Deconfliction and Referral Support Assistant (Administrative

Schedule: Full-time

What You Will Do At ODM:

Office: Legal Counsel

Bureau: Program Integrity

Classification: Administrative Professional 2 (PN:20102620)

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

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