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 : Network Management
Classification : Medicaid Heath Systems Analyst (PN 20088912)
Job Preview :
The Ohio Department of Medicaid (ODM), Office of Operations is seeking a Medicaid Health Systems Analyst to join our Provider Enrollment unit. As the Medicaid Health Systems Analyst, you will:
- Conduct in-depth research and analysis of health care and provider eligibility requirements
- Be well versed in federal regulations and the Ohio Administrative Code
- Perform Quality Assurance activities for lower-level staff
- Produce reports as assigned
- Participate in intra and cross department meetings
- Update provider files based on provider/applicant requests
- Assist with elevated inquiries (calls, emails, SharePoint)
- Work closely with sister state agencies to finalize Ohio Medicaid enrollments
- Assist with conversion efforts/project/data clean-up for the new Provider Network Management module (PNM)
- Participate in training sessions for the new PNM system
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 12 mos. exp. specific to subject area. Note: education & experience to be commensurate with approved position description on file.
-Or equivalent of Minimum Class Qualifications for Employment noted above.