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Medicaid System Access Manager (Medicaid Health Systems Administrator

Company:
ohio.gov
Location:
Franklin County, OH
Posted:
July 17, 2025
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Description:

Schedule: Full-time

What You Will Do At ODM:

Office: Legal Counsel

Bureau: Privacy/HIPAA

Classification: Medicaid Health Systems Administrator 1 (PN 20047539)

Job Overview:

As a Medicaid System Access Manager, you will be responsible for system reconciliations, reviewing and approving security roles, creating policies and procedures relating to system access, working with users and user access requests and assisting in the development and/or coordination of Ohio Medicaid Enterprise Systems access. You will also assist with audit requests and work with ODM staff, contractors and external entities. In addition, you will participate in design sessions for system security issues as well as design sessions for the implementation of ODM’s access management system.

The Ohio Department of Medicaid (ODM) is seeking a Medicaid System Access Manager to be a part of our Access Request team. As a Medicaid System Access Manager your responsibilities will include:

Reviewing system access for Ohio Medicaid Enterprise System (OMES)

Reconciling of user’s access to systems to ensure adherence to the Principle of Least Privilege and Minimum Necessary access to Medicaid member information

Formulating and implementing policies and procedures related to accessing Medicaid information systems to support ODM program needs for ODM Staff, Contractors, and Sister State Agencies

Facilitating end user access to Medicaid information systems through established ODM processes

Overseeing the various mailboxes managed by Access Request, communication with ODM system vendors, and other partners as needed.

Responding to requests for information from internal and external auditors related to Medicaid information systems access

Assisting in the coordination of and responses to incoming system audits

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, may be substituted for the experience required, but not for the mandated licensure, if required. Note: education & experience is to be commensurate with approved position description on file. -If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.

-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.

Job Skills: Health Administration

Technical Skills: Reviewing system access, Formulating and implementing policies and procedures,

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

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