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
They Are
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.
- 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
- Increase program transparency and accountability
UNLESS REQUIRED BY LEGISLATION OR UNION CONTRACT, STARTING SALARY WILL BE SET AT STEP 1 OF THE PAY RANGE
Office: Data Governance & Analysis
Classification: Health Services Policy Specialist (PN 20099220, 20099223, & 20045458)
Job Overview
The Ohio Department of Medicaid (ODM) is seeking to fill three positions in its Data Governance & Analysis team. These positions will support the ongoing procurement efforts of the agency as it transforms healthcare delivery in the state into a person-centered enterprise. The three positions available are:
Healthcare Informatics Specialist (PN 20045458) –
- Provide analytic support for strategic planning, policy development, and program evaluation for ODM healthcare services
- Assist in communication of data and metrics to a variety of stakeholders as part of ODM’s Dashboarding Analytics team
- Attend meetings to assist in the development of tools, metrics, dashboards, and models to aid policy decision-making
- Develop and implement scalable analytics reporting using analytics software such as SAS, R, Hadoop, and Tableau
- Establish standards for data consistency and analytic support
- Prepare reports related to state and federal requirements, especially those related to State Children’s Health Insurance Program (SCHIP)
Pharmacy Informatics Specialist (PN 20099220) –
- Heavily involved in the implementation of monitoring metrics to be applied to Ohio’s first-in-the-nation approach to Medicaid pharmacy benefits which is the Single Pharmacy Benefit Manager program (SPBM)
- Critical to developing best practices that drive improved health outcomes across the state
- Attend meetings to assist in the development of tools, metrics, dashboards, and models to aid policy decision-making
- Respond to requests for data from internal and external stakeholders
- Conduct literature reviews to identify and implement best practices in program oversight
- Prepare reports related to state and federal requirements
- Familiarity with healthcare or pharmacy data or policy is preferred, but not required
Managed Care Informatics Specialist (PN 20099223) –
- Heavily involved in the monitoring and reporting related to the newly contracted Medicaid managed care plans
- Work on an interdisciplinary team on topics related to population health measurement, health equity, quality improvement, and performance metric design
- Assist in the assessment of several unique elements of the ODM managed care contract, including community investment requirements and transparency initiatives
- Attend meetings to assist in the development of tools, metrics, dashboards, and models to aid policy decision-making
- Respond to requests for data from internal and external stakeholders
- Conduct literature reviews to identify and implement best practices in program oversight
- Prepare reports related to state and federal requirements
- Experience in quality improvement methods and performance metric design is preferred but not required
The ideal candidates will be familiar with relational databases and demonstrate experience with data analysis. They will be self-directed and enthusiastic about conducting research to enhance program evaluation and oversight. Those from a variety of backgrounds including but not limited to public health, public administration, business administration, information technology, data analytics, sociology, and political science are encouraged to apply.
Completion of graduate core coursework in health services administration, mathematics, statistics, actuarial science, public administration, allied health sciences, nursing, economics or comparable field; 2 yrs. exp. in health services research &/or health policy analysis; 12 mos. trg. or 12 mos. exp. in research methodology, measurement & testing, analysis of variance & survey sampling; 12 mos. trg. or 12 mos. exp. in use of computer programs/applications with emphasis on relational data bases, use of computer hardware, software used for spreadsheets, statistical analysis & graphics presentation & word processing; 1 course or 3 mos. exp. in multiple regression or multivariate analysis.
- Or completion of undergraduate core coursework & 12 mos. exp. in one of following: health services administration, mathematics, statistics, actuarial science, public administration, allied health sciences, nursing, economics, public health, or comparable field; 2 yrs. exp. in health services research &/or health policy analysis; 12 mos. trg. or 12 mos. exp. in research methodology, measurement & testing, analysis of variance & survey sampling; 12 mos. trg. or 12 mos. exp. in use of computer programs/applications with emphasis on relational data bases, use of computer hardware, software used for spreadsheets, statistical analysis, graphics presentation & word processing; 1 course or 3 mos. exp. in multiple regression or multivariate analysis.
- Or 2 yrs. exp. as Health Services Analyst, 65211.
- Or equivalent of Minimum Class Qualifications For Employment noted above.
Primary Location
United States of America-OHIO-Franklin County-Columbus
Work Locations
Lazarus 5
Organization
Ohio Department of Medicaid
Classified Indicator
Classified
Bargaining Unit / Exempt
Bargaining Unit
Schedule
Full-time
Work Hours
8:00AM – 5:00PM
Compensation
$33.07/hour
Unposting Date
Jan 9, 2022, 11:59:00 PM
Job Function
Statistics/Mathematics
Job Level
Individual Contributor
Agency Contact Information
HumanResources@medicaid.ohio.gov