Ohio Department of Medicaid
Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
Ohio Department of Medicaid, Columbus, Ohio, United States, 43224
Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
Office:
Managed Care Bureau:
Contract Management & Compliance Classification:
Medicaid Health Systems Administrator 1 (PN: 20046515) What You Will Do
As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include: Managing program information and conducting analyses to inform and direct policy changes and updates Conducting evaluations for managed care plans Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives Leading on managed care related contract issues, implementations, and targeted reviews Working with the managed care plans to identify areas of concern and provide technical assistance as needed. Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements Communicating any compliance actions to the assigned Managed Care Plans There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with. MyCare Plans
Anthem Buckeye Health Plan CareSource Molina HealthCare of Ohio, Inc. Managed Care Organizations (MCOs)
AmeriHealth Caritas Ohio, Inc. Anthem Blue Cross and Blue Shield Buckeye Health Plan CareSource Humana Healthy Horizons in Ohio Molina HealthCare of Ohio, Inc. UnitedHealthcare Community Plan Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 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 database analysis). Or 12 months experience as a Medicaid Health Systems Specialist, 65293. Or equivalent of Minimum Class Qualifications for Employment noted above. Technical Skills
Health Administration Professional Skills
Collaboration Confidentiality Continuous Improvement Innovation Verbal Communication Written Communication Contact Information
Email: HumanResources@medicaid.ohio.gov Compensation
$39.22/hour Schedule
Full-time Work Hours
8:00 am - 5:00 pm Location
Lazarus 5, United States of America-OHIO-Franklin County-Columbus
#J-18808-Ljbffr
Office:
Managed Care Bureau:
Contract Management & Compliance Classification:
Medicaid Health Systems Administrator 1 (PN: 20046515) What You Will Do
As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include: Managing program information and conducting analyses to inform and direct policy changes and updates Conducting evaluations for managed care plans Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives Leading on managed care related contract issues, implementations, and targeted reviews Working with the managed care plans to identify areas of concern and provide technical assistance as needed. Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements Communicating any compliance actions to the assigned Managed Care Plans There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with. MyCare Plans
Anthem Buckeye Health Plan CareSource Molina HealthCare of Ohio, Inc. Managed Care Organizations (MCOs)
AmeriHealth Caritas Ohio, Inc. Anthem Blue Cross and Blue Shield Buckeye Health Plan CareSource Humana Healthy Horizons in Ohio Molina HealthCare of Ohio, Inc. UnitedHealthcare Community Plan Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 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 database analysis). Or 12 months experience as a Medicaid Health Systems Specialist, 65293. Or equivalent of Minimum Class Qualifications for Employment noted above. Technical Skills
Health Administration Professional Skills
Collaboration Confidentiality Continuous Improvement Innovation Verbal Communication Written Communication Contact Information
Email: HumanResources@medicaid.ohio.gov Compensation
$39.22/hour Schedule
Full-time Work Hours
8:00 am - 5:00 pm Location
Lazarus 5, United States of America-OHIO-Franklin County-Columbus
#J-18808-Ljbffr