Performance Improvement Manager (Medicaid Health Systems Administrator

Schedule: Full-time

What You Will Do At ODM:

Office: Health Innovation & Quality

Bureau: Health Research & Quality

Classification: Medicaid Health Systems Administrator 1 (PN 20099235)

Job Overview:

The Performance Improvement Manager is an integral part of the Ohio Department of Medicaid's (ODM's) Health Innovation & Quality team. As Performance Improvement Manager, your responsibilities will include:

Managing the development, implementation, and reporting of quality improvement projects (QIPs) for targeted Medicaid populations (i.e. Children with Chronic Conditions)

Directing the design of Children with Chronic Conditions QIPs, to include (but not limited to) a focus on improving disparate outcomes and improvement of care transitions for consumers with specific disease conditions

Directing and/or conducting research evidence-based interventions/strategies for Children with Chronic Conditions QIP topics

Coordinating the identification of applicable quality measures and the collection and analysis of health services data to support the design and evaluation of Children with Chronic Conditions QIPs for the OhioRISE Plan

Developing a methodology and implementation timeline for monitoring and evaluating Children with Chronic Conditions QIPs, including outcome measurement and impact on population health

Reviewing applicable rules, policies, laws and guidelines to ensure compliance with Centers for Medicare and Medicaid Services (CMS) rules & regulations, as well as all applicable state regulations, rules and laws

Managing and directing contracted consultant staff and services supporting the design, development, implementation, evaluation and reporting related to the quality improvement initiatives for the PIHP

Formulating policy and recommending legislative changes for Children with Chronic Conditions QIPs.

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. 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 has Medicaid Health Systems Specialist, 65293.

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

Job Skills: Health Administration

Technical Skills: Collaborating

Professional Skills: Consultation, Collaboration, Attention to Detail, Priority Setting, Decision Making, Verbal Communication, Written Communication, Goal Setting, Problem Solving