HCBS Policy Section Chief (Medicaid Health Systems Administrator 3) in Franklin ,Ohio ,United States



Office: Policy

Bureau: Long Term Services and Supports

Classification: Medicaid Health Systems Administrator 3 (PN 20047500)

Job Preview:

The Ohio Department of Medicaid (ODM) is seeking an experienced healthcare professional to lead a team of policy administrators in the oversight and monitoring of Home and Community-Based Services (HCBS) policies and programs. As the HCBS Policy Section Chief, your responsibilities will include:

  • directing and managing waivers, agreements, and contracts
  • setting Section goals and deadlines
  • providing coaching, supervision, and guidance
  • building a cross-trained supportive team
  • managing federal and state regulations
  • acting on behalf of higher-level executives as delegated
  • developing reports to the Centers for Medicare and Medicaid Services (CMS)
  • engaging in intra/inter-agency collaborative mission-driven efforts

The preferred candidate will be an experienced leader in the field of healthcare administration and is a visionary with excellent communication skills.

Job Description:

Under general direction, directs, plans and coordinates one unit of professional Medicaid administrative staff in) all aspects of the Medicaid Home and Community Based Services Programs (i.e., Ohio Department of Medicaid (ODM) waivers, Department of Developmental Disability (DODD) waivers, Ohio Department of Aging (ODA) waivers, case management contracts, Ohio Department of Aging (ODA) Interagency Agreement, etc.) and/or initiatives impacting across ODM areas (e.g., develops program rules; reviews and analyzes legislation; makes program recommendations and proposals; conducts and coordinates internal/external work teams with stakeholders, state partner agencies (e.g., ODA, Department of Developmental Disabilities (DODD), etc.) and other ODM staff; plans and evaluates implementation of policy for Aging, Developmental Disability and medically complex populations; manages oversight for the Ohio PACE program; oversees, plans, develops and coordinates policy initiatives/activities; directs and/or participates on intra-and/or interagency project teams (e.g., ODM, ODA, DODD, Ohio Department of Mental Health and Addiction Services (OMHAS)); lead teams in the development and implementation of strategic policies, procedures, goals and objectives governing core delivery system management functions (e.g., coverage, utilization and quality assurance of services) provided through care management networks of other state agencies and in developing special health related services delivery systems. Supervises assigned staff (e.g., establishes unit goals; assigns work and provides direction; reviews work and provides feedback; establishes goals and monitors and evaluates performance; encourages staff development; approves/disapproves leave requests; recommends disciplinary action; conducts staff meetings; makes recommendations for hire.

Directs project initiatives with other agency representatives and advises higher-level leadership; provides technical direction and assistance to project teams to perform ongoing information and data collection and analysis of other states’ health services delivery systems and funding alternatives for special health related services delivery systems; assists Bureau Chief in developing Medicaid reform initiatives (e.g., ODM, DODD, OMHAS, ODA and other state and local departments which undertake reform); formulates health related policy; coordinates policy development and implementation across sections and/or bureaus; assists higher-level management in developing new and/or revising Medicaid programs; represents Deputy Director and/or Director on programmatic related issues, meetings and/or conferences; acts as liaison with agency personnel and/or outside agencies (e.g., Executive Directors, Deputy Directors, Governor’s Office), providers, advocates, beneficiaries and/or consumers; directs intra/interagency project teams to design and operate ongoing management and program evaluations for medical assistance community-based populations.

Coordinates preparation and/or prepares and reviews reports; assist with budget activities; responds to sensitive inquiries and contacts from public, provider and government officials and assists in development of goals and objectives; prepares and oversees administrative reports and correspondence; plans and delivers presentations; acts as liaison with community and other state and federal agencies; testifies at legislative or other public hearings.

Performs other related duties (e.g., conducts and attends training sessions; conducts and attends staff meetings; travels to meeting sites; maintains logs, records and files).

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 36 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 base analysis).

  • Or 12 months experience as a Medicaid Health Systems Administrator 2, 65296.

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

  • Or equivalent of Minimum Class Qualifications for Employment noted above.



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