UNLESS REQUIRED BY LEGISLATION OR UNION CONTRACT, STARTING SALARY WILL BE SET AT STEP 1 OF THE PAY RANGE.
Bureau: Network Management
Working title: Medicaid Heath Systems Analyst (PN 20088913)
As the Provider Enrollment Analyst, you will conduct in depth research & analysis of health care & provider eligibility requirements. Also, you will need to be well versed in Ohio Administrative Code and Federal Guidelines surrounding Provider Enrollment and Provider Enrollment related rules to be able to function as a subject matter expert. Additionally, you will attend and participate in meetings.
Under direction, monitors & evaluates Medicaid providers, projects, programs (e.g., may include components) or service delivery by participation on team to: conduct in depth research & analysis of health care & provider eligibility requirements (e.g., Home & Community Based Services [HCBS] waiver) to ensure program integrity to prevent Medicaid fraud during initial enrollment & screening process; researches electronic systems & databases (e.g., Centers for Medicare & Medicaid Services [CMS] Medicare eligibility system, Provider Enrollment & Chain Ownership System [PECOS], The Information Bus Company list server [CMS TIBCO]) for other states terminated providers, System for Award Management [SAM
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