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State of Ohio · 3 days ago

Provider Enrollment Section Chief (Medicaid Health Systems Administrator 2)

Lazarus 450 West Town Street

Full-time

Onsite

Mid, Senior Level

2+ years exp

The State of Ohio is seeking a Provider Enrollment Section Chief to lead the Provider Enrollment unit within the Medicaid department. This role involves managing operations, ensuring compliance with regulations, and interfacing with various stakeholders to enhance Medicaid services.

GovernmentOffice Administration

No H1B

Responsibilities

Manage overall operations for the Provider Enrollment unit

Time keep management

Complete performance reviews for direct reports

Ensure adequate coverage for daily operations

Maintain an efficient turn around time for daily processing operations

Monitor daily and monthly provider enrollment metric reports

Interface with internal and external stakeholders

Attend meetings with various Ohio Medicaid business units

Responsible for operationalizing Ohio Medicaid Policy and Rules

Attend meetings and participate with Provider Network Management system requirements, enhancements, builds, and releases

Monitor and respond to inquiries from plans, providers, legislative requests, and constituency groups

Ensuring compliance with CMS requirements

Ensuring compliance with Auditor of State (AOS) requirements and expectations

Participate in annual AOS data request

May be asked to give presentations

Other duties as assigned

Qualification

Health AdministrationHealth Services Program ManagementHealth Care Data AnalysisHealth Services Contract ManagementPublic HealthBehavioral SciencePublic Administration

Required

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance

24 mos. exp. in planning & administering 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 analysis)

Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295

Note: education & experience is to be commensurate with approved position description on file

Or equivalent of Minimum Class Qualifications for Employment noted above