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Ohio Department of Medicaid · 7 hours ago

Member Services Operations and Enrollment Manager (Medicaid Health Systems Administrator 1)

Columbus, OH

Full-time

Onsite

Entry, Mid Level

$39.22/hr - $39.22/hr

1+ years exp

The Ohio Department of Medicaid is dedicated to administering high-quality, person-centric healthcare for Ohioans. As the Managed Care Operations and Enrollment Manager, you will oversee Medicaid health systems access, manage key components of Medicaid programs, and direct membership services operations while ensuring quality and alignment across multiple stakeholders.

Government Administration

Responsibilities

Overseeing statewide initiatives related to Medicaid health systems access, with a focus on managed care enrollment and member services

Managing key components of Ohio’s Medicaid programs, including services for Aged, Blind & Disabled (ABD), MAGI, and MyCare Ohio populations

Directing membership services operations, coordinating audits and special projects, and ensuring alignment across multiple stakeholders including County Departments of Job & Family Services (CDJFS), Managed Care Organizations (MCOs), the Managed Care Enrollment Center (MCEC), and other state agencies

Leading efforts related to open enrollment, review of MCO member materials, tracking of Value Added Benefits, and ensuring quality of Medicaid Consumer Hotline phone calls

High-level data analysis, community outreach, and technical consultation to support access to care and improve member experience

Qualification

Health AdministrationHealth Services Project ManagementHealth Care Data AnalysisCollaborationContinuous ImprovementInnovationVerbal CommunicationWritten CommunicationConfidentiality

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