Provider Enrollment Section Chief (Medicaid Health Systems

Schedule: Full-time

What You Will Do at ODM:

Office: Operations

Bureau: Network Management

Classification: Medicaid Health Systems Administrator 2 (PN 20096606)

Job Overview:

The Provider Enrollment Section Chief duties include but are not limited to:

Manage overall operations for the Provider Enrollment unit

Examples include but are not limited to:

Time keep management

Complete performance reviews for direct reports

Ensure adequate coverage for daily operations

Maintain an efficient turn around time for daily processing operations

Monitor daily and monthly provider enrollment metric reports

Interface with internal and external stakeholders

Attend meetings with various Ohio Medicaid business units

Responsible for operationalizing Ohio Medicaid Policy and Rules

Attend meetings and participate with Provider Network Management system requirements, enhancements, builds, and releases

Monitor and respond to inquiries from plans, providers, legislative requests, and constituency groups

Ensuring compliance with CMS requirements

Ensuring compliance with Auditor of State (AOS) requirements and expectations

Participate in annual AOS data request

May be asked to give presentations

Other duties as assigned

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