Member Services Operations and Enrollment Manager (Medicaid Health Systems Administrator 1)

What You Will Do At ODM

Office: Managed Care

Bureau: Member Services

Classification: Medicaid Health Systems Administrator 1 (PN: 20101842)

Job Overview

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

• Overseeing statewide initiatives related to Medicaid health systems access, with a focus on managed care enrollment and member services
• Managing key components of Ohio’s Medicaid programs, including services for Aged, Blind & Disabled (ABD), MAGI, and MyCare Ohio populations
• Directing membership services operations, coordinating audits and special projects, and ensuring alignment across multiple stakeholders including County Departments of Job & Family Services (CDJFS), Managed Care Organizations (MCOs), the Managed Care Enrollment Center (MCEC), and other state agencies
• Leading efforts related to open enrollment, review of MCO member materials, tracking of Value Added Benefits, and ensuring quality of Medicaid Consumer Hotline phone calls
• High-level data analysis, community outreach, and technical consultation to support access to care and improve member experience
  
  

The ideal candidate will be a collaborative leader with strong analytical, communication, and project management skills, capable of navigating complex systems and driving impactful change across Ohio’s Medicaid landscape.

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

Organization

Medicaid

Agency Contact Name and Information

[email protected]

Unposting Date

Nov 24, 2025, 11:59:00 PM

Work Location

Lazarus 5

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$39.22/hour

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

Exempt from Union

Primary Job Skill

Health Administration

Technical Skills

Health Administration

Professional Skills

Collaboration, Innovation, Verbal Communication, Written Communication, Confidentiality, Continuous Improvement

Agency Overview

About Us:

Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.

Responsibilities

Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:

• Delivering a personalized care experience to more than three million people served.
• Improving care for children and adults with complex behavioral health needs.
• Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.
• Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.
• Ensuring financial transparency and operational accountability across all Medicaid programs and services.