Medicaid Medical Director (Physician Administrator 3)

Office : Health Innovation & Quality

Classification :

Job Overview :

The Ohio Department of Medicaid (ODM) is recruiting for a Physician Administrator with significant experience in clinical oversight to provide medical and clinical expertise and leadership to plan, coordinate, and direct all aspects of design, implementation, monitoring, and clinical evaluation of the ODM's efforts to transform health care delivery of Medicaid covered services for Ohio's Medicaid population. As the Medicaid Medical Director of Ohio's largest healthcare provider, your duties will include:

• Defining ODM goals and objectives to improve health outcomes and overall healthcare quality in Ohio as detailed by the Ohio Medicaid Quality and Population Health Strategy and the associated metrics for Ohio's Medicaid population
• Serving as clinical authority for ODM providing clinical oversight, input, and approval of coverage policies for all Medicaid services including pharmacy for eligible Ohioans in varied programs (Fee-For-Service, Managed Care, waivers)
• Providing leadership and oversight to utilization management, care coordination, and population health initiatives
• Ensuring integration with other Department functions with alignment of policy, best clinical practice, and consumer needs using a person-centered approach, ensuring compliance with all state and federal regulations
• Monitoring the delivery and cost-effectiveness of medical services and materials across varied provider types and care contexts and takes action to improve health system performance and patient experience
• Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors, Bureau Chiefs, supervisors and management personnel and/or medical support personnel

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.

Qualifications

Certificate to practice medicine as issued by State Medical Board pursuant to Sections 4731.14 & 4731.281 of Revised Code.

Job Skills: Medical

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