HCBS Waiver Provider Oversight Supervisor (Medicaid Health Systems Administrator 1) jobs in United States
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State of Ohio · 22 hours ago

HCBS Waiver Provider Oversight Supervisor (Medicaid Health Systems Administrator 1)

The State of Ohio is seeking an experienced health system administrator to supervise the Home and Community Based Service Waiver Provider Oversight unit. The role involves directing the work activities of the Provider Oversight staff, managing staff performance, and collaborating with contractors on waiver provider oversight activities.

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Responsibilities

Supervise and direct the work activities (e.g. Notice of Operational Deficiencies, Plan of Corrections, Proposed Adjudication Orders, quality reviews, etc.) of the Provider Oversight staff
Manage staff timekeeping and performance evaluations
Collaborate with the ODM Provider Oversight Contractor on waiver provider oversight activities
Attend meetings and provide input as the waiver provider oversight subject matter expert
Research and evaluate waiver provider oversight policies, procedures, rules, and regulations
Respond to complex waiver provider oversight inquiries from providers, members, internal teams, and sister state agencies

Qualification

Health AdministrationHealth Services Program ManagementHealth Care Data AnalysisHealth Services Contract ManagementEffective CommunicationConflict Resolution

Required

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)
If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code
Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure

Preferred

The preferred candidate will have a growth mindset
Possess effective communication skills and conflict resolution abilities

Benefits

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)

Company

State of Ohio

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Employment with the State of Ohio is more than ‘just a job’ – it is a privilege to serve our families, friends and neighbors who rely on us throughout our great state.

Funding

Current Stage
Late Stage

Leadership Team

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Beverlyn Johns, MS
Deputy Chief Operating Officer
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Holly Drake
State Chief Information Security Officer
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