County Engagement Manager (Medicaid Health Systems Admin 1)

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.

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.

The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.

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.

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.

What You Will Do at ODM:

Office: Operations

Bureau: Business Operational Support

Classification: Medicaid Health Systems Administrator 1, PN 20097684

PN 20097684 This position will oversee the Southwest Ohio region which include the following counties:

Vanwert, Putnam, Allen, Mercer, Darke, Preble, Butler, Auglaize, Shelby, Miami, Montgomery, Greene, Clark, Champaign, Logan, Union, Hardin

Job Overview:

This position will require travel throughout Ohio, some of which will include overnight stays.

As the County Engagement Manager in the Office of Operations, Ohio Department of Medicaid (ODM), your responsibilities will include:

Develop and maintain relationships between ODM and county JFS offices

Maintain communication with CDJFS by attending in-person & virtual meetings

Provide strategic oversight of CDJFS’ Medicaid eligibility health care delivery operations (e.g., application processing, eligibility system business requirements, customer experience services levels, workforce management/planning) through county engagement and evaluation

Analyze data from various reports and ascertain analysis of the data

Ensure CDJFS’ compliance with Medicaid eligibility rules, policies, and procedures

Conduct business needs assessment of Southwest engagement region (eligibility policy training, system training, and eligibility system needs).

Develop and implement policies and procedures governing the delivery of Medicaid eligibility health care services administered by CDJFS to Ohio’s Medicaid population.

Evaluate the need to revise related Medicaid eligibility policies and procedures.

Respond to sensitive inquiries and contacts from ODM Leadership, Ohio Job and Family Services Directors’ Association, sister-state agencies, public and government officials

Develop and deliver presentations to state and county agencies, community and advocacy groups, and stakeholder associations.

Develop and monitor evaluation process for CDJFS operational changes.

Collaborate with CDJFS to achieve high service levels and integrate quality improvement approaches to streamline county eligibility operations.

Plan and direct CDJFS health care service quality improvement initiatives

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.

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.

Job Skills: Health Administration