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Medicaid Program Manager Jobs in Ohio (NOW HIRING)

We work with providers, managed care organizations, state entities, and others, to design ... Program Knowledge: Continue to build Medicaid program knowledge internally and externally to better ...

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 ...

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 ...

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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 job categories do people searching Medicaid Program Manager jobs in Ohio look for? The top searched job categories for Medicaid Program Manager jobs in Ohio are:
What cities in Ohio are hiring for Medicaid Program Manager jobs? Cities in Ohio with the most Medicaid Program Manager job openings:

Developmental Disabilities Program Manager

Graceworks Enhanced Living

Cincinnati, OH โ€ข On-site

$60K - $66K/yr

Full-time, Part-time

Medical, Dental, Vision, Retirement

Posted 18 days ago


Job description

Purpose Driven Work - Every day, your efforts will directly improveย someone's quality of life.

Real Impact - You will see it, feel it, and hear it from the people that we serve!

A Culture of Caring - Our teams show up each day for our individuals and one another

Position description:

Responsible for providing a supportive, home-like environment for individuals we serve, in accordance with the principles of normalization, the agencyโ€™s mission, and all Federal, State, and County regulations.ย  Responsible for staffing and supervision of Direct Care and Home Supervisor.ย  Develops, monitors, and coordinates IPโ€™s to allow individuals we serve to develop to their fullest potential in areas of self-direction, independent living, self-care, self-sufficiency, language learning and mobility.ย 

Full time - Flexible schedule- Mostly Day shift Duties

Qualifications:

  • Bachelorโ€™s degree from an accredited program in Human Serviceย or related field.ย 
  • Valid driverโ€™s license with less than 6 points.
  • At least two years DD programmatic experience with two to three years supervisory experience preferred.ย 
  • QIDD Certification preferred.
  • Current Medication Passing, CPR and first aid certification is a plus.ย 
  • Experience in working with dually-diagnosed persons or persons with behavioral problems is a plus.

Company info:

Graceworks Enhanced Living offers residential and day programming to adults with intellectual and developmental disabilities in four Ohio counties. We believes people thrive when they can live with compassion and experience inherent worth. Each member of our staff is trained in the Gentle Teaching approach which encourages building a place where minds are engaged and happiness is allowed to grow. Our residential living services and 24/7 care bring unconditional love, security and community to people with intellectual and developmental challenges.ย 

Duties:

  • Manages the home in adherence to all Federal, State, and local guidelines.
  • Ensures the rights and welfare of the individuals we serve are guaranteed.ย 
  • Writes and manages the Plan of Correction on any citation received during licensure, Medicaid, in conjunction with the ICF director.ย 
  • Completes 90 day and annual employee appraisals on a regular and timely basis. Conducts monthly staff meetings.
  • Participates in the recruitment of staff and interviews, orients, trainings and monitors job performance of Direct Care and Home supervisor.ย 
  • Oversees the home supervisor to ensure equitable coverage based on staff competence, experience and client acuity.ย 
  • Provides 24 hour contact with the home via phone.ย 
  • Ensures the home stays within its budget in all areas (programming, staffing, groceries, supplies, etc.)
  • Is accountable for staying within the threshold of the Quality Indicators (caregiver satisfaction, family satisfaction, licensure and Medicaid surveyโ€™s, resident satisfaction, abuse/neglect substantiations, and other audit items).
  • Acts as a model of gentleness and non-violence.ย ย  Is required to complete training to the Gentle mentor level within the first two years of employment.ย  Adhere to other training requirements as necessary.
  • Assumes responsibility for working with and supervising consultants (Speech therapist, Dietician, OT, PT, Psychologist) and volunteers.
  • Is accountable for reporting, documenting, MUIโ€™s and UIโ€™s in a timely manner as well as developing and monitoring corrective action plans.ย  Investigates MUIโ€™s as directed and within timeline required.
  • Assures the implementation of quality programming in home to meet the standards of active treatment as well as the needs of the individuals we serve in the home and workshop.ย  Conducts audits at the workshops at least every other week.
  • Maintains communications with other agencies, resource persons, and consultants, as needed, to ensure that methodologies used between disciplines do not contradict one another.

What makes Graceworks a great place to work?

  • Competitive wages, pay rate increases with experience!
  • Employee Referral Bonuses
  • Personal time accrued based on hours worked.
  • Medical, Dental, Vision, 403B, and HAS for full time employees
  • Tuition reimbursement
  • Employee Assistance Program and Success Coach are free resources to help you be successful in all areas of your life

To learn more about Graceworks Enhanced Living caregiving, visit us at http://www.graceworksenhancedliving.org

We are an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.