Ohio Department of Medicaid
Fraud Referral and Deconfliction Coordinator (Program Administrator 2)
Ohio Department of Medicaid, Columbus, Ohio, United States, 43224
Fraud Referral and Deconfliction Coordinator (Program Administrator 2)
Join to apply for the
Fraud Referral and Deconfliction Coordinator (Program Administrator 2)
role at
Ohio Department of Medicaid .
What You Will Do At ODM
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
Tracking Managed Care Plan SIU and external stakeholders’ activities
Tracking and analyzing key program integrity performance metrics (e.g., fraud/abuse referrals) are being met by Managed Care Plans
Organizing and supporting Home Health Fraud work group
Providing oversight for contract vendors, deliverables, and contract costs
Performs other duties and administrative functions as assigned
Minimum Qualifications
4 yrs. trg. or 4 yrs. exp. in business administration management science or public administration.
Or completion of undergraduate core program in business administration, management science or public administration; 2 yrs. trg. or 2 yrs. exp. in supervisory, administrative &/or managerial position.
Or completion of undergraduate core program in academic field commensurate with program area to be assigned per approved Position Description on file; 2 yrs. trg. or 2 yrs. exp. in supervisory, administrative &/or managerial position or staff position involving planning, research &/or policy/procedure development.
Or 1 yr. exp. as Program Administrator 1, 63122.
Or equivalent of Minimum Class Qualifications For Employment noted above
Job Skills
Program Management
Technical Skills
Program Management
Professional Skills
Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication, Organizing and Planning
Agency Contact and Other Details Work Location: 50 W Town St, Columbus, OH, United States of America Compensation: $32.35/hour Schedule: Full‑time (8:00 am – 5:00 pm) Classified Indicator: Unclassified Union Status: Exempt from Union Unposting Date: Jan 13 2026, 11:59 PM
Job Details
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: General Business and Management
Industry: Government Administration
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Fraud Referral and Deconfliction Coordinator (Program Administrator 2)
role at
Ohio Department of Medicaid .
What You Will Do At ODM
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
Tracking Managed Care Plan SIU and external stakeholders’ activities
Tracking and analyzing key program integrity performance metrics (e.g., fraud/abuse referrals) are being met by Managed Care Plans
Organizing and supporting Home Health Fraud work group
Providing oversight for contract vendors, deliverables, and contract costs
Performs other duties and administrative functions as assigned
Minimum Qualifications
4 yrs. trg. or 4 yrs. exp. in business administration management science or public administration.
Or completion of undergraduate core program in business administration, management science or public administration; 2 yrs. trg. or 2 yrs. exp. in supervisory, administrative &/or managerial position.
Or completion of undergraduate core program in academic field commensurate with program area to be assigned per approved Position Description on file; 2 yrs. trg. or 2 yrs. exp. in supervisory, administrative &/or managerial position or staff position involving planning, research &/or policy/procedure development.
Or 1 yr. exp. as Program Administrator 1, 63122.
Or equivalent of Minimum Class Qualifications For Employment noted above
Job Skills
Program Management
Technical Skills
Program Management
Professional Skills
Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication, Organizing and Planning
Agency Contact and Other Details Work Location: 50 W Town St, Columbus, OH, United States of America Compensation: $32.35/hour Schedule: Full‑time (8:00 am – 5:00 pm) Classified Indicator: Unclassified Union Status: Exempt from Union Unposting Date: Jan 13 2026, 11:59 PM
Job Details
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: General Business and Management
Industry: Government Administration
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