Posted in Admin - Clerical 30+ days ago.
Type: Part-Time
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio’s Medicaid program -- one that strengthens Ohio’s future and ensures everyone has the chance to live life to its full potential.
Today, more than 90 percent of Ohio Medicaid members are supported by managed care organizations. During the year ahead, ODM will begin implementing a new vision for care; focusing on the individual, a strong partnership among MCOs and the department, and supporting specialization in addressing critical needs.
A program that puts the individual first
Adopting Governor DeWine’s philosophy of service to Ohioans, ODM embarked on an aggressive effort to redesign its managed care program. The goal is to provide more personal, holistic care and supports for millions of Ohioans served by Medicaid. Listening to feedback from more than 1,100 individuals and organizations we identified five procurement goals that would put the individual front and center of Medicaid’s program and policy decisions. They are:
UNLESS REQUIRED BY LEGISLATION OR UNION CONTRACT, STARTING SALARY WILL BE SET AT STEP 1 OF THE PAY RANGE
THIS POSITION IS INTERMITTENT & IS NOT TO EXCEED 1,000 HOURS IN A STATE FISCAL YEAR
Office: Managed Care
Bureau: Member Services
Working Title: Customer Service Assistant 2 - Intermittent (PN:20098731)
PLEASE READ THE FOLLOWING INFORMATION:
Job Overview:
Under general direction, reviews Medicaid enrollment documents for duplication and reconciliation in accordance with applicable laws, rules, policies & procedures; assists with MyCare waiver reconciliation backlog (e.g., creates identifier in MITS, stop capitation adjustments); corresponds with county compliance on managed care enrollment; enters and checks accuracy of data and/or prepares data; makes recommendations to supervisor for procedural changes and improvements in the process flow of information & documentation.
Operates personal computer to enter, update, correct, delete, send and/or retrieve/lookup data to verify information; gathers & analyzes information to prepare weekly and monthly reports; composes &/or generates reports & correspondence; assists with research to resolve problems & determine solutions; takes appropriate corrective actions.
Handles inquiries and requests related to enrollment; participates in meetings with ODM staff and stakeholders.
Performs other related duties as assigned (e.g., answers phone, opens mail, scans documents; attends staff meetings; travels to meeting sites, conferences & trainings; maintains records, logs & files).
The ideal candidate should be able to work independently, have strong critical thinking skills, good attention to detail, and be proficient with computers. They must be committed to learning about Ohio Medicaid programs in order to provide exceptional service to their fellow Ohioans.
9 mos. trg. or 9 mos. exp. in office practices & procedures; 9 mos. trg. or 9 mos. exp. in public relations or customer service that included techniques for handling difficult people; 9 mos. trg. or 9 mos. exp. in typing, keyboarding, data entry or word processing; 9 mos. trg. or 9 mos. exp. in operation of personal computer.
-Or equivalent of Minimum Qualifications for Employment noted above.
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