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State of Ohio · 1 day ago

Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

United States of America-OHIO-Franklin County-Columbus

Full-time

Onsite

Entry Level

1+ years exp

The State of Ohio is committed to supporting the health and wellbeing of its residents through the Department of Medicaid. The Managed Care Contract Manager will oversee program information, conduct evaluations, and address compliance issues related to managed care plans, ensuring effective policy implementation and technical assistance.

GovernmentOffice 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)

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

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