Medicaid Health Systems Specialist (PN 20083695)

Medicaid Health Systems Specialist

The Medicaid Health Systems Specialist serves as a key team member responsible for reviewing, coordinating, and responding to inquiries regarding services and supports through a formalized statewide communication system. This position plays a central role in supporting system innovation, policy interpretation, and technical assistance related to Medicaid services for individuals with developmental disabilities.

Communication & Coordination

• Review, coordinate, and respond to inquiries related to services and supports via a statewide communication system
• Compose and manage responses to correspondence and field inquiries.
• Provide information to constituents, individuals with developmental disabilities (DD), families, healthcare providers, county boards of DD (CB / DD), associations, and government agencies.
• Ensure health, safety, service quality, and satisfaction through clear and accurate communication.

Policy, Program & System Support

Training & Technical Assistance

Systems & Technology

Stakeholder Engagement & Representation

Monitoring, Reporting & Data Oversight

Other Duties

Why Work for the State of Ohio

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

Qualifications

Position requiring assessment or reassessment of clinical appropriateness of services & / or payment policies & / or related issues in regards to Medicaid health services delivery requires current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03 & 4723.09 of Ohio revised code; additional 24 mos. exp. in nursing. -Or for positions other than those requiring valid license as registered nurse, completion of undergraduate core program in business administration, social or behavioral science, health or statistics; additional 24 mos. exp. specific to subject area of which 12 mos. exp. in use of spreadsheet and database software. Note : education & experience to be commensurate with approved position description on file. -Or for positions other than those requiring valid license as registered nurse, 24 months experience as Medicaid Health Systems Analyst, (65291) may be substituted for the experience required, but not for the mandated licensure. -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

Technical Skills : Health Administration, Policy Direction, Professional, Regulatory Compliance

Professional Skills : Collaboration, Attention to Detail, Customer Focus, Time Management

To request a reasonable accommodation due to disability, please contact the ADA Coordinator by email at EEO-DiversityAffairs@dodd.ohio.gov.

Supplemental Information

ADA Statement

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.

Drug-Free Workplace

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.