Primary Location : United States of America-OHIO-Franklin County-Columbus
Work Locations : Lazarus 5 50 West Town Street Columbus 43215
Organization : Ohio Department of Medicaid
Classified Indicator : Classified
Bargaining Unit / Exempt : Exempt
Schedule : Full-time
Work Hours : 8:00 am - 5:00 pm
Compensation : $39.27/hour
Unposting Date : Jun 2, 2024, 10:59:00 PM
Primary Job Skill : Health Administration
Technical Skills : Program Management, Project Management, Public Health
Professional Skills : Collaboration, Innovation, Problem Solving
Agency Contact Name : ODM Human Resources
Agency Contact Information : HYBRID - OhioRISE Systems Administrator (Medicaid Health Systems Administrator 2)
(240004VV) Job Duties
THIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS. About Us: Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine's agenda for Ohio's future. To ensure Ohio is "the best place to live, work, raise and family and start a business," we must have strong schools, a great quality of life, and compassion for those who need our help.
Ohio Department of Medicaid plays a unique and necessary role in supporting the governor's vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:
Delivering a personalized care experience to more than three million people served.
Improving care for children and adults with complex behavioral health needs.
Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.
Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.
Ensuring financial transparency and operational accountability across all Medicaid programs and services.
What You Will Do at ODM: Office: Strategic Initiatives
Bureau: OhioRISE
Classification: Medicaid Health Systems Administrator 2 (PN ******** )
Job Overview: The Ohio Department of Medicaid (ODM) is seeking a healthcare administrator to be part of ODM's OhioRISE Team. As the OhioRISE Systems Administrator, your responsibilities will include:
acting as the primary contact and liaison for the ODM OhioRISE Team, with the OhioRISE Plan and ODM system vendors to manage, oversee, identify, report, and track resolution of requirement changes, policy and systems changes, and system issues across any impacted part of Ohio Medicaid Enterprise System (OMES) or OhioRISE Plan
submitting system access modification requests and acting as OhioRISE program lead related to technical solutions to meet OhioRISE, Medicaid, and/or state and federal requirements
monitoring OMES updates and the OhioRISE Plan to ensure readiness and/or compliance and assist in preparing corrective action steps
representing program area in the data research and identification subject matter experts (SMEs) to inform the development of business requirements, define project design, scope development, testing, and implementation of IT system updates
acting as OhioRISE program manager for OMES (e.g., enrollment, claim/encounter submission, capitation payment, electronica data interface files (EDI))
determining and evaluating risks that may affect the OhioRISE Program or OhioRISE Plan
utilizing standardized methodology to track projects and tasks including status and progress
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 available Ohio Med plans. 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 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. 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 graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 mos. exp. in planning & administering 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 analysis).
Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note: education & experience is to be commensurate with approved position description on file. Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Health Administration
Technical Skills: Public Health, Program Management, Project Management
Professional Skills: Collaboration, Innovation, Problem Solving
ADA Statement Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Drug-Free Workplace The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
Supplemental Information: Compensation is as listed on the posting unless required by legislation or union contract.
This position is overtime exempt.
Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.
Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.
Background Check Information
The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.
