Top 15 Contract and claims manager Jobs in Columbus

Long-Term Care Rate Setting Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Analysis skills
- Driver's License
- Travel
- Paid holidays
- Health insurance
14d
Safety Manager
Charles Taylor —New Albany, OH
- Contract
- Construction site
- Mid-level
- 3 years
Quick Apply
2d
Outbound Senior Logistics Manager
Gifthealth Inc —Columbus, OH
- $122,900 - $153,625 a year
- Full-time
- Hybrid work
- ERP systems
- HIPAA
- Analysis skills
Quick Apply
14d
Sr. Manager, Account Operations - Prior Authorization Network
McKesson —Columbus, OH
- $97,900 - $163,100 a year
- Mentoring
- Contracts
- Experience equivalent to degree accepted
7d
Construction Project Manager - Food & Beverage (St. Louis or Columbus)
Burns & McDonnell —Columbus, OH
- $155,000 - $230,000 a year
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
L&S Assistant Procurement Manager - MGF Heavy & Bulky NAM-2
Maersk —Groveport, OH
- $70,000 - $85,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Paid time off
Assistant Construction Manager - Transmission & Distribution (Multiple Locations)
Burns & McDonnell —Columbus, OH
- $110,000 - $160,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Construction site
- Health insurance
- 401(k)
Project Manager III - East Region
Quanta Services —Columbus, OH
- Full-time
- 6 years
- Construction site
- Engineering
- Paid holidays
- Disability insurance
Construction Project Manager - Mission Critical (Columbus)
Burns & McDonnell —Columbus, OH
- $155,000 - $230,000 a year
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Construction Project Manager - Transmission & Distribution (Multiple Locations)
Burns & McDonnell —Columbus, OH
- $155,000 - $230,000 a year
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Project Manager III - East Region
PAR Electrical Contractors, LLC —Columbus, OH
- Full-time
- 6 years
- Construction site
- Engineering
- Paid holidays
- Disability insurance
Construction Manager / Construction Engineer
Arcadis —Columbus, OH
- $85,000 - $150,000 a year
- Microsoft Excel
- Construction site
- Engineering
- Paid parental leave
- AD&D insurance
High Income Roofing Sales With LEADS.
Lifesheild Roofing —Dublin, OH
- $120,000 - $350,000 a year
- Full-time
- Writing skills
- Contracts
- Construction experience
- Paid training
- Flexible schedule
Quick Apply

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Long-Term Care Rate Setting 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. Exp. in the delivery of a health services program or…
$40.40 an hour
14d

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contract and claims manager jobs near columbus

Long-Term Care Rate Setting Manager (Medicaid Health Systems Administrator 1)

State of Ohio - Medicaid -
Columbus, OH

Apply Now

Job Details

Full-time
$40.40 an hour
14 days ago

Benefits

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

Qualifications

Legislative analysis
Healthcare claims management
Contract management
Incentive plan management
Health data analysis
Finance
Enterprise software
Healthcare Administration
Contract management experience in healthcare
Social Sciences
Public Administration
Legislative regulatory analysis
Analysis skills
Driver's License
Public Health
Medical billing data analysis
Legislation
Project management experience in healthcare
Pricing analysis experience within healthcare industry
Cost analysis report preparation
Healthcare financial management
Cost estimate preparation
Medicaid regulations
Medicaid
Budget management in healthcare
Business Administration
Healthcare policy development
Budget preparation
1 year
Senior level

Full Job Description

What You Will Do at ODM:

Office: Policy

Bureau: Long Term Services & Supports

Classification: Medicaid Health Systems Administrator 1 (PN 20047434)

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking an experienced professional to join the Nursing Facility (NF) Long-Term Care (LTC) Rate Setting Team. This team is responsible for developing, maintaining, and analyzing NF reimbursement rates, as well as supporting related operational, policy, and regulatory functions. This role will oversee rate development and the analytical, operational, and policy work that supports Ohio’s NF reimbursement program. As the NF LTC Rate Setting Manager, your responsibilities will include:

Developing semi-annual NF rates and managing rate adjustments throughout the year (e.g. CHOW/CHOP updates, new facilities, and rate reconsiderations).
Performing data analysis related to NF claims, cost reports, franchise permit fee, and upper payment limit calculations.
Maintaining and operating NF rate setting components within the Ohio Medicaid Enterprise System (OMES).
Reviewing legislative proposals, inquiries, statutes, and rules related to NF rates, providing feedback, cost estimates, and budget projections.
Collaborating with teams across Policy, Budget, Data Governance, Fiscal, Franchise Permit Fee, and LTC Enrollment to ensure consistent communication and alignment on rate related initiatives.
Managing the NF Private Room Incentive Program (e.g. rule review, application approvals and denials, attestation processes, and monitoring claims to ensure spending remains within the cap).
Monitoring NF enrollment, MDS trends, cost report patterns, Medicaid days, licensed beds, and other key data to support projections and policy development.
Responding to inquiries from NF associations, managed care plans, and providers regarding NF rates.

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 mos. exp. 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 has Medicaid Health Systems Specialist, 65293. Note: education & experience is to be commensurate with approved position description on file.
Or equivalent of Minimum Class Qualifications for Employment.

Job Skills: Health Administration

Technical Skills: Public Health, Program Management

Professional Skills: Collaboration, Innovation, Critical Thinking, Problem Solving

Supplemental Information

The Ohio Department of Medicaid does not provide employment-based visa sponsorship.

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.

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

contract and claims manager jobs in columbus

Long-Term Care Rate Setting Manager (Medicaid Health Systems Administrator 1)

Safety Manager

Outbound Senior Logistics Manager

Sr. Manager, Account Operations - Prior Authorization Network

Construction Project Manager - Food & Beverage (St. Louis or Columbus)

L&S Assistant Procurement Manager - MGF Heavy & Bulky NAM-2

Assistant Construction Manager - Transmission & Distribution (Multiple Locations)

Project Manager III - East Region

Construction Project Manager - Mission Critical (Columbus)

Construction Project Manager - Transmission & Distribution (Multiple Locations)

Project Manager III - East Region

Construction Manager / Construction Engineer

High Income Roofing Sales With LEADS.

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