Network Management Contract Manager (Medicaid Health Systems Administrator 1)

State of Ohio • Columbus, OH

2d • Onsite

About The Position

As the Bureau of Network Management Contract Manager in the Office of Operations, Ohio Department of Medicaid (ODM), your responsibilities will include:
Manage invoicing and purchase order processes for vendors. Review Service Level Agreements (SLA) for vendors to ensure that providers remain compliant with Ohio Medicaid expectations/metrics Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives Participate in Request For Proposal (RFP) processes and decision points Manage grant programs Assist the department with budget processes and decision points Work with internal and external customers to meet agency goals and initiatives

Requirements

• Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance
• 12 mos. exp. 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 has Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure, if required.
• If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.

Responsibilities

• Manage invoicing and purchase order processes for vendors.
• Review Service Level Agreements (SLA) for vendors to ensure that providers remain compliant with Ohio Medicaid expectations/metrics
• Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives
• Participate in Request For Proposal (RFP) processes and decision points
• Manage grant programs
• Assist the department with budget processes and decision points
• Work with internal and external customers to meet agency goals and initiatives

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