Current jobs related to Managed Care Policy Administrator - Columbus - State of Ohio

  • Healthcare Policy Administrator

    6 days ago

    Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryWe are seeking a highly skilled Healthcare Policy Administrator to join our team at the Ohio Department of Medicaid. As a key member of our team, you will be responsible for developing and implementing state-directed payment policies for Medicaid health systems.Key ResponsibilitiesDevelop and maintain state-directed payment policies for Medicaid...

  • Healthcare Policy Administrator

    18 hours ago

    Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryWe are seeking a highly skilled Healthcare Policy Administrator to join our team at the Ohio Department of Medicaid. As a key member of our team, you will be responsible for developing and implementing state-directed payment policies for Medicaid health systems.Key ResponsibilitiesDevelop and implement state-directed payment policies for Medicaid...

  • Policy Counsel

    1 day ago

    Columbus, Ohio, United States Ohio Department of Commerce Full time

    Job SummaryWe are seeking a highly skilled Policy Counsel to join our team at the Ohio Department of Commerce. As a Policy Counsel, you will play a critical role in providing assistance to judges, court administrators, and other justice system partners.Key ResponsibilitiesProvide technical assistance and education to judges, court administrators, and other...

  • Health Services Policy Supervisor

    1 month ago

    Columbus, United States Ohio Department of Aging Full time

    Serve as agency manager of the data and research section in the Office of Quality, Planning & Research Formulate and direct implementation of research and analysis for policies affecting behavioral health services Assess the feasibility of conducting internal research and analysis of various studies, based on the availability of data (e.g., structured...

  • Behavioral Health Policy Integration Manager

    2 weeks ago

    Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryThe Ohio Department of Developmental Disabilities seeks a skilled Behavioral Health Policy Integration Manager to join our team. As a key member of our organization, you will be responsible for integrating behavioral health policies across our Medicaid health systems.Key ResponsibilitiesDevelop and implement policies and procedures to ensure...

  • Nurse Care Manager

    2 weeks ago

    Columbus, Ohio, United States Advir Health Care Systems Full time

    Job SummaryAdvir Health Care Systems is seeking a highly skilled and compassionate Registered Nurse to join our team as a Skilled Care Specialist. As a key member of our care team, you will be responsible for providing exceptional nursing care to our residents, ensuring their safety, comfort, and well-being.Key ResponsibilitiesSupervise and Coordinate Care:...

  • Practice Manager

    2 weeks ago

    Columbus, Ohio, United States Central Ohio Primary Care Full time

    Job SummaryCentral Ohio Primary Care Physicians is seeking a highly skilled and experienced Office Director to lead the operations of our Canyon Medical Center office in Columbus, OH. As a key member of our team, you will be responsible for directing, supervising, and coordinating the overall operation of the office, ensuring seamless delivery of...

  • Practical Nursing Specialist

    3 weeks ago

    Columbus, Ohio, United States Centurion Managed Care Full time

    Position Overview Role Summary Centurion Managed Care is dedicated to delivering comprehensive healthcare solutions to correctional facilities. We are actively seeking a full-time Practical Nursing Specialist to become a vital member of our healthcare team. The Practical Nursing Specialist (LPN) is tasked with delivering holistic nursing...

  • Utilization Management Administrative Coordinator

    3 weeks ago

    Columbus, Ohio, United States Humana Full time

    Join a dedicated team focused on enhancing health outcomesThe Utilization Management Administrative Coordinator plays a vital role in the administration of utilization management processes. This position involves a variety of tasks and moderately complex administrative, operational, and customer support responsibilities. The coordinator is responsible for...

  • Health Services Policy Specialist

    1 month ago

    Columbus, United States Ohio Department of Aging Full time

    Plan, implement and coordinate all research efforts of the Ohio Substance Abuse Monitoring Network (OSAM) for the Ohio Department of Mental Health and Addiction Services (OhioMHAS)• Represent OhioMHAS with outside entities to provide state and federal agencies and communities with information related to drug use and behavioral health service trends...

  • Utilization Management Administrative Coordinator

    3 weeks ago

    Columbus, Ohio, United States Humana Full time

    Join a compassionate team dedicated to prioritizing healthThe Utilization Management Administrative Coordinator plays a vital role in the administration of utilization management processes. This position involves a variety of tasks and moderately complex administrative, operational, and customer support responsibilities. The coordinator will perform...

  • Chief Policy Officer

    3 weeks ago

    Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Primary Location: United States of America Work Locations: Ohio Department of Developmental Disabilities Organization: Ohio Department of Developmental Disabilities Schedule: Full-time Compensation: Negotiable About Us: The Ohio Department of Developmental Disabilities is dedicated to enhancing the quality of life for individuals with developmental...

  • Manager, Tax Administration

    2 months ago

    Columbus, United States Ultimus Fund Solutions, LLC Full time

    SUMMARY The Manager, Tax Administration is responsible for performing mutual fund regulatory and tax reporting functions in a manner that ensures fund objectives are met for the clients of Ultimus Fund Solutions (UFS.) This position performs duties including the training and supervision of team members and the processes used by them. KEY ACCOUNTABILITIES TAX...

  • Administrative Portfolio Manager

    2 weeks ago

    Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    About the RoleThe Ohio Department of Developmental Disabilities is seeking a skilled Portfolio Management Administrator to join our team. As a key member of our organization, you will be responsible for managing and coordinating various projects and initiatives.Key ResponsibilitiesDevelop and implement project management strategies to ensure successful...

  • Office Administrator

    7 days ago

    Columbus, Ohio, United States Vaco Full time

    {"h1": "Office Administrator Job Description", "p": "At Vaco, we are seeking a highly skilled Office Administrator to join our team. As an Office Administrator, you will be responsible for overseeing the day-to-day functioning of the office, ensuring that administrative processes run smoothly. This includes providing support to staff and management, handling...

  • Office Administrator

    7 days ago

    Columbus, Ohio, United States Vaco Full time

    {"h1": "Office Administrator Job Description", "p": "At Vaco, we are seeking a highly skilled Office Administrator to join our team. As an Office Administrator, you will be responsible for overseeing the day-to-day functioning of the office, ensuring that administrative processes run smoothly. This includes providing support to staff and management, handling...

  • Practice Manager, Columbus

    4 months ago

    Columbus, United States Piedmont Urgent Care by Wellstreet Full time

    Job DescriptionJob DescriptionROLE & RESPONSIBILTIES:Lead urgent care/occupational medicine center’s clinical and administrative teams to deliver consistent patient care excellence, exceptional customer service and operational effectiveness  create and foster a working environment that fosters teammate engagement and aligns with the Wellstreet core...

  • Case Management Administrative Supervisor

    1 month ago

    Columbus, United States Basecamp Recovery LLC Full time

    Job DescriptionJob DescriptionSalary: $24+Job descriptionReady to change your life by making a positive impact on our community daily? Interested in working in a compassionate and progressive environment? Basecamp Recovery Center is hiring a Case Management Supervisor! Our social workers, case managers, counselors, and medical team are integral in helping...

  • Administrative Assistant

    1 week ago

    Columbus, United States Ohio State University Wexner Medical Center Full time

    Administrative Assistant within the Division of Cardiovascular Medicine in the Department of Internal Medicine who performs a variety of administrative tasks to assigned faculty, administrators, and programs in support of patient care, academic, and research missions; manages and oversees administrative functions of the clinical operations for the Division...

  • Senior Physician Administrator

    3 weeks ago

    Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Position Overview The Ohio Department of Developmental Disabilities is seeking a qualified individual for the role of Physician Administrator 3. This position is pivotal in overseeing the operational aspects of healthcare services within the organization. Key Responsibilities Lead and manage various healthcare programs, ensuring compliance with state...

Managed Care Policy Administrator

4 months ago

Columbus, United States State of Ohio Full time

THIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS

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: Managed Care

Bureau: Managed Care Compliance & Oversight

Classification: Medicaid Health Systems Administrator 2 (PN 20047486)

Job Overview:

As the Managed Care Policy Administrator in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities may include:

* Planning, managing, evaluating, and implementing policies related to enrollment of individuals in Medicaid Managed Care programs as it relates to Next Generation Managed Care implementation
* Implementing Medicaid State Plan Amendments (SPA) and Ohio Administrative Code (OAC) rule changes, changes to managed care enrolled populations
* Developing pharmacy policy, provider agreement amendments, administrative rules, federal authorities, and guidance memorandums for Managed Care Plans
* Assisting in providing strategic oversight of policies and procedures governing Medicaid managed care
* Ensuring that managed care program policies and procedures comply with federal and state regulations by researching applicable regulations and working with appropriate ODM staff, federal and state agencies
* Assisting higher level administrators in development and coordination of overall programs relating to Medicaid health delivery systems and contacting managed care plans
* Explaining eligibility and enrollment in Managed Care Plans (MCPs) to individuals and stakeholders
* Research legislative inquiries utilizing state and federal regulations, contracts, and policy guidance
* Act as administrator for outward facing communication solutions

What's in it for you:

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

* Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans.

Dental, Vision and Basic Life Insurance

* Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.

Time Away From Work and Work/Life Balance

* Paid time off, including vacation, personal, and sick leave
* 11 paid holidays per year
* Childbirth/Adoption leave

Employee Development Funds

* The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.

Ohio Public Employees Retirement System

* OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee's salary. Visit the OPERS website for more information.

Deferred Compensation

* The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 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 analysis).

* Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note: education & experience is to be commensurate with approved position description on file.
* Or equivalent of Minimum Class Qualifications for Employment noted above.

Technical Skills: Health Administration

Professional Skills: Critical Thinking, Collaboration, Interpreting Data, Leading Others, Managing Meetings, Motivating Others, Verbal Communication, Written Communication