Nursing Facility Policy Section Chief (Medicaid Health Systems Administrator 3)

State of Ohio • Columbus, OH

5d • Onsite

About The Position

The Ohio Department of Medicaid (ODM) is seeking an LTSS policy leader to join our team. This position will oversee our Nursing Facility (NF) Policy Section. As the NF Policy Section Chief, your responsibilities will include: Acting as a strategic leader for NF policy across ODM, overseeing interpretation, development, and implementation related to ORC, OAC, and operational standards. Overseeing the organization’s NF claim resolution strategy to ensure policy alignment, operational efficiency, and risk mitigation. Providing leadership to a tiered team structure, offering direct support to frontline staff while guiding and developing management. Representing ODM as the senior leader in key stakeholder discussions on NF policy, guiding strategic direction and resolving complex issues. Serving as the executive liaison for NF policy, presenting recommendations to ODM leadership and shaping long-term policy strategy. Driving cross-functional collaboration across ODM divisions including fiscal, legal, care coordination, and managed care to ensure coordinated and unified policy execution.

Requirements

• Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 36 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 base analysis).
• 12 months experience as a Medicaid Health Systems Administrator 2, 65296.
• Equivalent of Minimum Class Qualifications for Employment noted above.
• Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Responsibilities

• Acting as a strategic leader for NF policy across ODM, overseeing interpretation, development, and implementation related to ORC, OAC, and operational standards.
• Overseeing the organization’s NF claim resolution strategy to ensure policy alignment, operational efficiency, and risk mitigation.
• Providing leadership to a tiered team structure, offering direct support to frontline staff while guiding and developing management.
• Representing ODM as the senior leader in key stakeholder discussions on NF policy, guiding strategic direction and resolving complex issues.
• Serving as the executive liaison for NF policy, presenting recommendations to ODM leadership and shaping long-term policy strategy.
• Driving cross-functional collaboration across ODM divisions including fiscal, legal, care coordination, and managed care to ensure coordinated and unified policy execution.

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