THIS POSITION IS TELEWORK ELIGIBLE ON A HYBRID BASIS.
About Us:
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio’s Medicaid program – focusing on the individual rather than the business of managed care.
The goals of the next generation of Ohio Medicaid are:
- Emphasize a personalized care experience
- Improve care for children and adults with complex behavioral health needs
- Improve wellness and health outcomes
- Support providers in better patient care and
- Increase program transparency and accountability
What You Will Do at ODM:
Office : Operations
Bureau : Network Management
Classification : Customer Service Assistant 3 (PN 20089770)
Job Preview :
The Ohio Department of Medicaid (ODM) is seeking an experienced customer service professional. A Customer Service Assistant 3 responsibilities include but are not limited to:
- Train staff
- Respond to SharePoint Inquiries and emails
- Perform Quality Assurance protocols
- Process complex provider type applications that that may include coordination with other business units
- Operate in a call center environment; respond to inquiries from Ohio Medicaid applicants, credentialists, and other stakeholders
- Screen applications for individuals, groups and organizations
- Screening will include, but is not limited to: verifying licensure, ensuring that the applicant(s) is not sanctioned and ensuring the accuracy of the information documented on the Ohio Medicaid Application
- Prepare & maintain production reports
- Participate in training for user acceptance testing and preparing data clean-up activities in preparation for the new Provider Network Management (PNM) module.
- Assist with conversion efforts/project/data clean-up for the new Provider Network Management module (PNM)
- Participate in training sessions for the new PNM system
What’s in it for you:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Medical Coverage
- Quality, affordable, and competitive medical benefits are offered through the Ohio Med PPO plan.
Dental, Vision and Basic Life Insurance
- Dental, vision and basic life insurance premiums are free after one year of continuous service.
Time Away From Work and Work/Life Balance
- Paid time off, including vacation, personal, and sick leave
- 11 paid holidays per year
- Childbirth/Adoption leave
Ohio Public Employees Retirement System
- OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.
Deferred Compensation
- The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
Qualifications
12 mos. trg. or 12 mos. exp. in office practices & procedures of which 3 mos. involved operation of various office equipment; 12 mos. trg. or 12 mos. exp. in public relations or customer service to include techniques for dealing with difficult people; 12 mos. trg. or 12 mos. exp. in state &/or federal laws, rules, policies & procedures applicable to assigned inquiries, requests, complaints &/or transactions to be processed; 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 6 mos. as Customer Service Assistant 2, 64432.
-Or 9 mos. exp. as Customer Service Assistant 1, 64431.
-Or equivalent of Minimum Class Qualifications For Employment noted above.