Ohio Department of Medicaid
Medicaid Medical Director (Physician Administrator 3)
The role provides medical and clinical expertise and leadership to plan, coordinate, and direct the design, implementation, monitoring, and clinical evaluation of efforts to transform health care delivery for Ohio’s Medicaid population. It serves as the clinical authority for Medicaid services, including coverage policy oversight, utilization management, care coordination, and population health initiatives, while ensuring compliance and improving health system performance.
Key Responsibilities
- • Defining ODM goals and objectives to improve health outcomes and overall healthcare quality in Ohio as detailed by the Ohio Medicaid Quality and Population Health Strategy and the associated metrics for Ohio's Medicaid population
- • Serving as clinical authority for ODM providing clinical oversight, input, and approval of coverage policies for all Medicaid services including pharmacy for eligible Ohioans in varied programs (Fee-For-Service, Managed Care, waivers)
- • Providing leadership and oversight to utilization management, care coordination, and population health initiatives
- • Ensuring integration with other Department functions with alignment of policy, best clinical practice, and consumer needs using a person-centered approach, ensuring compliance with all state and federal regulations
- • Monitoring the delivery and cost-effectiveness of medical services and materials across varied provider types and care contexts and takes action to improve health system performance and patient experience
- • Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors, Bureau Chiefs, supervisors and management personnel and/or medical support personnel
- • 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
Required
- • Certificate to practice medicine as issued by State Medical Board pursuant to Sections 4731.14 & 4731.281 of Revised Code
What You Will Do At ODM
Office: Health Innovation & Quality
Classification: Physician Administrator 3 (PN 20045297)
Job Overview
The Ohio Department of Medicaid (ODM) is recruiting for a Physician Administrator with significant experience in clinical oversight to provide medical and clinical expertise and leadership to plan, coordinate, and direct all aspects of design, implementation, monitoring, and clinical evaluation of the ODM’s efforts to transform health care delivery of Medicaid covered services for Ohio’s Medicaid population. As the Medicaid Medical Director of Ohio’s largest healthcare provider, your duties will include:
Job Skills: Medical
Technical Skills: Medical
Professional Skills: Collaboration, Goal Setting, Innovation, Leading Others, Managing Meetings, Organizing and Planning, Performance Management, Priority Setting, Decision Making, Delegation, Strategic Thinking
Agency Contact Name and Information
HumanResources@medicaid.ohio.gov
Unposting Date
Ongoing
Work Location
50 W Town St
Primary Location
United States of America-OHIO-Franklin County-Columbus
Compensation
Negotiable
Schedule
Full-time
Work Hours
8:00 am - 5:00 pm
Classified Indicator
Unclassified
Union
Exempt from Union
Professional Skills
Collaboration, Decision Making, Delegation, Goal Setting, Innovation, Leading Others, Managing Meetings, Organizing and Planning, Performance Management, Priority Setting, Strategic Thinking
Agency Overview
THE WORK LOCATION OF THIS POSITION IS 50 WEST TOWN STREET, COLUMBUS, OHIO 43215. YOU WILL BE REQUIRED TO REPORT TO THIS WORK LOCATION, IF SELECTED.
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:
Office: Health Innovation & Quality
Classification: Physician Administrator 3 (PN 20045297)
Job Overview
The Ohio Department of Medicaid (ODM) is recruiting for a Physician Administrator with significant experience in clinical oversight to provide medical and clinical expertise and leadership to plan, coordinate, and direct all aspects of design, implementation, monitoring, and clinical evaluation of the ODM’s efforts to transform health care delivery of Medicaid covered services for Ohio’s Medicaid population. As the Medicaid Medical Director of Ohio’s largest healthcare provider, your duties will include:
- Defining ODM goals and objectives to improve health outcomes and overall healthcare quality in Ohio as detailed by the Ohio Medicaid Quality and Population Health Strategy and the associated metrics for Ohio's Medicaid population
- Serving as clinical authority for ODM providing clinical oversight, input, and approval of coverage policies for all Medicaid services including pharmacy for eligible Ohioans in varied programs (Fee-For-Service, Managed Care, waivers)
- Providing leadership and oversight to utilization management, care coordination, and population health initiatives
- Ensuring integration with other Department functions with alignment of policy, best clinical practice, and consumer needs using a person-centered approach, ensuring compliance with all state and federal regulations
- Monitoring the delivery and cost-effectiveness of medical services and materials across varied provider types and care contexts and takes action to improve health system performance and patient experience
- Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors, Bureau Chiefs, supervisors and management personnel and/or medical support personnel
Job Skills: Medical
Technical Skills: Medical
Professional Skills: Collaboration, Goal Setting, Innovation, Leading Others, Managing Meetings, Organizing and Planning, Performance Management, Priority Setting, Decision Making, Delegation, Strategic Thinking
Agency Contact Name and Information
HumanResources@medicaid.ohio.gov
Unposting Date
Ongoing
Work Location
50 W Town St
Primary Location
United States of America-OHIO-Franklin County-Columbus
Compensation
Negotiable
Schedule
Full-time
Work Hours
8:00 am - 5:00 pm
Classified Indicator
Unclassified
Union
Exempt from Union
Professional Skills
Collaboration, Decision Making, Delegation, Goal Setting, Innovation, Leading Others, Managing Meetings, Organizing and Planning, Performance Management, Priority Setting, Strategic Thinking
Agency Overview
THE WORK LOCATION OF THIS POSITION IS 50 WEST TOWN STREET, COLUMBUS, OHIO 43215. YOU WILL BE REQUIRED TO REPORT TO THIS WORK LOCATION, IF SELECTED.
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.
Keep track of your job search
Save personal notes for each job to track your thoughts, application status, and follow-ups.
Try for freeUpload your resume
Sign up to upload your resume and get AI-powered customization for job applications.
Sign up freePractice your interview
Get AI-powered mock interviews tailored to this Medicaid Medical Director (Physician Administrator 3) role. Upload your resume and practice with real-time voice feedback.
Sign up to practice