State of Ohio - Columbus, OH

posted 18 days ago

Full-time - Mid Level
Hybrid - Columbus, OH
Executive, Legislative, and Other General Government Support

About the position

The Medicaid Health Systems Administrator 1 position at the State of Ohio involves supervising Customer Service Managers and their teams, ensuring timely and accurate Medicaid eligibility determinations for Ohio's youth in custody. The role requires maintaining effective communication with various stakeholders and supporting the teams to meet processing goals efficiently. The ideal candidate will have experience in Medicaid eligibility determination and strong organizational skills to innovate business processes.

Responsibilities

  • Supervise two Customer Service Managers and their teams responsible for Medicaid eligibility determinations.
  • Ensure timely and accurate eligibility determinations are made confidentially.
  • Support teams to meet processing goals including daily, weekly, and monthly timelines.
  • Maintain frequent communication with team members, managers, and external stakeholders.

Requirements

  • Completion of graduate core program in business, management, public administration, public health, health administration, social or behavioral science, or public finance.
  • 12 months of experience in health services program delivery or project management, including health care data analysis and eligibility determination.
  • Current and valid license as a registered nurse if overseeing clinical appropriateness of services.

Nice-to-haves

  • Experience in Medicaid eligibility determination.
  • Proficiency in Excel and data management.
  • Agility and innovation in creating business processes.

Benefits

  • Medical Coverage
  • Free Dental, Vision and Basic Life Insurance premiums after eligibility period
  • Paid time off including vacation, personal, sick leave, and 11 paid holidays
  • Childbirth, Adoption, and Foster Care leave
  • Education and Development Opportunities
  • Public Retirement Systems and Optional Deferred Compensation
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