Senior Manager - OMES Contract (Medicaid Health Systems Administrator 3)

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

THIS POSITION IS UNCLASSIFIED PER 124.11 (A) (9), OHIO REVISED CODE.

Compensation is as listed on the posting unless required by legislation or union contract.

This position is overtime exempt.

Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.

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.

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.

What You Will Do at ODM:

Office: Data & Integrated Systems

Classification: Medicaid Health Systems Administrator 3 (PN 20102376)

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking an experienced Contract Administrator with a focus on system integration to manage the lifecycle of contracts for the Ohio Medicaid Enterprise System (OMES), ensuring compliance, efficiency, and alignment with business objectives. This role involves overseeing contract performance, coordinating stakeholder communication, ensuring that delivery of contract responsibilities meets federal, state and agency requirements, managing change processes, approving invoices, and identifying opportunities to optimize contract utilization. As the Senior Manager - OMES Contract, your responsibilities will include:

• Collaborates with internal and external stakeholders to align on contract performance and address any issues. External stakeholders will include vendor executives, senior leadership in sister agencies, and other public forums

• Formulates and implements program policies and procedures to ensure compliance with state and federal Medicaid regulations, effective service delivery, and alignment with agency strategic goals

• Monitors contract compliance, ensuring vendors meet service levels, performance metrics, and Maintenance & Operations (M&O) responsibilities, and address any non-compliance or performance issues

• Oversees system integration efforts, reviewing vendor work to ensure alignment with technical requirements, timelines, and contractual obligations

• Oversees change management processes, including approval and implementation of contract modifications

• Manages contract budgets, monitors financials, and oversees invoice review and approval to ensure alignment with contractual terms

• Monitors and ensures the timely delivery of contract deliverables, ensuring alignment with project timelines and overall objectives

• Provides regular updates to leadership on contract performance, system integration progress, risks, and status

• Interprets federal & state laws & regulations to ensure contract compliance

• Reviews & interprets policy & procedures & recommends modifications to the contract and/or the policy. Establishes procedures/guidelines to help standardize policy across projects, and agencies and makes recommendations for modifications between systems

• Makes project presentations to organization/executive management to assist with contract negotiation/change (e.g., cost, assignments, objectives) within project
  

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.

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: Information Technology, Change Management, Program Management, Project Management, Systems Analysis

Professional Skills: Analyzation, Results Oriented, Continuous Improvement, Attention to Detail, Leading Others