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State of Ohio · 1 day ago

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

Lazarus 550 West Town Street

Full-time

Onsite

Entry, Mid Level

1+ years exp

The State of Ohio is committed to supporting the health and wellbeing of its residents through the Ohio Department of Medicaid. The Managed Care Operations and Enrollment Manager will oversee Medicaid health systems access, manage enrollment and member services, and lead initiatives to improve care for Ohioans.

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 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

Benefits

Medical Coverage

Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period

Paid time off, including vacation, personal, sick leave and 11 paid holidays per year

Childbirth, Adoption, and Foster Care leave

Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)

Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)

Company

State of Ohio

Glassdoor3.8

Employment with the State of Ohio is more than ‘just a job’ – it is a privilege to serve our families, friends and neighbors who rely on us throughout our great state.

Founded in 1803

Columbus, Ohio, USA

10001+ employees