Managed Care Provider Agreement Manager
2 days ago
Office : Managed Care
Bureau : Managed Care Compliance & Oversight
Classification: Medicaid Health Systems Administrator 1 (PN: 20047489 )
Job Overview:
As Managed Care Provider Agreement Manager , your responsibilities will include:
- Developing and maintaining relationships with Managed Care Entities and stakeholders
- Analyzing contract language
- Organizing and reviewing contract language from various areas
- Developing, monitoring, and tracking changes to contract
- Maintaining a repository of contract changes
- Developing and delivering presentations to MCEs, ODM Leadership, and various stakeholder groups
- Evaluating the need to revise related Medicaid eligibility policies and procedures.
- Submitting proposals to CMS using CMS authorized portals
- Developing and maintaining various Teams channels
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 )
Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 months experience 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 as a Medicaid Health Systems Specialist, 65293.
-Or equivalent of Minimum Class Qualifications for Employment noted above.
Technical Skills: Health Administration
Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication
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