Medicaid Health Systems Administrator 2

State of Ohio Jobs - Ohio3.9

30+ days ago
UNLESS REQUIRED BY LEGISLATION OR UNION CONTRACT, STARTING SALARY WILL BE SET AT STEP 1 OF THE PAY RANGE

Office: Health Innovation & Quality

Bureau: Health Research & Quality

Working Title: Clinical Data Administrator (PN 20096804)

Job Preview:
The Ohio Department of Medicaid (ODM) is recruiting for an administrator to oversee its Clinical Data Analytics Unit.

The Clinical Data Administrator will manage one unit which will responsible for the implementation and integration of clinical data (Electronic Heath Records [EHR]) with other data sources (e.g., Medicaid claims and eligibility) for analytical work related to quality of health care and population-based health for Medicaid. This includes developing a strategy for using EHR to evaluate evidence-based best practices and in Medicaid’s Quality Strategy for clinical performance measurement.

In this position, you will direct the development and implementation of clinical data (EHR) coordinating with other ODM bureaus and sections, as well as across State agencies and external entities to ensure adequate utilization of clinical data (EHR) in all aspects of the Medicaid program and compliance with federal requirements related to EHR and Health Care Reform (e.g., meaningful use requirements). In addition, you will supervise one unit of programmatic and analytical management staff.

Job Description:
Under general direction, plans, coordinates, evaluates and directs activities of one unit or multiple teams related to multiple statewide components of Medicaid health care delivery systems (e.g., health systems program policy analysis and development) for clinical data (i.e., Electronic Health Record [EHR] Technology and Health Care Reform [HCR]); oversees and directs the development and implementation of data-driven initiatives to adopt, implement and enhance certified EHR; directs research, analysis and evaluation of evidence-based best practices and applies findings to the development of quality performance goals based on EHR; manages programmatic technical assistance of EHR and HCR with local agencies directly managing medical service delivery systems to ensure adequate utilization of EHR in all aspects of the Medicaid program; ensures implementation of HCR and compliance with federal maintenance of effort fiduciary requirements; directs, implements & monitors policy regarding HCR; Supervises lower-level supervisory, professional, technical &/or administrative support staff (e.g., establishes goals & monitors & evaluates performance; assigns work & provides work direction, reviews work & provides feedback; encourages staff development, makes recommendations for hire, approves/disapproves leave requests, recommends disciplinary action).

Coordinates program policies and procedures, project initiatives and/or proposed legislation with other agency representatives (e.g., Bureaus of Health Plan Policy, Office of Managed Care, Office of Information & Technology Services, Office of Legal Services) for use of clinical data (i.e., EHR); provides advice to higher-level management to improve performance of staff &/or external entities; collaborates with multiple ODM bureaus and sections, as well as across State agencies and other external entities (e.g., the Ohio Health Information Partnership (OHIP), regional extension centers, Clinisync, and HealthBridge to integrate clinical data and leverage broad adoption of EHR with other data sources and into data systems; develops recommendations based on quality assurance findings; assists deputy director &/or bureau chief in long range strategic planning; gathers and brings into line, internal business perspectives to identify opportunity areas and capabilities across multiple data sources and systems in conjunction with EHR to be used in establishing a multi-year roadmap to improve health outcomes of Ohio Medicaid consumers.

Represents ODM and Medicaid Director at meetings, conference and seminars; represents ODM and liaises with community, providers, legislative committees, sister-state agencies & federal agencies; responds to sensitive contacts from public, providers, sister-state agencies and government officials; directs development of analytical tools and data visualization techniques; prepares &/or directs preparation of correspondence, administrative reports, analysis & quality assessments; operates personal computer & applicable software applications (e.g., Word, Excel, Access) to create, store, retrieve correspondence, reports & spreadsheets; testifies at legislative public hearings; advises bureau chief &/or deputy director regarding various issues &/or problems.

Performs other related job duties (e.g., conducts & attends staff meetings; attends meetings & training sessions; travels to meeting sites; maintain records, logs & files).

Qualifications

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 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 analysis).

Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295.

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

  • Or equivalent of Minimum Class Qualifications for Employment noted above.
Knowledge of social or behavioral science; business or public administration and management practices; health care federal & state laws & regulations; public medical assistance programs; agency policies & procedures; health care statistics, terminology & methods; purchasing & payment practices of health care services; comprehensive health planning; public budgeting & finance; public relations; employee training & development; supervisory principles & techniques. Skill in operating personal computer & applicable software applications. Ability to analyze & apply multiple factors & present findings & conclusions; read & comprehend clinical records; determine appropriate level of health care; determine accuracy of clinical assessments & data; assess & monitor quality assurance & corrective action plans; prepare & oversee comprehensive & technical reports; interpret social welfare information & technical materials in books, journals & manuals; handle sensitive contacts & inquires from public, consumers, providers & government officials in person, via telephone &/or written correspondence.
Demonstrated competence in the following: developing self, adapting for impact, continuously improving quality, focusing on customers, acting with integrity, building productive relationships, developing staff & others, fostering team development, directing & measuring work, informing, managing priorities, making effective decisions, valuing cultural diversity, managing projects, leveraging organizational resources, demonstrating intellectual capacity, &/or thinking strategically, managing change, navigating organizational politics, cultivating vision & purpose, innovating, solving problems, & acting decisively.

(*) Developed after employment.

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.

THIS POSITION IS OVERTIME EXEMPT.

THE FINAL CANDIDATE SELECTED FOR THIS POSITION WILL BE REQUIRED TO UNDERGO A CRIMINAL BACKGROUND CHECK. CRIMINAL CONVICTIONS DO NOT NECESSARILY PRECLUDE AN APPLICANT FROM CONSIDERATION FOR A POSITION. AN INDIVIDUAL ASSESSMENT OF AN APPLICANT'S PRIOR CRIMINAL CONVICTIONS WILL BE MADE BEFORE EXCLUDING AN APPLICANT FROM CONSIDERATION.

All answers to the supplemental questions must be supported by the work experience/education provided on your civil service application.

NOTE: Attachments to your application are no longer accepted Please be sure to provide detail in the job duty section of the application.

Primary Location: United States of America-OHIO
Organization: Ohio Department of Medicaid
Classified Indicator: Classified
Bargaining Unit / Exempt: Exempt
Schedule: Full-time
Work Hours: 8:00am - 5:00pm
Compensation: $33.96
Unposting Date: Aug 27, 2018, 10:59:00 PM