Top 9 Management care navigator Jobs in Columbus

Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid holidays
- Health insurance
Health Coach Care Coordinator Team Lead
PRESCRIBE FIT INC —Columbus, OH
- Full-time
- Nursing
- Mid-level
- Office
- Paid time off
- Flextime
Quick Apply
Full Time Home Health Care Office Manager
Caring Life Services —Columbus, OH
- Email
- Customer service
- Mid-level
- Office
- Health insurance
- Paid time off
Quick Apply
Health Care Technology Strategy Senior Manager
Deloitte —Columbus, OH
- $190,200 - $372,000 a year
- Full-time
- Up to 50% travel
- Bachelor's degree
- Travel
Outpatient Lead Nurse Navigator, Maternal Fetal Medicine
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- 5 years
Office Manager - HOME HEALTH CARE OFFICE
PRICY STAFFING & HOMECARE AGENCY LL —Worthington, OH
- $16 - $22 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Office
Quick Apply
HOME HEALTH CARE - DIRECTOR OF NURSING
PRICY STAFFING & HOMECARE AGENCY LL —Worthington, OH
- $40 - $55 an hour
- Full-time
- Nursing
- RN License
- 5 years
Quick Apply

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Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Performing research and answering questions related to…
$40.40 an hour
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Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

State of Ohio - Medicaid -
Columbus, OH

Apply Now

Job Details

Full-time
$40.40 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance
Loan forgiveness
Life insurance

Qualifications

Legislative analysis
Health policy analysis
Health data analysis
Finance
Managed care organization experience
Healthcare Administration
Mid-level
Contract management experience in healthcare
Social Sciences
Public Administration
Medicaid health insurance
Analysis skills
Driver's License
Policy & process development
Compliance management
Budget planning
Public Health
Continuous improvement
Legislation
Project management experience in healthcare
Policy research projects
Contracts
Medicaid
Budget management in healthcare
Healthcare policy development
1 year
Project contract management
Business
Communication skills
Policy Development

Full Job Description

What You Will Do At ODM:

Office: Managed Care

Bureau: Contract Management & Compliance

Classification: Medicaid Health Systems Administrator 1 (PN: 20089575)

Job Overview:

As the Managed Care Contract Manager in the Office of Managed Care, Ohio Department of Medicaid (ODM), your responsibilities will include:

Managing program information and conducting analyses to inform and direct policy changes and updates
Conducting evaluations for managed care plans
Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives
Leading on managed care related contract issues, implementations, and targeted reviews
Working with the Managed Care plans to identify areas of concern and provide technical assistance as needed.
Reviewing and approving submitted reports and deliverables outlined in the Managed Care Provider Agreements
Communicating any compliance actions to the assigned Managed Care Plans

There are 4 MyCare Plans and 7 Managed Care Organizations (MCOs) that you will be working with.

MyCare Plans:

Anthem Blue Cross and Blue Shield
Buckeye Health Plan
CareSource
Molina HealthCare of Ohio, Inc.

Managed Care Organizations (MCOs)

AmeriHealth Caritas Ohio, Inc.
Anthem Blue Cross and Blue Shield
Buckeye Health Plan
CareSource
Humana Healthy Horizons in Ohio
Molina HealthCare of Ohio, Inc.
UnitedHealthcare Community Plan

Why Work for the State of Ohio

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; 12 months experience in the delivery of a 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 Specialist, 65293.

Or equivalent of Minimum Class Qualifications for Employment noted above.

Technical Skills: Health Administration

Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication

Supplemental Information

Supplemental Information:

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

This positions 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.

Candidates selected for an interview will be required to complete a written assessment as part of the interview process.

ADA Statement

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.

Drug-Free Workplace

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.

Apply Now

Refine Your Search

management care navigator jobs in columbus

Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

Health Coach Care Coordinator Team Lead

Full Time Home Health Care Office Manager

Health Care Technology Strategy Senior Manager

Outpatient Lead Nurse Navigator, Maternal Fetal Medicine

Office Manager - HOME HEALTH CARE OFFICE

HOME HEALTH CARE - DIRECTOR OF NURSING

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