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Ohio Department of Medicaid · 20 hours ago

Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

Columbus, OH

Full-time, Contract

Onsite

Entry Level

$39.22/hr - $39.22/hr

1+ years exp

The Ohio Department of Medicaid is responsible for administering high-quality, person-centric healthcare to Ohioans. As a Managed Care Contract Manager, you will manage contract issues, conduct evaluations, and work with managed care plans to improve health outcomes.

Government Administration

Responsibilities

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

Qualification

Health AdministrationHealth Services Project ManagementHealth Care Data AnalysisHealth Services Contract ManagementContinuous ImprovementInnovationCollaborationConfidentialityVerbal CommunicationWritten Communication

Required

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 data base analysis)

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