HYBRID - OhioRISE Systems Administrator (Medicaid Health Systems

Schedule: Full-time

THIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS.

About Us:

Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.

Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:

Delivering a personalized care experience to more than three million people served.

Improving care for children and adults with complex behavioral health needs.

Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.

Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.

Ensuring financial transparency and operational accountability across all Medicaid programs and services.

What You Will Do at ODM:

Office: Strategic Initiatives

Bureau: OhioRISE

Classification: Medicaid Health Systems Administrator 2 (PN 20101695)

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking a healthcare administrator to be part of ODM’s OhioRISE Team. As the OhioRISE Systems Administrator, your responsibilities will include:

acting as the primary contact and liaison for the ODM OhioRISE Team, with the OhioRISE Plan and ODM system vendors to manage, oversee, identify, report, and track resolution of requirement changes, policy and systems changes, and system issues across any impacted part of Ohio Medicaid Enterprise System (OMES) or OhioRISE Plan

submitting system access modification requests and acting as OhioRISE program lead related to technical solutions to meet OhioRISE, Medicaid, and/or state and federal requirements

monitoring OMES updates and the OhioRISE Plan to ensure readiness and/or compliance and assist in preparing corrective action steps

representing program area in the data research and identification subject matter experts (SMEs) to inform the development of business requirements, define project design, scope development, testing, and implementation of IT system updates

acting as OhioRISE program manager for OMES (e.g., enrollment, claim/encounter submission, capitation payment, electronica data interface files (EDI))

determining and evaluating risks that may affect the OhioRISE Program or OhioRISE Plan

utilizing standardized methodology to track projects and tasks including status and progress

What’s in it for you:

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

Medical Coverage

Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans.

Dental, Vision and Basic Life Insurance

Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.

Time Away From Work and Work/Life Balance

Paid time off, including vacation, personal, and sick leave

11 paid holidays per year

Childbirth/Adoption leave

Employee Development Funds

The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.

Ohio Public Employees Retirement System

OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.

Deferred Compensation

The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.

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, Program Management, Project Management

Professional Skills: Collaboration, Innovation, Problem Solving