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6 days
Not Specified
Not Specified
$14.76/hr - $22.40/hr (Estimated)
<p>What You Will Do At ODM:</p> <p>Office: Legal Counsel</p> <p>Bureau: Program Integrity</p> <p>Classification: Administrative Professional 2 (PN:20102620)</p> <p>Job Overview:</p> <p>As the Deconfliction and Referral Support Assistant in the Office of Legal Counsel/Program Integrity, Ohio Department of Medicaid (ODM), your responsibilities will include:</p> <ul> <li>Support the FRC team with Fraud Referral & Deconfliction daily operations </li><li>Process provider fraud referrals, deconfliction requests, and attestations using the Fraud Referral and Coordination (FRC) system </li><li>Coordinate communication with internal teams, Managed Care Plans, and external stakeholders such as the Medicaid Fraud Control Unit (MFCU) </li><li>Organize and manage regular meetings with Managed Care Plan Special Investigations Units (SIUs) and the Managed Care Program Integrity Group (MCPIG) </li><li>Monitor the Program Integrity email inbox and ensure timely responses and routing of inquiries </li><li>Track and report on civil recoveries, indictments, sentencing, and other program integrity outcomes </li><li>Maintain accurate records and support data collection for internal and external reporting </li><li>Provide administrative support for special projects, meeting logistics, and documentation </li></ul> <p>18 mos. exp. or 18 mos. trg. in secretarial/administrative professional field.</p> <ul> <li>Or completion of associate core coursework in secretarial science or business office applications from accredited career school or community college. </li><li>Or 6 mos. exp. as Administrative Professional 1, 16871. </li><li>Or equivalent of Minimum Class Qualifications For Employment noted above. </li></ul> <p>Job Skills: Administrative Support/Services</p> <p>Professional Skills: Collaboration, Attention to Detail, Priority Setting, Problem Solving, Responsiveness, Verbal Communication, Written Communication, Confidentiality</p>
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