Primary Location: United States of America-OHIO-Franklin County-Columbus
Work Locations: Lazarus 5 50 West Town Street Columbus 43215
Organization: Ohio Department of Medicaid
Classified Indicator: Classified
Bargaining Unit / Exempt: Exempt
Schedule: Full-time
Work Hours: 8:00AM – 5:00PM
Compensation: $33.69/hour
Unposting Date: Mar 1, 2022, 10:59:00 PM
Job Function: Health Administration
Job Level: Individual Contributor
Agency Contact Name: ODM Human Resources
Agency Contact Information:
HumanResources@medicaid.ohio.gov
Health Innovation Research Manager (Medicaid Health Systems Administrator 1)
(220001LS)
Job Duties
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio’s Medicaid program – one that strengthens Ohio’s future and ensures everyone has the chance to live life to its full potential.
Today, more than 90 percent of Ohio Medicaid members are supported by managed care organizations. During the year ahead, ODM will begin implementing a new vision for care; focusing on the individual, a strong partnership among MCOs and the department, and supporting specialization in addressing critical needs.
A program that puts the individual first
Adopting Governor DeWine’s philosophy of service to Ohioans, ODM embarked on an aggressive effort to redesign its managed care program. The goal is to provide more personal, holistic care and supports for millions of Ohioans served by Medicaid. Listening to feedback from more than 1,100 individuals and organizations we identified five procurement goals that would put the individual front and center of Medicaid’s program and policy decisions. They are:
- Emphasize a personalized care experience,
- Improve care for children and adults with complex behavioral health needs,
- Improve wellness and health outcomes,
- Support providers in better patient care and
- Increase program transparency and accountability.
Unless required by legislation or union contract, starting salary will be set at step 1 of the pay range.
Working Title: Health Innovation Research Manager
Classification: Medicaid Health Systems Administrator 1 (PN 20047483)
Office: Health Innovation & Quality
Bureau: Health Research & Quality
Job Overview:
As the Health Innovation Research manager, you will serve as the agency manager to evaluate Medicaid’s programs and initiatives to transform health systems through partnership with Ohio’s academic community and health leaders. This includes conducting program development, program analysis and comparative studies to determine the impact of the transformation initiative, e.g., evaluate the impact of implementing quality improvement practices in nursing facilities on health outcomes, analyze palliative care trends, research effective practices to improve individualized care in nursing facilities. In addition you will provide strategic oversight of policies & procedures governing Medicaid Technical Assistance and Policy Program (MedTAPP) and other similar programs.
Qualifications
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.
Knowledge of social or behavioral science; business or public administration and management practices; health care federal & staff laws & regulations; public medical assistance programs; agency policies & procedures; health care statistics, terminology & methods; purchasing & payment practices of health care services; comprehensive health planning; public budgeting & finance; public relations; employee training & development*; supervisory principles & techniques*.
Skill in operating personal computer & applicable software applications.
Ability to analyze & apply multiple factors & present findings & conclusions; read & comprehend clinical records; determine appropriate level of health care; determine accuracy of clinical assessments & data; assess & monitor quality assurance & corrective action plans; prepare & oversee comprehensive & technical reports; interpret social welfare information & technical materials in books, journals & manuals; handle sensitive contacts & inquiries from public, consumers, providers & government officials in person, via telephone &/or written correspondence.
Demonstrated competence in the following: developing self, adapting for impact, continuously improving quality, focusing on customers, acting with integrity, building productive relationships, fostering team development, directing & measuring work, informing, managing priorities, making effective decisions, developing staff & others, valuing cultural diversity, managing projects, leveraging organizational resources, demonstrating intellectual capacity, &/or thinking strategically managing change, navigating organizational politics, cultivating vision & purpose, innovating, solving problems, & acting decisively.
(*) Developed after employment.
Supplemental Information:
This position is overtime exempt.
Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver’s license from state of residence.
Attachments to your application are not accepted for this job posting. Please be sure to provide detail in the job history section of the application.
All answers to supplemental questions must be supported by the work experience/education provided on your civil service application.
The Ohio Department of Medicaid is committed to providing access, equal employment opportunity and reasonable accommodation for individuals with disabilities. To request a reasonable accommodation, contact the Bureau of Human Resources at HumanResources@medicaid.ohio.gov prior to testing or interview.
Background Check Information
The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant’s prior criminal convictions will be made before excluding an applicant from consideration.