Compliance specialist health systems specialist
What You Will Do At ODM
Office: Legal Counsel Bureau: Program Integrity Classification: Medicaid Health Systems Specialist (PN: 20042163) Job Overview As the Compliance Coordination Specialist in the Office of Legal Counsel/Program Integrity, Ohio Department of Medicaid (ODM), your responsibilities will include:- Leading, participating in, and/or coordinating meetings with auditors and ODM Bureaus to ensure timely response to information requests and corrective action plans
- Monitoring adequacy of ODM’s response to documentation requests and corrective action plans
- Monitoring and coordinating reviews and/or audits performed by outside entities on ODM
- Requesting and reviewing corrective action plans for audit findings related to Medicaid
- Coordinating timely development and implementation of corrective action plans with impacted ODM bureaus and other agencies as needed
- Or 24 months experience as Medicaid Health Systems Analyst, (65291)
- Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
- Delivering a personalized care experience to more than three million people served.
- Improving care for children and adults with complex behavioral health needs.
- Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.
- Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.
- Ensuring financial transparency and operational accountability across all Medicaid programs and services.
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