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Ohio Department of Aging

Bond Accountant 2

Columbus, OH · On-site

... contract information For a complete description of the job duties, please read the Bond Accountant ... Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ...

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Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

Ohio Department of Aging

Columbus, OH • On-site

Full-time

Medical, Dental, Vision, Life, PTO

Posted 11 days ago

Job description

What You Will Do At ODM:
Office : Managed Care
Bureau : Contract Management & Compliance
Classification: Medicaid Health Systems Administrator 1 (PN: 20100145 )
Job Overview:
As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include:
• Managing program information and conducting analyses to inform and direct policy changes and updates
• Conducting evaluations for managed care plans
• Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives
• Leading on managed care related contract issues, implementations, and targeted reviews
• Working with the Managed Care plans to identify areas of concern and provide technical assistance as needed.
• Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements
• Communicating any compliance actions to the assigned Managed Care Plans
There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with.
MyCare Plans:
• Anthem
• Buckeye Health Plan
• CareSource
• Molina HealthCare of Ohio, Inc.
Managed Care Organizations (MCOs)
• AmeriHealth Caritas Ohio, Inc.
• Anthem Blue Cross and Blue Shield
• Buckeye Health Plan
• CareSource
• Humana Healthy Horizons in Ohio
• Molina HealthCare of Ohio, Inc.
• UnitedHealthcare Community Plan
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
  • Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
  • Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
  • Childbirth, Adoption, and Foster Care leave
  • Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
  • Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 months experience 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.
Technical Skills: Health Administration
Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication
Ohio Department of Aging logo

About Ohio Department of Aging

Sourced by ZipRecruiter

The Ohio Department of Aging, based in Columbus, OH, US, is within the healthcare and service industry, primarily serving older individuals and their care providers throughout the state. As a state government agency, its key role is to ensure the provision of quality services and supports that assist older Ohioans to live healthier, safer and more productive lives. The department functions through the official website, ohio.gov. It was established with a mission to position the State of Ohio on the leading edge of solution-driven innovation for the challenges and opportunities presented by Ohio's rapidly aging population.

Industry

Public administration

Company size

51 - 200 Employees

Headquarters location

Columbus, OH, US

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