Medicaid System Access Manager (Medicaid Health Systems Administrator 1) Ohio Department of Taxation

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About Us:

The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio’s Medicaid program – focusing on the individual rather than the business of managed care. 

The goals of the next generation of Ohio Medicaid 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
  • Increase program transparency and accountability


What You Will Do At ODM:

Working Title: Medicaid System Access Manager

Classification: Medicaid Health Systems Administrator 1 (PN 20100580)

Office: Legal Counsel

Bureau: Privacy/HIPAA


Job Overview:

The Ohio Department of Medicaid (ODM) is seeking a Medicaid System Access Manager to be a part of our Access Request team. As a Medicaid System Access Manager your responsibilities will include:

  • Reviewing system access for Ohio Medicaid Enterprise System (OMES) and Single Pharmacy Benefit Manager (SPBM)
  • Reconciling of user’s access to systems to ensure adherence to the Principle of Least Privilege and Minimum Necessary access to Medicaid member information
  • Formulating and implementing policies and procedures related to accessing Medicaid information systems to support ODM program needs for ODM Staff, Contractors, and Sister State Agencies
  • Facilitating end user access to Medicaid information systems through established ODM processes
  • Overseeing the Access Request mailbox, communication with ODM system vendors, and other partners as needed
  • Responding to requests for information from internal and external auditors related to Medicaid information systems access


What’s in it for you:

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

Medical Coverage

  • Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans. 

Dental, Vision and Basic Life Insurance

  • Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.

Time Away From Work and Work/Life Balance

  • Paid time off, including vacation, personal, and sick leave 
  • 11 paid holidays per year
  • Childbirth/Adoption leave

Employee Development Funds

  • The  State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.

Ohio Public Employees Retirement System

  • OPERS is the retirement system for State of Ohio employees.  The employee contributes 10% of their salary towards their retirement.  The employer contributes an amount equal to 14% of the employee’s salary.  Visit the OPERS website for more information.

Deferred Compensation

  • The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. 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 has Medicaid Health Systems Specialist, 65293.

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

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