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Medicaid Program Manager Jobs in Ohio (NOW HIRING)

CJFS is tasked with determining eligibility and case management of five core benefit programs and ... Medicaid, medical care and insurance for low-income families and the aged/blind/disabled ...

LTSS and Dual Eligible Program Manager

Dayton, OH ยท On-site +1

$113K - $197K/yr

The LTSS and Dual Eligible Program Manager is responsible for managing large-scale portfolio ... Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare Licensure ...

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Medicaid Program Manager information

What are the main challenges Medicaid Program Managers face in coordinating between state agencies and healthcare providers?

Medicaid Program Managers often navigate the complexities of aligning policies and procedures between state agencies and a diverse range of healthcare providers. Challenges can include managing frequent regulatory changes, ensuring compliance with both federal and state guidelines, and facilitating clear communication among stakeholders. Additionally, they must address provider concerns, resolve billing or service disputes, and adapt program initiatives to meet evolving healthcare needs. Strong organizational and relationship-building skills are essential to succeed in this collaborative and dynamic environment.

What does a Medicaid Program Manager do?

A Medicaid Program Manager oversees the administration and implementation of Medicaid programs at the state or organizational level. Their responsibilities include ensuring compliance with federal and state regulations, managing budgets, coordinating with stakeholders, and improving service delivery for Medicaid recipients. They often analyze data, develop policies, and work to enhance program efficiency and effectiveness. This role requires strong leadership, organizational, and policy analysis skills to ensure that eligible populations receive proper healthcare services.

What are the key skills and qualifications needed to thrive as a Medicaid Program Manager, and why are they important?

To thrive as a Medicaid Program Manager, you need expertise in healthcare administration, knowledge of Medicaid regulations, and a relevant degree such as public health or healthcare management. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and compliance software is typically expected. Strong leadership, problem-solving, and communication skills enable effective team management and stakeholder engagement. These skills ensure efficient program operation, regulatory compliance, and the delivery of quality services to beneficiaries.
What are popular job titles related to Medicaid Program Manager jobs in Ohio? For Medicaid Program Manager jobs in Ohio, the most frequently searched job titles are:
What cities in Ohio are hiring for Medicaid Program Manager jobs? Cities in Ohio with the most Medicaid Program Manager job openings:
Program Manager 4/ (PM4) [onsite]-[Local TO Ohio]

Program Manager 4/ (PM4) [onsite]-[Local TO Ohio]

SmartIPlace

Columbus, OH โ€ข On-site

$112K - $112K/yr

Contractor

Re-posted 22 days ago


Job description

Position: Program Manager 4/ (PM4)ย 

Location: Columbus, OH

Visa: Any visa except CPT, TN, GC (PP number is mandatory to fetch i94)

Interview Type:ย  Inperson interviewย 

Program Manager 4 / (PM4)

On site interviews

On site 5x week

SCOPE OF WORK summary:

This position will be responsible for managing and overseeing Ohio Department of Medicaid (ODM) Office of Information & Technology Services (ITS) project activities for both external vendor systems projects and internal ODM ITS projects. Examples include software development projects, IT infrastructure projects, and COTS products implementation. The position will function as a member of the ITS team.

Responsibilities:

โ€ข Provides project oversight ensuring that ODM ITS and contracted vendors meet their commitments to bring the project in on time and within budget and scope.

โ€ข Manage high level ITS projects and work as a liaison between ODM ITS and stakeholder groups to ensure projects are delivered within the stipulated project criteria and timeline.

โ€ข Works with ITS project resources, planning, monitoring and managing projects, managing timelines & deliverables, escalating where appropriate, facilitating meetings, providing summaries, action items and communicating with key stakeholders with the focus to ensure projects are successfully implemented on the agreed upon deployment date.

โ€ข Collaborates and coordinates effort with system vendor project managers and/or ODM PMO in managing Ohio Medicaid Enterprise Systems (OMES) related vendor projects/activities, especially from technical and security aspects. Monitors, tracks, and reports project progress when appropriate.

โ€ข Provides overall direction, guidance, communication, and facilitation of assigned projects, including working with cross-functional teams at ODM, contracted vendor and external stakeholders (as required).

โ€ข Develop comprehensive project plans including scope, schedule, budget, risk management strategies, and resource allocation. Executes and updates project plans and maintains all project documentation.

โ€ข Manages project risks and issues and oversees supporting processes including change management.

โ€ข Schedules and facilitates meetings with business stakeholders (ODM, other state agencies, external entity users), ODM ITS, DAS/OIT and/or external system vendors.

โ€ข Coordinates and manages work of both technical and business workstreams.

โ€ข Manages, coordinates, communicates, and establishes priorities for complete life cycle of projects including the planning, requirements gathering, design, building, configuration, testing, training, and implementation of systems/solutions.

โ€ข Collaborate with ODM PMO to establish project/program practices, templates, policies, tools, and partnerships to expand and mature these capabilities for the organization.

โ€ข Manages all aspects of multiple related projects to ensure the overall program is aligned to and directly supports the achievement of strategic objectives.

โ€ข Other project management and coordination duties as assigned.

REQUIRED Skill Sets:

โ€ข Required Education: BS/BA degree or combination of education & experience.

โ€ข 8+ years of experience in Information Technology (IT) project and program management, implementing large scale projects, including working with multiple stakeholders on both business and technical projects.

โ€ข 3+ years of experience with full product lifecycle with understanding of development lifecycle and various technology methodologies that support that lifecycle.

โ€ข Proven ability to work in an ambiguous environment and collaborate across multiple areas to achieve a common business objective.

โ€ข Excellent interpersonal and written/oral communication skills, including ability to negotiate compromise and demonstrate diplomacy in sensitive situations as well as interact effectively with peers and management across diverse cultures and fast-paced environment.

DESIRED Skill Sets:

โ€ข PMP certification

โ€ข 3+ year Information Technology technical experience.

โ€ข 1+ year procurement and vendor management experience.

โ€ข 1+ year of experience with gathering and analysis of business requirements.

โ€ข 1+ year of experience in Medicaid and/or healthcare systems development projects.

โ€ข Experience with Smartsheet, MS Project, MS Teams, SharePoint or other schedule management and collaboration tools.

โ€ข Demonstrate effective leadership, analytical and problem-solving skills.

โ€ข Recognize patterns and opportunities for improvement throughout the entire organization.

โ€ข Establish facts and draw valid conclusions.

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About Smart-iPlace

Sourced by ZipRecruiter

SMART-iPLACE provides innovative staffing and consulting solutions that help our clients achieve their business objectives. We can understand and support all areas of your IT systems from back-end infrastructure to front-end personal productivity. Our goal is create innovative IT solutions that enable your business to be more agile and competitive.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Irving, TX, US

Year founded

2021

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