Office : Health Innovation & Quality
Bureau : Health Innovation & Quality
Classification : 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.
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
- Medical Coverage
- Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
- Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
- Childbirth, Adoption, and Foster Care leave
- Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
- Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
QualificationsCertificate to practice medicine in state of Ohio as issued by State Medical Board pursuant to Section 4731.14 & 4731.281 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
