What are the responsibilities and job description for the Care Coordination Oversight Manager (Medicaid Health Systems Administrator 1) position at Ohio Department of Medicaid?
What You Will Do At ODM
Office: Policy
Bureau: Long Term Services & Supports
Classification: Medicaid Health Systems Administrator 1 (PN 20087324)
Job Overview
The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to be part of our Managed Care Care Coordination Team. This position will provide care coordination oversight for the following Managed Care Organizations (MCOs):
UnitedHealthcare
Humana Healthy Horizons
As a Care Coordination Oversight Manager, your responsibilities will include:
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).
Technical Skills: Public Health, Program Management
Professional Skills: Collaboration, Goal Setting, Analyzation, Performance Management
Organization
Medicaid
Agency Contact Name and Information
HumanResources@medicaid.ohio.gov
Unposting Date
Dec 7, 2025, 8:59:00 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
Program Management, Public Health
Professional Skills
Analyzation, Collaboration, Goal Setting, Performance Management
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:
Office: Policy
Bureau: Long Term Services & Supports
Classification: Medicaid Health Systems Administrator 1 (PN 20087324)
Job Overview
The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to be part of our Managed Care Care Coordination Team. This position will provide care coordination oversight for the following Managed Care Organizations (MCOs):
UnitedHealthcare
Humana Healthy Horizons
As a Care Coordination Oversight Manager, your responsibilities will include:
- Overseeing and monitoring care coordination delivery services provided by ODM's MCOs.
- Providing oversight in the development of innovative program initiatives designed to improve access to health services.
- Overseeing the coordination of policy and program planning by researching delivery systems within a population health model and providing feedback on findings.
- Reviewing, analyzing, and interpreting data (e.g. analysis data collected from consumer surveys) and reports and providing recommendations for follow up activities related to performance.
- Overseeing external quality review activities, including the development of administrative reports.
- Working collaboratively with internal and external stakeholders across a variety of departments, levels, state agencies, and MCOs to improve care coordination for the individuals served by ODM.
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.
Technical Skills: Public Health, Program Management
Professional Skills: Collaboration, Goal Setting, Analyzation, Performance Management
Organization
Medicaid
Agency Contact Name and Information
HumanResources@medicaid.ohio.gov
Unposting Date
Dec 7, 2025, 8:59:00 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
Program Management, Public Health
Professional Skills
Analyzation, Collaboration, Goal Setting, Performance Management
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.
Salary : $39