Deconfliction and Referral Support Assistant

What You Will Do At ODM:

Office: Legal Counsel

Bureau: Program Integrity

Classification: Administrative Professional 2 (PN:

Job Overview:

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

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

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.

Job Skills: Administrative Support/Services

Professional Skills:Collaboration, Attention to Detail, Priority Setting, Problem Solving, Responsiveness, Verbal Communication, Written Communication, Confidentiality

Supplemental Information

Supplemental Information:

Compensation is as listed on the posting unless required by legislation or union contract.

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.

Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.

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.