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SalaryPACE Contract Manager
(24000381)About Us
The Ohio Department of Aging (ODA) a cabinet-level agency within the executive branch of the Ohio state government. The director of ODA is a member of the Governor's cabinet, serving as principal advisor and advocate for 2.8 million older adults and their families. Through services, supports, and activities that cover a wide spectrum of issues, ODA strives to achieve its mission to foster sound public policy, research, and initiatives that benefit older Ohioans.
ODA is the federally designated agency responsible for developing and administering multi-year state plans that advocate for, and provide assistance to, older Ohioans and their families. In addition to the centralized functions, the agency designates and contracts with community providers and a network of 12 Area Agencies on Aging, who manage a wide array of federal and state-funded supportive services. These services assist older adults to live as independently as possible; promote healthy aging and active community involvement; and support family members in their vital care giving role.
To promote the agency’s vision of Ohio – the best place to age in the nation, ODA actively collaborates with consumers, stakeholders from key associations, government, and the public. The independent Office of the State Long-Term Care Ombudsman and the Board of Executives of Long-Term Services and Supports are also located within ODA.
Our core values are:
- Promote Independence - Provide resources that foster independence and autonomy throughout the lifespan.
- Empower Communities - Deliver sustainable, relevant solutions that empower communities to act within the best interest of their elders.
- Challenge Ageism - Promote new perspectives of aging that challenge the traditional declinist narrative.
- Advocate for Excellence - Advocate with and for Ohio’s elders to ensure their voices are heard and their needs are met.
- Engage in Innovation - Engage the aging network by staying innovative, flexible, and attentive to the evolving needs of our partners and stakeholders.
To learn more about the Ohio Department of Aging and our programs visit our website.
About the Division
The Division for Community Living (DCL) develops and manages a comprehensive and coordinated system of community services for seniors and individuals with disabilities. Their pre-admission review and long-term care consultation program facilitates consumer access to available options. Staff develops and furnishes operational oversight of services and programs funded through home and community-based services (HCBS) as well as through state funds and grants. Some of these programs include PASSPORT, the Assisted Living Waiver program, and Program for All-Inclusive Care for the Elderly (PACE).
About the Role
The PACE Contract Manager is responsible for oversight of the daily operations of the statewide Program of All-Inclusive Care for the Elderly program to include:
- Coordinating clinical operations, data management, strategic review and provider network management with the Division of Community Living
- Monitoring PACE program sites and participants for adherence to laws, regulations, and administration of health care services
- Researching program rules and regulations
- Developing, coordinating, and updating operation manuals
- Coordinating rate setting process with managers and Ohio Department of Medicaid
- Conducting review of PACE organizations
- Monitoring effectiveness of corrective action plans
- Overseeing eligibility, enrollment & disenrollment process
- Serving as liaison with state and federal agencies
- Participating in statewide PACE expansion project
Licensure as a Social Worker or Registered Nurse preferred
Experience with Medicare, Medicaid, or case management desirable.
Travel up to 20% of the time is required.
For more in-depth job duties, please click here to view the position description.
Perks
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:
- Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans
- Dental, vision, and basic life insurance premiums are free after completed eligibility period
- Paid time off, including vacation, personal, and sick leave
- A variety of educational and professional development funding
- Retirement: Visit the OPERS website for more information
- Ohio Deferred Compensation program: Visit the Ohio Deferred Compensation website for more information
Applying for position:
- All applicants must complete an online application to be considered.
- When completing your online Ohio Civil Service Application, you must describe how you meet the minimum qualifications outlined on this job posting.
- All answers to the supplemental questionsmust be supported by the work experience/education on your civil service application.
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, may be substituted for the experience required, but not for the mandated licensure, if required. Note: education & experience is to be commensurate with approved position description on file. -If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.
- Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Job Skills: Health Administration
Technical Skills: Health Administration, Insurance, Nursing, Social Services, Regulatory Compliance
Professional Skills: Reasoning, Responsiveness, Strategic Thinking, Verbal Communication, Written Communication
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.
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.
Knowledge of social or behavioral science; business or public administration and management practices; health care federal & staff 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 & inquiries 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, fostering team development, directing & measuring work, informing, managing priorities, making effective decisions, developing staff & others, 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.
Salary Information
Unless required by legislation or union contract, starting salary will be set at the lowest rate of the salary range. In most cases successful employees will move up a step in the salary range within six months, with subsequent step increases occurring every year as supported by successful performance evaluation results. We also offer cost of living adjustments, longevity supplements after five years of eligible public service, and wellness incentives.
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.
Classification: Medicaid Health Systems Administrator 1
