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Managed Care Policy Administrator (Medicaid Health Systems Administrator 2)

Ohio Department of Medicaid
Columbus, OH Full Time
POSTED ON 1/28/2026 CLOSED ON 2/26/2026

What are the responsibilities and job description for the Managed Care Policy Administrator (Medicaid Health Systems Administrator 2) position at Ohio Department of Medicaid?

What You Will Do At ODM:

Office: Managed Care

Bureau: Policy & Program Development

Classification: Medicaid Health Systems Administrator 2 (PN: 20094621)

Job Overview:

As the Managed Care Policy Administrator in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities may include:

  • Planning, managing, evaluating, and analyzing policies related to member and provider contracted deliverables in Medicaid Managed Care Programs
  • Implementing Medicaid State Plan Amendment (SPA) and Ohio Administrative Code (OAC) rule changes, changes to managed care programs
  • Communicating responsibility and obligation of managed care entities (MCEs) to individuals and other government agencies
  • Developing policy, provider agreements and guidance memorandum
  • Providing additional direction in the processing of provider agreements, administrative rules, state directed payments, and federal authorities
  • Assisting in providing strategic oversight of policies and procedures governing Medicaid managed care
  • Ensuring that managed care program policies and procedures comply with federal and state regulations by researching applicable regulations and working with appropriate ODM staff, federal and state agencies
  • Assisting higher level administrators in development and coordination of overall programs relating to Medicaid health delivery systems and contacting managed care plans
  • Formulating policy and recommends legislative and programmatic changes

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 mos. exp. in planning & administering 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 analysis).

  • Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note: education & experience is to be commensurate with approved position description on file.
  • Or equivalent of Minimum Class Qualifications for Employment noted above.

Technical Skills:

Health Administration

Professional Skills: Attention to Detail, Collaboration,

Critical Thinking, Decision Making, Goal Setting, Managing Meetings, Organizing and Planning, Verbal Communication, Written Communication

Organization

Medicaid

Agency Contact Name and Information

HumanResources@medicaid.ohio.gov

Unposting Date

Feb 10, 2026, 11:59:00 PM

Work Location

Lazarus 4

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$43.09/hour

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

Exempt from Union

Primary Job Skill

Health Administration

Technical Skills

Health Administration

Professional Skills

Attention to Detail, Collaboration, Critical Thinking, Decision Making, Goal Setting, Managing Meetings, Organizing and Planning, Verbal Communication, Written Communication

Agency Overview

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.

Salary : $43

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