in four Ohioans. Its work includes delivering personalized care, improving care for people with complex behavioral health needs, collaborating with partners and providers to improve health outcomes, reducing administrative burdens for healthcare providers, and ensuring financial transparency and operational accountability across Medicaid programs and services. The qualifications describe work involving assessment or reassessment of clinical appropriateness of services, payment policies, or related Medicaid health services delivery issues, with alternate qualification paths for positions not requiring registered nurse licensure. The posting does not provide specific day-to-day duties for this position.
Requirements
- For positions requiring assessment or reassessment of clinical appropriateness of services, payment policies, or related Medicaid health services delivery issues: current and valid registered nurse license issued by the Ohio Board of Nursing, plus 24 months of nursing experience.
- For positions not requiring registered nurse licensure: completion of an undergraduate core program in business administration, social or behavioral science, health, or statistics, plus 24 months of experience specific to the subject area, including 12 months of experience using spreadsheet and database software.
- For positions not requiring registered nurse licensure, 24 months of experience as a Medicaid Health Systems Analyst (65291) may substitute for the required experience, but not for mandated licensure.
- The equivalent of the Minimum Class Qualifications for Employment may substitute for required experience, but not for mandated licensure.
- Education and experience must be commensurate with the approved position description on file.
Benefits
- Medical coverage
- Free dental, vision, and basic life insurance premiums after completion of the eligibility period
- Paid vacation, personal, and sick leave
- 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
- Optional deferred compensation through Ohio Deferred Compensation
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What This Job Offers
Job Type
Full-time
