Behavioral Health Policy Payment and Reimbursement Manager (Medicaid Health Systems Administrator 1)

What You Will Do At ODM

Office: Policy

Bureau: Behavioral Health Policy

Classification: Medicaid Health Systems Administrator 1 (PN 20097812)

Job Overview

The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to join our Behavioral Health Policy Team. As the Behavioral Health Policy Payment and Reimbursement Manager, your responsibilities will include:

• working collaboratively with internal and external stakeholders across a variety of organizations, departments, and state agencies to improve behavioral health care for the individuals served by ODM.
• maintaining and updating policy documents including provider enrollment, billing manuals, and policy guidance.
• collaborating with other ODM program areas including Provider Enrollment, Fiscal Intermediary, Managed Care, and OhioRISE for policy coordination and development.
• researching state and federal regulations to support policy development and implementation.
• responding to inquiries related to the application of Medicaid behavioral health policy.
• assisting in policy and program development for new services and enhancements to existing vendor systems.
  
  

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).

• Or 12 months experience has Medicaid Health Systems Specialist, 65293. Note: education & experience is to be commensurate with approved position description on file.
• Or equivalent of Minimum Class Qualifications for Employment.
  
  

Job Skills: Health Administration

Technical Skills: Public Health, Program Management, Behavioral Health

Professional Skills: Collaboration, Innovation, Critical Thinking

Organization

Medicaid

Agency Contact Name and Information

HumanResources@medicaid.ohio.gov

Unposting Date

Mar 29, 2026, 11:59:00 PM

Work Location

Lazarus 5

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$39.22/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

Behavioral Health, Program Management, Public Health

Professional Skills

Collaboration, Critical Thinking, Innovation

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.

Responsibilities

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.