What are the responsibilities and job description for the Medicaid Data Support Specialist (Medicaid Health Systems Specialist) position at Ohio Department of Medicaid?
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:
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.
Professional Skills: Collaboration, Interpreting Data, Verbal Communication, Written Communication, Analyzation
Organization
Medicaid
Agency Contact Name and Information
HumanResources@medicaid.ohio.gov
Unposting Date
Mar 2, 2025, 8:59:00 PM
Work Location
Lazarus 4
Primary Location
United States of America-OHIO-Franklin County-Columbus
Compensation
$33.45/hour
Schedule
Full-time
Work Hours
8:00 am - 5:00 pm
Classified Indicator
Classified
Union
1199
Primary Job Skill
Health Administration
Technical Skills
Data Analytics, Health Administration
Professional Skills
Analyzation, Collaboration, Interpreting Data, Verbal Communication, Written Communication
Agency Overview
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:
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
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.
Professional Skills: Collaboration, Interpreting Data, Verbal Communication, Written Communication, Analyzation
Organization
Medicaid
Agency Contact Name and Information
HumanResources@medicaid.ohio.gov
Unposting Date
Mar 2, 2025, 8:59:00 PM
Work Location
Lazarus 4
Primary Location
United States of America-OHIO-Franklin County-Columbus
Compensation
$33.45/hour
Schedule
Full-time
Work Hours
8:00 am - 5:00 pm
Classified Indicator
Classified
Union
1199
Primary Job Skill
Health Administration
Technical Skills
Data Analytics, Health Administration
Professional Skills
Analyzation, Collaboration, Interpreting Data, Verbal Communication, Written Communication
Agency Overview
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.
Salary : $33
