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Forest New Albany LP

Housekeeper

New Albany, OH · On-site

$15/hr

Housekeepers will maintain compliance with the regulations of the Occupational Safety & Health Administration (OSHA). Responsibilities · Service guest rooms daily in accordance with hotel procedures ...

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Health Administration jobs near you
A map of the United States highlighting the number of Health Administration job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Health Administration job openings in each state, with California having the most at 2 and Hawaii the least at 0.

Encounter Data Liaison (Medicaid Health Systems Administrator 2)

Ohio Department of Taxation

Columbus, OH

Full-time

Posted 15 days ago

Job description

What You Will Do at ODM:

Office: Data & Integrated Systems

Classification: Medicaid Health Systems Administrator 2 (PN 20102830)

Job Overview:

The Ohio Department of Medicaid is seeking a healthcare professional to be part of our EDI & Encounters Team. This position serves as a technical and policy liaison for post-adjudication encounter data reporting submitted by managed care plans. Also, this position plays a critical role in ensuring data accuracy for rate setting, policy compliance, and quality care delivery. As the Encounter Data Liaison, your responsibilities will include:

  • Developing policy, conducting program evaluation, and supporting data-driven decision-making.
  • Serving as the primary liaison for encounter data reporting and quality assurance.
  • Leading bi-weekly meetings with managed care organizations (MCOs) to discuss: 
    • Delivery kick payments
    • Encounter data quality metrics
    • Quality-based assignments
    • New initiatives such as NexGen MyCare
  • Acting as the point person for the NexGen MyCare program launched 1/1/2026, coordinating across multiple departments.
  • Supporting rate setting, claims remittance investigations, and financial team collaboration.

  • Interpreting and communicating data trends and anomalies to internal and external stakeholders.

The following qualifications are not required, but are preferred for success in this role:

  • Familiarity with X12 formats (e.g. 837, PACDR 837, 835, 999, 824, 277CA, 270).

  • Proficiency in Medicaid data systems (i.e. MITS, Vue360, and/or Administrator).

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 mos. exp. in planning & administering 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 analysis).

-Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note: education & experience is to be commensurate with approved position description on file.

-Or equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Health Administration

Technical Skills: Public Health, Data Analytics

Professional Skills: Collaboration, Analyzation, Interpreting Data, Attention to Detail

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