Who We Are 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. What You'll Do Office: Managed Care Bureau: Contract Managementt Compliance Classification: Medicaid Health Systems Administrator 1 (PN: 20087084) Job Overview: As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include: · Managing program information and conducting analyses to inform and direct policy changes and updates · Conducting evaluations for managed care plans · Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives · Leading on managed care related policy issues, implementations, and targeted reviews · Working with the managed care plans to identify areas of concern · Reviewing and approving policies · Ensuring system updates are implemented timely and accurately, and providing technical assistance when required · Communicating any compliance actions to the assigned Managed Care Plans There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with. MyCare Plans: · Anthem · Buckeye Health Plan · CareSource · Molina HealthCare of Ohio, Inc. Managed Care Organizations (MCOs) · AmeriHealth Caritas Ohio, Inc. · Anthem Blue Cross and Blue Shield · Buckeye Health Plan · CareSource · Humana Healthy Horizons in Ohio · Molina HealthCare of Ohio, Inc. · UnitedHealthcare Community Plan Additional Information 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. The work location of this position is 50 West Town Street, Columbus, Ohio 43215. You will be required to report to this work location full-time, if selected. 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.