Medicaid System Access Manager (Medicaid Health Systems Administrator

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.

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

Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period

Paid time off, including vacation, personal, sick leave and 11 paid holidays per year

Childbirth, Adoption, and Foster Care leave

Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)

Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

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

Supplemental Information:

Compensation is as listed on the posting unless required by legislation or union contract.

This position is overtime exempt. Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.

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

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.