Managed Care Provider Agreement Manager (Medicaid Health Systems

Schedule: Full-time

What You Will Do At ODM:

Office: Managed Care

Bureau: Managed Care Compliance & Oversight

Classification: Medicaid Health Systems Administrator 1 (PN: 20047489)

Job Overview:

As Managed Care Provider Agreement Manager, your responsibilities will include:

Developing and maintaining relationships with Managed Care Entities and stakeholders

Analyzing contract language

Organizing and reviewing contract language from various areas

Developing, monitoring, and tracking changes to contract

Maintaining a repository of contract changes

Developing and delivering presentations to MCEs, ODM Leadership, and various stakeholder groups

Evaluating the need to revise related Medicaid eligibility policies and procedures.

Submitting proposals to CMS using CMS authorized portals

Developing and maintaining various Teams channels

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 months experience 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 as a Medicaid Health Systems Specialist, 65293.

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

Technical Skills: Health Administration

Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication