Performance Improvement Manager (Medicaid Health Systems Administrator 1)

State of Ohio • Columbus, OH

2d • Onsite

About The Position

The Performance Improvement Manager is an integral part of the Ohio Department of Medicaid's (ODM's) Health Innovation & Quality team. As Performance Improvement Manager, your responsibilities will include managing the development, implementation, and reporting of quality improvement projects (QIPs) for targeted Medicaid populations (i.e. Children with Chronic Conditions). This role directs the design of Children with Chronic Conditions QIPs, focusing on improving disparate outcomes and care transitions for consumers with specific disease conditions. The manager also directs and/or conducts research on evidence-based interventions/strategies for Children with Chronic Conditions QIP topics, coordinates the identification of applicable quality measures, and the collection and analysis of health services data to support the design and evaluation of Children with Chronic Conditions QIPs for the OhioRISE Plan. Additionally, the role involves developing a methodology and implementation timeline for monitoring and evaluating Children with Chronic Conditions QIPs, including outcome measurement and impact on population health. The Performance Improvement Manager reviews applicable rules, policies, laws and guidelines to ensure compliance with Centers for Medicare and Medicaid Services (CMS) rules & regulations, as well as all applicable state regulations, rules and laws. This position also manages and directs contracted consultant staff and services supporting the quality improvement initiatives for the PIHP and formulates policy and recommends legislative changes for Children with Chronic Conditions QIPs.

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).
• 12 months experience has Medicaid Health Systems Specialist, 65293.
• 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.

Nice To Haves

• Health Administration Technical Skills
• Collaborating Professional Skills

Responsibilities

• Managing the development, implementation, and reporting of quality improvement projects (QIPs) for targeted Medicaid populations (i.e. Children with Chronic Conditions)
• Directing the design of Children with Chronic Conditions QIPs, to include (but not limited to) a focus on improving disparate outcomes and improvement of care transitions for consumers with specific disease conditions
• Directing and/or conducting research evidence-based interventions/strategies for Children with Chronic Conditions QIP topics
• Coordinating the identification of applicable quality measures and the collection and analysis of health services data to support the design and evaluation of Children with Chronic Conditions QIPs for the OhioRISE Plan
• Developing a methodology and implementation timeline for monitoring and evaluating Children with Chronic Conditions QIPs, including outcome measurement and impact on population health
• Reviewing applicable rules, policies, laws and guidelines to ensure compliance with Centers for Medicare and Medicaid Services (CMS) rules & regulations, as well as all applicable state regulations, rules and laws
• Managing and directing contracted consultant staff and services supporting the design, development, implementation, evaluation and reporting related to the quality improvement initiatives for the PIHP
• Formulating policy and recommending legislative changes for Children with Chronic Conditions QIPs.

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