Healthcare Contract Manager

5 days ago


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

As a Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), you will be responsible for managing program information and conducting analyses to inform and direct policy changes and updates. You will also conduct evaluations for managed care plans, perform research and answer questions related to legislative and policy initiatives, and lead on managed care related policy issues, implementations, and targeted reviews.

Key Responsibilities
  • Manage program information and conduct analyses to inform and direct policy changes and updates
  • Conduct evaluations for managed care plans
  • Perform research and answer questions related to legislative and policy initiatives
  • Lead on managed care related policy issues, implementations, and targeted reviews
  • Work with managed care plans to identify areas of concern
  • Review and approve policies
  • Ensure system updates are implemented timely and accurately, and provide technical assistance when required
  • Communicate any compliance actions to the assigned Managed Care Plans
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
  • Dental, Vision and Basic Life Insurance
  • Time Away From Work and Work/Life Balance
  • Employee Development Funds
  • Ohio Public Employees Retirement System
  • Deferred Compensation
Qualifications

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

Technical Skills

Health Administration

Professional Skills

Collaboration, Decision Making, Leading Others, Managing Meetings, Motivating Others, Performance Management, Time Management, Verbal Communication, Written Communication



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