Medicaid School Program Administrator -… at State of Ohio · Columbus

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 Ohio Department of Medicaid (ODM) is seeking an experienced healthcare leader to oversee ongoing program policy and new policy development for the Medicaid School Program. The Medicaid School Program is jointly administered by ODM and the Ohio Department of Education and Workforce and exists to ensure student access to necessary health-related services in the school setting. As the Medicaid School Program Administrator, your responsibilities will include:

• becoming a subject matter expert on the Medicaid School Program
• developing policies and directing implementation of the Medicaid School Program
• directing the development of administrative rules, state plans, and interagency agreements governing the Medicaid School Program
• monitoring current operations and making policy and operational recommendations for reducing administrative burden and increasing appropriate utilization
• serving as lead in the ODM’s communications with sister agencies, school districts, and federal partners such as the Centers for Medicare and Medicaid Services (CMS)
• coordinating Medicaid School Program work and resources with managed care organizations and operational contractors (e.g., provider network module, fiscal intermediary, actuary)
• working collaboratively with internal and external stakeholders across departments, agencies, stakeholders, and managed care organizations to optimize program and student outcomes

The Ohio Department of Medicaid does not provide employment-based visa sponsorship.

Compensation is as listed on the posting unless required by legislation or union contract.

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.