THIS POSITION WILL BE TELEWORK ELIGIBLE ON A HYBRID BASIS.
About Us:
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio’s Medicaid program – focusing on the individual rather than the business of managed care.
The goals of the next generation of Ohio Medicaid are:
- Emphasize a personalized care experience
- Improve care for children and adults with complex behavioral health needs
- Improve wellness and health outcomes
- Support providers in better patient care and
- Increase program transparency and accountability
What You Will Do at ODM:
Office : Operations
Bureau : Business Operational Support
Working Title : Medicaid Health Systems Specialist (PN:20035890)
Job Preview :
In this position, you will:
- Assist in the development and implementation of complex Medicaid rules
- Monitor eligibility determinations and processes of County Departments of Job and Family Services (CDJFS) to ensure compliance with Medicaid rules
- Respond to inquiries from consumers, agency staff, stakeholders, and staff from other agencies
- Work closely with CDJFS to complete corrective action plans
- Monitor reports to assist in the administration of Medicaid eligibility (application timeliness, renewal timeliness, and change processing) and assist in the creation of new monitoring reports
- Work with CDJFS to correct eligibility issues identified by business intelligence reporting and other Ohio Department of Medicaid work units
What’s in it for you:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Medical Coverage
- Quality, affordable, and competitive medical benefits are offered through the Ohio Med PPO plan.
Dental, Vision and Basic Life Insurance
- Dental, vision and basic life insurance premiums are free after one year of continuous service.
Time Away From Work and Work/Life Balance
- Paid time off, including vacation, personal, and sick leave
- 11 paid holidays per year
- Childbirth/Adoption leave
Ohio Public Employees Retirement System
- OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.
Deferred Compensation
- The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
Qualifications
Completion of undergraduate core program in business administration, social or behavioral science, health or statistics; additional 24 months experience specific to subject area of which 12 months experience in use of spreadsheet and database software.
-Or 24 months experience as Medicaid Health Systems Analyst, (65291).
-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required.
Note: education & experience to be commensurate with approved position description on file.