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 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: Quality Improvement Manager for Increasing Health Opportunities
Classification: Medicaid Health Systems Administrator 1 (PN 20091838)
Office: Health Innovation & Quality
Bureau: Health Research & Quality
Job Overview
As Quality Improvement Manager for Increasing Health Opportunities within the Ohio Department of Medicaid (ODM), you will be charged with synthesizing current research, policies, and programmatic information to develop and determine the effectiveness of interventions aimed at improving health opportunities at a population level. This will involve collaborating with other state agencies, other offices within the Ohio Department of Medicaid-ODM (Policy, Data Governance, Managed Care), ODM-contracted managed care entities, academic medical centers, community based organizations, and Medicaid providers to understand needs and priorities across the health system. A great deal of the work will involve synthesizing what is learned from your research and interactions within ODM and with other entities into succinct written and oral recommendations regarding potential programmatic, process, and policy improvements. This will involve working closely with other members of the ODM team. You will also be a part of the quality improvement project work aimed at reducing health disparities. This work includes developing and selecting measures to assess Ohio’s progress towards reductions in health disparities. You will use the insights gained from your interactions within ODM, as well as your research, and collaboration to draft and refine ODM’s Strategy for Increasing Health Opportunity. Successful applicants will think flexibly, easily adapt to new situations and contexts, have excellent written and oral communication skills, and engage in rigorous critical thinking and analysis of information for improvement.
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 as a Medicaid Health Systems Specialist, 65293.
- 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
Exempt
Schedule
Full-time
Work Hours
8:00AM – 5:00PM
Compensation
$33.69/hour
Unposting Date
Nov 5, 2021, 10:59:00 PM
Job Function
Health Administration
Job Level
Individual Contributor
Agency Contact Information
HumanResources@medicaid.ohio.gov