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Waiver Clinical Manager (Medicaid Health Systems Administrator 1)

Ohio Department of Medicaid
Columbus, OH Full Time
POSTED ON 11/28/2025 CLOSED ON 12/28/2025

What are the responsibilities and job description for the Waiver Clinical 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 20100582)

Job Overview

The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to be part of our Home and Communty-Based Services (HCBS) Care Coordination Team. As the Waiver Clinical Manager, your responsibilities will include:

  • Overseeing and evaluating care management services and waiver administration practices for Ohio Department of Aging (AGE) and Ohio Department of Developmental Disabilities (DODD) waivers.
  • Assisting in the development of innovative program initiatives designed to improve access to health services for HCBS populations (e.g. individuals with chronic conditions, older adult populations, children with special health care needs, and populations with developmental disabilities).
  • Overseeing and monitoring collaborative initiatives between Managed Care Plans and Waiver Agency Care Management programs.
  • Managing the reviewal, analyzation, and interpretation of data and reports.
  • Recommending follow up activities related to Managed Care Plan and Waiver Agency Care Management program performance .
  • Coordinating policy and program planning and ensuring care management delivery systems are implemented within a population health model.
  • Collaborating with sister state agencies in order to redesign and promote the Participant Directed model of care.

Preferable licensure for this position is: Licensed Social Worker, Licensed Professional Counselor, Registered Nurse, or Licensed Allied Health Professional

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

Professional Skills: Collaboration, Goal Setting, Analyzation, Performance Management

Organization

Medicaid

Agency Contact Name and Information

HumanResources@medicaid.ohio.gov

Unposting Date

Dec 8, 2025, 4:59:00 AM

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

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