THIS POSITION MAY 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
- Increase program transparency and accountability
What You Will Do At ODM:
Office : Policy
Bureau: Long Term Services & Supports
Classification: Medicaid Health Systems Administrator 1 (PN 20046470)
Job Overview :
The Ohio Department of Medicaid (ODM) is seeking a dynamic healthcare policy professional to join the Home and Community Based Services (HCBS) Policy Team, within the Bureau of Long-Term Services and Supports (LTSS). The HCBS Policy Team is responsible for policy development and oversight of a variety of state-wide programs aimed at supporting the needs of eligible individuals located throughout their community. Programs include:
- 1915(c) waiver programs operated by the Ohio Department of Aging (ODA), the Department of Developmental Disabilities (DODD), and ODM
- Program for All-Inclusive Care for the Elderly
- Electronic Visit Verification (EVV)
As the HCBS Direct Care Service Policy Manager, your responsibilities will include:
- overseeing and developing HCBS direct care service policy within LTSS
- managing the statewide policy administrative activities for HCBS direct care service policy including the EVV program and waiver aligned direct service worker policy
- serving as the agency subject matter expert for HCBS direct care service policy requirements that impact LTSS, Managed Care, and State Plan Services
- ensuring ODM policies and procedures comply with federal requirements through program oversight and evaluation
- drafting legislative language impacting service delivery within LTSS
- development of reports to CMS, preparing policy white papers, and coordinating constituent inquiries directly related to HCBS direct care service policy and program operations
- coordinating, leading, and facilitating stakeholder engagement and communication strategies
- drafting Ohio Administrative Code rules and State Plan Amendments
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 completed eligibility period . Length of eligibility period is dependent on union representation.
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.
Employee Development Funds
- The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.
Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; and 12 months experience 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 as a Medicaid Health Systems Specialist, 65293.
-Or equivalent of Minimum Class Qualifications for Employment noted above.