Top 80 Quality compliance administrator 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
Provider Compliance Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- RN License
- Office
- Analysis skills
- Paid holidays
- Health insurance
2h
Encounter Data Liaison (Medicaid Health Systems Administrator 2)
State of Ohio - Medicaid —Columbus, OH
- $44.38 an hour
- Full-time
- Mid-level
- Driver's License
- Travel
- Paid holidays
- Health insurance
22h
Compounding Control Admin 2nd Shift
Job&Talent —New Albany, OH
- $20.50 an hour
- Full-time
- ERP systems
- Mid-level
Quick Apply
Compounding Control Admin 3rd Shift
Job&Talent —New Albany, OH
- $21 an hour
- Full-time
- ERP systems
- Mid-level
Quick Apply
Compounding Control Admin 1st shift
Job&Talent —New Albany, OH
- $20 an hour
- Full-time
- ERP systems
- Mid-level
Quick Apply
Tax Administrator I
Ultimus Fund Solutions —Columbus, OH
- $50,000 - $55,000 a year
- Full-time
- Research
- Office
- Finance
Quick Apply
Licensed Nursing Home Administrator ( LNHA)
Woodview —Columbus, OH
- Full-time
- Skilled nursing facility
- Nursing home
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
13d
Local Office Administrator
Terracon —Gahanna, OH
- Mid-level
- Office
- Administrative experience
- Paid holidays
- Health insurance
Health Planning Administrator 3 - 20014670
State of Ohio - Health —Columbus, OH
- $44.38 an hour
- Full-time
- Background check
- Office
- Criminal background check
- Paid holidays
- Health insurance
13d
Surgery Center Administrator
East Columbus - OH (11322) —Columbus, OH
- Full-time
- Surgery
- Office
- 3 years
Executive Assistant to CTO
McKesson —Columbus, OH
- $30.83 - $51.39 an hour
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
3d
Dispatcher / Repossession Administrator
Fast Quality towing and Recovery —Columbus, OH
- $800 - $1,100 a week
- Full-time
- Oracle
- Microsoft Outlook
- Mid-level
Quick Apply
ADMINISTRATIVE ASSISTANT - PUBLIC WORKS
EMH&T —Columbus, OH
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Health insurance
Quick Apply
Practice Administrator - Anesthesia Services
OhioHealth —Columbus, OH
- Full-time
- Inventory management
- HIPAA
- Master's degree
Credit Administrator
Peoples Bank —Worthington, OH
- Full-time
- Mid-level
- Office
- 3 years
- Employee stock purchase plan
- Paid holidays
Senior Systems Analyst - PACS Administrator
OhioHealth —Columbus, OH
- Full-time
- Azure
- Computer Science
- 5 years
2d
Physician Practice Administrator
OhioHealth —Columbus, OH
- Full-time
- Inventory management
- HIPAA
- Master's degree
Physician Practice Administrator (RMH)
OhioHealth —Columbus, OH
- Full-time
- Inventory management
- HIPAA
- Master's degree
Administrative Manager - Mon - Fri - 8:30am-5:30pm
Williams Lea —Columbus, OH
- $73,112 - $76,960 a year
- Full-time
- 5 years
- Office
- Bachelor's degree
- Commuter assistance
- Paid parental leave

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quality compliance administrator jobs near columbus

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

quality compliance administrator jobs in columbus

Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

Provider Compliance Manager (Medicaid Health Systems Administrator 1)

Encounter Data Liaison (Medicaid Health Systems Administrator 2)

Compounding Control Admin 2nd Shift

Compounding Control Admin 3rd Shift

Compounding Control Admin 1st shift

Tax Administrator I

Licensed Nursing Home Administrator ( LNHA)

Local Office Administrator

Health Planning Administrator 3 - 20014670

Surgery Center Administrator

Executive Assistant to CTO

Dispatcher / Repossession Administrator

ADMINISTRATIVE ASSISTANT - PUBLIC WORKS

Practice Administrator - Anesthesia Services

Credit Administrator

Senior Systems Analyst - PACS Administrator

Physician Practice Administrator

Physician Practice Administrator (RMH)

Administrative Manager - Mon - Fri - 8:30am-5:30pm

I want to receive the latest job alert for quality compliance administrator in columbus

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