Deconfliction and Referral Support Assistant (Administrative Professional 2)
About The Position
As the Deconfliction and Referral Support Assistant in the Office of Legal Counsel/Program Integrity, Ohio Department of Medicaid (ODM), your responsibilities will include: · Support the FRC team with Fraud Referral & Deconfliction daily operations · Process provider fraud referrals, deconfliction requests, and attestations using the Fraud Referral and Coordination (FRC) system · Coordinate communication with internal teams, Managed Care Plans, and external stakeholders such as the Medicaid Fraud Control Unit (MFCU) · Organize and manage regular meetings with Managed Care Plan Special Investigations Units (SIUs) and the Managed Care Program Integrity Group (MCPIG) · Monitor the Program Integrity email inbox and ensure timely responses and routing of inquiries · Track and report on civil recoveries, indictments, sentencing, and other program integrity outcomes · Maintain accurate records and support data collection for internal and external reporting · Provide administrative support for special projects, meeting logistics, and documentation
Requirements
- 18 mos. exp. or 18 mos. trg. in secretarial/administrative professional field.
- -Or completion of associate core coursework in secretarial science or business office applications from accredited career school or community college.
- -Or 6 mos. exp. as Administrative Professional 1, 16871.
- -Or equivalent of Minimum Class Qualifications For Employment noted above.
- Administrative Support/Services
- Collaboration
- Attention to Detail
- Priority Setting
- Problem Solving
- Responsiveness
- Verbal Communication
- Written Communication
- Confidentiality
Responsibilities
- Support the FRC team with Fraud Referral & Deconfliction daily operations
- Process provider fraud referrals, deconfliction requests, and attestations using the Fraud Referral and Coordination (FRC) system
- Coordinate communication with internal teams, Managed Care Plans, and external stakeholders such as the Medicaid Fraud Control Unit (MFCU)
- Organize and manage regular meetings with Managed Care Plan Special Investigations Units (SIUs) and the Managed Care Program Integrity Group (MCPIG)
- Monitor the Program Integrity email inbox and ensure timely responses and routing of inquiries
- Track and report on civil recoveries, indictments, sentencing, and other program integrity outcomes
- Maintain accurate records and support data collection for internal and external reporting
- Provide administrative support for special projects, meeting logistics, and documentation
Benefits
- 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 )
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
