Behavioral Health Strategy and Clinical Policy Section Chief (Medicaid

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: Policy

Bureau: Behavioral Health Policy

Classification: Medicaid Health Systems Administrator 3 (PN 20045364)

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking an experienced behavioral health policy leader to join our team. This position will lead a team of Policy Managers, oversee policy development, program implementation, and interagency collaboration for Medicaid behavioral health services. Additionally, this position will be responsible for developing and maintaining comprehensive and integrated care models, coordinating behavioral health strategy initiatives, and ensuring compliance with federal and state regulations. As the Behavioral Health Strategy and Clinical Policy Section Chief, your responsibilities will include:

Leading and overseeing the Behavioral Health (BH) Strategy and Clinical Policy section, ensuring effective Medicaid behavioral health service coverage in collaboration with state agencies.

Developing and implementing comprehensive and integrated care models, care coordination initiatives, and services for complex populations.

Supervising and directing a team responsible for behavioral health strategy, clinical policy, and quality improvement efforts in partnership with managed care entities and external organizations.

Establishing and overseeing policy development and compliance with federal and state regulations related to Medicaid behavioral health services.

Serving as the primary liaison with internal staff, external stakeholders, providers, and advocacy groups to support Medicaid behavioral health programs.

Collaborating with state agencies to refine behavioral health initiatives and oversee the use of external resources for policy development and implementation.

Representing the agency in legislative hearings, conferences, and stakeholder meetings, delivering presentations and responding to public and government inquiries.

Managing budgets and reporting, including the preparation of state plan amendments, impact assessments, and compliance documentation for Medicaid behavioral health policy initiatives.

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 36 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 base analysis).

-Or 12 months experience as a Medicaid Health Systems Administrator 2, 65296. 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: Management, Program Management, Behavioral Health

Professional Skills: Leading Others, Collaboration, Coaching, Establishing Relationships, Organizing and Planning

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.

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.

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.

THIS POSITION IS UNCLASSIFIED PER 124.11 (A) (9), OHIO REVISED CODE.

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.