State of Ohio · 5 hours ago
Managed Care Policy Administrator (Medicaid Health Systems Administrator 2)
Lazarus 450 West Town Street
Full-time
Onsite
Entry, Mid Level
2+ years expThe State of Ohio is dedicated to supporting the health and wellbeing of its residents through the Ohio Department of Medicaid. The Managed Care Policy Administrator will be responsible for planning and evaluating policies related to Medicaid Managed Care Programs, ensuring compliance with regulations, and providing strategic oversight of health delivery systems.
ConsultingFinancial ServicesGovernment
No H1B
Responsibilities
Planning, managing, evaluating, and analyzing policies related to member and provider contracted deliverables in Medicaid Managed Care Programs
Implementing Medicaid State Plan Amendment (SPA) and Ohio Administrative Code (OAC) rule changes, changes to managed care programs
Communicating responsibility and obligation of managed care entities (MCEs) to individuals and other government agencies
Developing policy, provider agreements and guidance memorandum
Providing additional direction in the processing of provider agreements, administrative rules, state directed payments, and federal authorities
Assisting in providing strategic oversight of policies and procedures governing Medicaid managed care
Ensuring that managed care program policies and procedures comply with federal and state regulations by researching applicable regulations and working with appropriate ODM staff, federal and state agencies
Assisting higher level administrators in development and coordination of overall programs relating to Medicaid health delivery systems and contacting managed care plans
Formulating policy and recommends legislative and programmatic changes
Qualification
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
Technical Skills: Health Administration
Professional Skills: Attention to Detail, Collaboration, Critical Thinking, Decision Making, Goal Setting, Managing Meetings, Organizing and Planning, 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
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.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Beverlyn Johns, MS
Deputy Chief Operating Officer
Holly Drake
State Chief Information Security Officer
Recent News
2025-08-26
2025-08-06
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