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# Encounter Data Liaison (Medicaid Health Systems Administrator 2)

- **Company:** State of Ohio
- **Location:** Columbus, OH, United States
- **Experience:** Experienced
- **Salary:** $92,310.0
- **Contract:** Permanent contract
- **Skills:** Data Analysis, Data Systems, Data Analytics
- **Published:** August 11, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=51a7fe098e2ff82e

## About the Role

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 24 mos. exp. in planning & administering 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 analysis).

 * Or 24 months experience as a Medicaid Health Systems Administrator 1, 65295. Note: education & experience is to be commensurate with approved position description on file.
 * Or equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Health Administration

Technical Skills: Public Health, Data Analytics

Professional Skills: Collaboration, Analyzation, Interpreting Data, Attention to Detail, Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

## Description

The Ohio Department of Medicaid is seeking a healthcare professional to be part of our EDI & Encounters Team. This position serves as a technical and policy liaison for post-adjudication encounter data reporting submitted by managed care plans. Also, this position plays a critical role in ensuring data accuracy for rate setting, policy compliance, and quality care delivery. As the Encounter Data Liaison, your responsibilities will include:

 * Developing policy, conducting program evaluation, and supporting data-driven decision-making.
 * Serving as the primary liaison for encounter data reporting and quality assurance.
 * Leading bi-weekly meetings with managed care organizations (MCOs) to discuss:
 + Delivery kick payments
 + Encounter data quality metrics
 + Quality-based assignments
 + New initiatives such as NexGen MyCare
 * Acting as the point person for the NexGen MyCare program launched 1/1/2026, coordinating across multiple departments.
 * Supporting rate setting, claims remittance investigations, and financial team collaboration.
 * Interpreting and communicating data trends and anomalies to internal and external stakeholders.

The following qualifications are not required, but are preferred for success in this role:

 * Familiarity with X12 formats (e.g. 837, PACDR 837, 835, 999, 824, 277CA, 270).
 * Proficiency in Medicaid data systems (i.e. MITS, Vue360, and/or Administrator).


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