Demo

Medicaid Data Support Specialist (Medicaid Health Systems Specialist)

Ohio Department of Commerce
Columbus, OH Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 5/29/2025

What You Will Do At ODM :

Office : Legal Counsel

Bureau : Program Integrity

Classification : Medicaid Health Systems Specialist (PN : 20090846 )

Job Overview :

The Ohio Department of Medicaid (ODM) is seeking a healthcare professional to be a part of our Data Support team for the Surveillance and Utilization Review Section (SURS). SURS is part of the Bureau of Program Integrity which focuses on fraud, waste, and abuse related activities and supports quality of care. As a Medicaid Data Support Specialist, your responsibilities will include :

  • Compiling complex, data reports and / or summaries for internal and external entities related to reviewing Medicaid Providers for compliance using a variety of technological systems and applications
  • May assist IT staff as an SME in the development and / or testing of technology systems (e.g. Enterprise Data Warehouse (EDW)) and analytical systems for decision support
  • Establishing standards for data consistency, reporting and analytic support
  • Handling confidential records and information
  • Coordinating with department staff and systems

The preferred candidate will have experience compiling and analyzing complex data reports.

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 undergraduate core program in business administration, social or behavioral science, health or statistics; additional 24 mos. exp. specific to subject area of which 12 mos. exp. in use of spreadsheet and database software.

    Note : education & experience to be commensurate with approved position description on file.

  • Or 24 months experience as Medicaid Health Systems Analyst, (65291)
  • Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
  • Technical Skills : Health Administration, Data Analytics

    Professional Skills : Collaboration, Interpreting Data, Verbal Communication, Written Communication, Analyzation

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