Nursing Facility Policy Section Chief (Medicaid Health Systems Administrator 3)

Ohio Department of Aging

• $80K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Graduate degree in business, public administration, or related field.
  • 3 years of experience in health services program planning and administration.
  • Expertise in health care data analysis and contract management.
  • Strong communication skills related to health services program.
  • Experience with budgeting and HMO or hospital rate development.

Responsibilities

  • Lead the Nursing Facility Policy Section with strategic oversight.
  • Coordinate NF claim resolution strategies for policy alignment and efficiency.
  • Support and guide a tiered team structure in policy implementation.
  • Represent ODM in stakeholder discussions on NF policy and strategy.
  • Serve as executive liaison, presenting policy recommendations to leadership.
  • Facilitate cross-functional collaboration across ODM divisions.

Benefits

  • Medical coverage for employees.
  • Free dental, vision, and life insurance after eligibility period.
  • Generous paid time off including 11 holidays annually.
  • Parental leave for childbirth, adoption, and foster care.
  • Opportunities for education and professional development.
  • Access to public retirement systems and optional deferred compensation plans.
Full Job Description
Office: Policy

Bureau: Long Term Services & Supports (LTSS)

Classification:

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking an LTSS policy leader to join our team. This position will oversee our Nursing Facility (NF) Policy Section. As the NF Policy Section Chief, your responsibilities will include:
  • Acting as a strategic leader for NF policy across ODM, overseeing interpretation, development, and implementation related to ORC, OAC, and operational standards.
  • Overseeing the organization's NF claim resolution strategy to ensure policy alignment, operational efficiency, and risk mitigation.
  • Providing leadership to a tiered team structure, offering direct support to frontline staff while guiding and developing management.
  • Representing ODM as the senior leader in key stakeholder discussions on NF policy, guiding strategic direction and resolving complex issues.
  • Serving as the executive liaison for NF policy, presenting recommendations to ODM leadership and shaping long-term policy strategy.
  • Driving cross-functional collaboration across ODM divisions including fiscal, legal, care coordination, and managed care to ensure coordinated and unified policy execution.


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

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 36 mos. exp. in planning & administering 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 as a Medicaid Health Systems Administrator 2, 65296. Note: education & experience is to be commensurate with approved position description on file.

-Or equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Health Administration

Technical Skills: Management, Program Management

Professional Skills: Leading Others, Collaboration, Coaching, Establishing Relationships, Organizing and Planning

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