Ohio Department of Medicaid · 1 day ago
HCBS Waiver Provider Oversight Supervisor (Medicaid Health Systems Administrator 1)
Columbus, OH
Full-time
Onsite
Entry, Mid Level
$39.22/hr - $39.22/hr
1+ years expThe Ohio Department of Medicaid (ODM) is seeking an experienced, team focused health system administrator to supervise the Home and Community Based Service (HCBS) Waiver Provider Oversight unit in the Bureau of Network Management. The role involves directing staff activities, managing performance evaluations, and collaborating on waiver provider oversight activities.
Government Administration
Responsibilities
Supervise and direct the work activities (e.g. Notice of Operational Deficiencies, Plan of Corrections, Proposed Adjudication Orders, quality reviews, etc.) of the Provider Oversight staff
Manage staff timekeeping and performance evaluations
Collaborate with the ODM Provider Oversight Contractor on waiver provider oversight activities
Attend meetings and provide input as the waiver provider oversight subject matter expert
Research and evaluate waiver provider oversight policies, procedures, rules, and regulations
Respond to complex waiver provider oversight inquiries from providers, members, internal teams, and sister state agencies
Qualification
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 Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure, if required
If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code
Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure
Preferred
Growth mindset
Effective communication skills
Conflict resolution abilities
Company
Ohio Department of Medicaid
The Ohio Department of Medicaid (ODM) delivers health care coverage to more than 3 million Ohioans on a daily basis.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Andrew Stevens
Chief Privacy Officer and Deputy Legal Counsel
Matt Stearmer
Chief Data Officer
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