Eligibility Compliance Specialist (Medicaid Health Systems Specialist)

Northcoast Behavioral Healthcare

Columbus, OH

Category Finance

Job Description

The Ohio Department of Medicaid is seeking an experienced professional to work in our Eligibility Compliance Unit as a Medicaid Health Systems Specialist. The responsibilities include monitoring eligibility determinations and processes of County Departments of Job and Family Services to ensure compliance with Medicaid rules.

Requirements

Monitor eligibility determinations and processes of County Departments of Job and Family Services (CDJFS) to ensure compliance with Medicaid rules
Work with CDJFS to correct eligibility issues identified by business intelligence reporting and other Ohio Department of Medicaid work units
Monitor reports to assist in the administration of Medicaid eligibility (application timeliness, renewal timeliness, and change processing) and assist in the creation of new monitoring reports
Respond to inquiries from consumers, agency staff, stakeholders, and staff from other agencies
Work closely with CDJFS to complete corrective action plans

Benefits

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)

]]>