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Managed Care Provider Agreement Manager (Medicaid Health Systems

Company:
State of Ohio
Location:
Columbus, OH, 43216
Posted:
September 26, 2025
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Description:

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

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