Complex Medical Help Finance Supervisor (Health Finance Resource Specialist Supervisor- 20014052)

The Health Finance Resource Specialist Supervisor will work under the direction of Complex Medical Help (CMH) administrator to supervise and evaluate programmatic functions of the Bureau of Maternal, Child and Family Health, Complex Medical Help Program. This position will supervise staff, to include approving leave requests, conducting employee performance evaluations and maintain time and attendance records. Additional duties include:

• Evaluates program policies & makes recommendations regarding procedures to streamline financial eligibility determination & enhance the quality & number of referrals of CMH applicants to other third-party programs (e.g., Healthy Start, Supplemental Security Income, Women Infant & Children, Children & Family Health Service, other Ohio Department of Job & Family Services (ODJFS) programs.
• Supervises staff who review family financial, insurance, medical & demographic documentation in order to determine CMH financial eligibility, identifies families with potential catastrophic costs for further follow-up & makes appropriate referrals.
• Monitors compliance of hospitals, local health departments & other service providers regarding knowledge & use of appropriate CMH financial eligibility guidelines & third-party referral mechanisms.
• Provides training to CMH staff, service providers, families & other agencies regarding CMH program eligibility requirements & resources available through other third-party programs.
• Coordinates, monitors & implements program to process financial appeals, including review of complex case reconsiderations & formal hearing requests & makes appropriate recommendations.
• Sets unit goals & objectives & establishes performance standards for quality & quantity of work.
• Prepares reports, drafts administrative rules, policies & procedures & makes recommendations to Bureau Chief & Nursing Administrator &/or supervisor.
• Reviews selected samples & prepares summary reports regarding characteristics of population served, cost share usage, financial eligibility formula revisions, third party referral patterns & other information as required.
• Prepares annual eligibility criteria for program operations.
• Prepares program operational guidelines for annual update of financial eligibility criteria.
• Makes recommendations regarding unit's budget requirements.
• Represents CMH at meetings with local service providers & establishes relationships with county departments of ODJFS, CMH providers & others as necessary & drafts correspondence to families, providers, legislators, attorneys & others as directed by supervisor.

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

Position Qualifications:

36 mos. trg. or 36 mos. exp. in determining eligibility &/or facilitating appropriate resources/program referrals of clients for governmental assistance for financial or health programs (e.g., Medicaid; social security; Temporary Assistance for Needy Families (i.e. TANF); general assistance).

• Or completion of undergraduate core program in social or behavioral sciences, humanities or related field AND 12 mos. trg. or 12 mos. exp. in determining eligibility &/or facilitating appropriate resources/program referrals of clients for governmental assistance for financial or health programs (e.g., Medicaid; social security; Temporary Assistance for Needy Families (i.e. TANF); general assistance).

• Or 24 mos. exp. as Health Financial Resource Specialist, 17221.

• Or equivalent of Minimum Class Qualifications For Employment noted above.

Job Skills: Accounting and Finance

Technical Skills: Budgeting, Program management, Public relations

Professional Skills: Analyzation, Collaboration

Educational Transcript Requirements:
Official educational transcripts are required for all post-high school educational accomplishments, coursework or degrees claimed on the application. Applicants will be required to submit an official transcript prior to receiving a formal offer of employment. Failure to provide transcripts within five (5) working days of being requested will cause the applicant to be eliminated from further consideration.

Please note that a transcript is considered "official" only if it is an original copy from the educational institution and includes an institutional watermark, ink stamp or embossed stamp. Transcripts printed from the institution's website will not be accepted. ODH reserves the right to assess the academic credibility of an educational entity's award of a putative degree.

Supplemental Information

Supplemental Information:

ALL ANSWERS TO THE SUPPLEMENTAL QUESTIONS MUST BE SUPPORTED BY THE WORK EXPERIENCE/EDUCATION PROVIDED ON YOUR CIVIL SERVICE APPLICATION.
Unless required by legislation, the selected candidate will begin at Pay Grade 12, Step 1 of the Exempt Pay Range Schedule ($30.96 per hour), with an opportunity for pay increase after six months ($32.71) of satisfactory performance and then a yearly raise thereafter.

APPLICATION PROCEDURES:
All applicants must submit a completed Ohio Civil Service Application using the TALEO System. Paper applications will not be considered. Applicants must clearly indicate how they meet the minimum qualifications and/or position specific minimum qualifications. Applicants are also encouraged to document any experience, education and/or training related to the job duties above. An assessment of these criteria may be conducted to determine the applicants who are interviewed.

STATUS OF POSTED POSITION:
You can check the status of your application online by signing into your profile. Jobs you applied for will be listed. The application status is shown to the right of the position title and application submission details.

BACKGROUND CHECK NOTICE:
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.

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.