Assistant Medicaid Medical Director (Physician Administrator 2)

What You Will Do At ODM

Office: Health Innovation & Quality

Bureau: Health Innovation & Quality

Classification: Physician Administrator 2 (PN )

Job Overview

The Ohio Department of Medicaid (ODM) is recruiting for a Physician Administrator with significant clinical experience. As the Assistant Medicaid Medical Director, your duties will include:

• Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department’s population health strategies, health equity, and other goals aimed at improving the quality of, and access to, services delivered to the Medicaid population
• Directing other agency/department staff/teams to implement utilization management and quality improvement policies, operations, and/or programs
• Providing leadership for cross-functional teams with clear communication, interpretation of shared data and structured processes to ensure consistency across different Medicaid populations and programs
• Developing and overseeing processes to ensure oversight of managed care organizations’ adherence to provider agreement requirements, and state and federal regulatory requirements
• Ensuring policies and operations reflect industry standards for utilization management that can be applied to individual circumstances, using a person-centered, equity-focused approach
• Providing consultation on the application of structured quality improvement tools (e.g. Key Driver Diagrams and simplified Failure Effectiveness Mode Analyses to drive insights and improvements in health outcomes for varied Medicaid populations using a person-centered and equity focused approach
• Providing expertise of effective organizational and leadership skills to coach internal and external personnel, ensuring team progress in meeting agency goals.

Certificate to practice medicine in state of Ohio as issued by State Medical Board pursuant to Section & of Revised Code.

Technical Skills

Medical

Professional Skills

Collaboration, Goal Setting, Innovation, Leading Others, Managing Meetings, Organizing and Planning, Performance Management, Priority Setting, Decision Making, Delegation, Strategic Thinking

Work Location

Lazarus 5

Primary Location: United States of America-OHIO-Franklin County-Columbus

Compensation: Negotiable

Schedule: Full-time

Work Hours: 8:00 am - 5:00 pm

Classified Indicator: Unclassified

Union: Exempt from Union

Technical Skills

Health Administration, Medical

Professional Skills

Collaboration, Decision Making, Delegation, Goal Setting, Innovation, Leading Others, Managing Meetings, Organizing and Planning, Performance Management, Priority Setting, Strategic Thinking, Confidentiality

Agency Overview

THE WORK LOCATION OF THIS POSITION IS 50 WEST TOWN STREET, COLUMBUS, OHIO 43215. YOU WILL BE REQUIRED TO REPORT TO THIS WORK LOCATION, IF SELECTED.

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.