Job Description
What You Will Do At ODM
Working Title: Fraud Referral and Deconfliction Coordinator
Office: Legal Counsel
Bureau: Program Integrity
Classification: Program Administrator 2 (PN:20036504)
Job Overview
The Ohio Department of Medicaid (ODM), Office of Legal Counsel, is seeking an experienced healthcare program administrator to join the Program Integrity team. As Fraud Referral and Deconfliction Coordinator, your responsibilities will include, but not be limited to:
Processing provider fraud referrals, deconflictions and Managed Care Plan attestations in the fraud referral and coordination system
Coordinating program integrity activities across the bureau
Organizing and managing regular meetings with Managed Care Plan Special Investigations Units (SIU) and Managed Care Program Integrity Group (MCPIG)
Participating in key meetings related to provider fraud referrals, provider suspension, and provider termination
Working Title: Fraud Referral and Deconfliction Coordinator
Office: Legal Counsel
Bureau: Program Integrity
Classification: Program Administrator 2 (PN:20036504)
Job Overview
The Ohio Department of Medicaid (ODM), Office of Legal Counsel, is seeking an experienced healthcare program administrator to join the Program Integrity team. As Fraud Referral and Deconfliction Coordinator, your responsibilities will include, but not be limited to:
Processing provider fraud referrals, deconflictions and Managed Care Plan attestations in the fraud referral and coordination system
Coordinating program integrity activities across the bureau
Organizing and managing regular meetings with Managed Care Plan Special Investigations Units (SIU) and Managed Care Program Integrity Group (MCPIG)
Participating in key meetings related to provider fraud referrals, provider suspension, and provider termination
Apply for this Position
Ready to join Ohio? Click the button below to submit your application.
Submit Application