Medicaid Services Manager

Hamilton County, Ohio•Cincinnati, OH

2d•Hybrid

About The Position

At Hamilton County Developmental Disabilities Services, we believe everyone deserves the opportunity to live a full and meaningful life. Our team makes that possible every day — and we're looking for people who want their work to matter. We are committed to building a team as diverse as the people we serve, where every member feels valued, supported, and set up to succeed. You'll thrive here if you: Are driven by purpose and find fulfillment in improving the lives of others Communicate clearly and compassionately — in writing and in person Want to grow within an organization that invests in its people and its community

Requirements

Bachelor's degree required; master’s preferred, in accounting, finance, public administration, customer service, healthcare, social work, or related field.
Five years of full-time paid work experience in programs or services for individuals with developmental disabilities required
Ability to travel within Hamilton County as needed
Must be able to pass criminal background checks , drivers abstract, and various abuser registry checks

Nice To Haves

Service authorization process experience preferred
Supervisory experience preferred

Responsibilities

Lead and oversee the daily operations of the Funding Team, including service authorization and waiver funding processes.
Supervise and support staff through coaching, training, performance management, and professional development.
Monitor and ensure accuracy of funding data, service authorizations, payment systems, and related fiscal information.
Collaborate with internal teams to resolve Medicaid eligibility, waiver enrollment, and funding-related issues.
Analyze data and provide recommendations to support funding decisions, process improvements, and operational efficiency.
Develop, implement, and maintain department policies, procedures, forms, and staff training materials.
Coordinate funding and benefits activities to ensure seamless Medicaid and waiver enrollment and re-enrollment processes.
Serve as a resource to providers and agency staff on service authorization, billing, and funding requirements.
Build and maintain effective partnerships with providers to resolve authorization, utilization, and billing concerns.
Participate in committees and improvement initiatives to enhance service quality, compliance, and operational effectiveness.
Review and approve expenditures and monitor staffing schedules to support departmental operations.
Ensure compliance with applicable Medicaid, waiver, and agency requirements.
Perform additional duties as assigned.

Benefits

Competitive Pay
Starting salary is based on experience: $42.50/hr. ($80,112.50/yr) with no experience, up to $53.13/hr. ($100,000/yr) with 10+ years in the same role
Salaried role paid bi-weekly
Work-Life Balance
36.25-hour full-time work week
Flexible scheduling and hybrid work-from-home options
Starting vacation accrual of 3 weeks/year, with 1 week available immediately upon hire
3 personal days per year
15 sick days allocated upon hire; accrues at 15 days per year after year one with unlimited accrual
Outstanding Benefits
Medical, Dental, and Vision coverage; HRA available for those who opt out of medical coverage
FREE medical care and prescriptions through Marathon Health
Employer-paid life insurance
Tuition reimbursement and Public Service Loan Forgiveness (PSLF) eligibility
Wellness incentives and a robust Employee Assistance Program
Ohio Public Employees' Retirement System (OPERS): 10% employee / 14% employer contribution