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
- Increase program transparency and accountability
OhioRISE – Ohio Resilience through Integrated Systems and Excellence
As part of Ohio Medicaid’s next generation of its managed care program, Ohio is implementing OhioRISE, a specialized managed care program for youth with complex behavioral health and multi-system needs.
The OhioRISE managed care organization (MCO) will partner with the state, providers, and community organizations to expand access to in-home and community-based services. The MCO will contract with regional care management entities to ensure OhioRISE members and families have the resources they need to navigate their interactions with multiple systems such as juvenile justice and corrections, child protection, developmental disabilities, mental health and addiction, education, and others.
New and/or enhanced services available through OhioRISE include:
- Intensive Care Coordination
- Intensive Home-Based Treatment – enhanced
- Psychiatric Residential Treatment Facility
- Mobile Response and Stabilization Service
- Behavioral Health Respite – enhanced
Office: Strategic Initiatives
Classification: Deputy Director 5 (PN 20098838)
ODM is seeking a senior healthcare leader to oversee the administrative, programmatic, operational, and clinical development and implementation of the OhioRISE program. As ODM’s OhioRISE Deputy Director, your responsibilities will include:
- Providing administrative direction and oversight for the OhioRISE program, including direction and oversight of ODM’s relationship with the OhioRISE managed care plan
- Directing and managing operations of the OhioRISE program within ODM and in partnership with the OhioRISE plan
- Assuring the OhioRISE program’s full integration and coordination with the other components of ODM’s Next Generation of Managed Care
- Holding the OhioRISE program and the OhioRISE managed care plan accountable to the vision and goals set by the OhioRISE cross-agency governance structure
- Overseeing policy and programmatic development and implementation, as well as clinical operations and oversight for OhioRISE
- Engaging multiple state and local systems and other external stakeholders in developing regulatory structures and operational strategies to ensure successful implementation of the OhioRISE program
- Identifying and developing innovative strategies to improve outcomes for children, youth, and young adults served under the OhioRISE program
- Participating in leadership of ODM’s quality improvement framework, quality improvement planning, and quality improvement oversight activities
The ideal candidate should have strong operational leadership experience and a proven ability to champion the agency’s mission and vision across a variety of audiences and situations.
- Graduate degree from an accredited university or college in business, management or public administration, public health, health administration, social or behavioral science or related field
- Minimum of 5 years of experience in planning and administering a large health services program or health services project management
- Change agent with strong credibility and influencing skills and the proven ability to build relationships and influence stakeholders
- Ability to interface effectively with all levels of the organization as well as leaders working in other sister agencies of state government and other organizations outside of ODM
- Outstanding team leadership and multi-functional/cross-functional team management skills; able to drive a positive employee relations culture
- Strong interpersonal and organizational skills, with a highly collaborative working style and a commitment to diversity and inclusion
- Strategic development and successful execution of large, highly visible, and complex projects involving multiple stakeholders within aggressive time constraints
- Solutions-oriented approach to implement priority initiatives and meet project demands
- Ability to communicate effectively with people at all levels and backgrounds
- Strong presentation skills, written communication skills and experience with a variety of computer software applications and data processing systems