External Auditor 2

State of Ohio • Columbus, OH

1d

About The Position

The Ohio Department of Medicaid is seeking an audit professional to be part of our Bureau of Program Integrity. This position focuses on the prevention and detection of fraud, waste, and abuse. This position is in Franklin County and may require travel. As an External Auditor 2, your responsibilities will include: Monitoring Medicaid providers for compliance through onsite and desk reviews Audits and onsite reviews may include a variety of providers and partner state agencies and may have a higher concentration of effort with specific provider/agency types for certain periods depending on data analysis, risk assessment, known issues, changes in regulations, industry trends and/or overall complexity of the audits or reviews Participating in monitoring efforts coordinated with other ODM or non-ODM teams Working independently or collaboratively with bureau staff (e.g., reviewing provider payment claims and data related to payments or individual care) Assisting with provider education and working collaboratively with other affected ODM bureaus Handling confidential records and information, and using a variety of tools to analyze and understand relevant data About Us: Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help. Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by: 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. Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Requirements

• Completion of undergraduate core coursework in accounting, business administration, computer science or related field; 24 mos. exp. in auditing or accounting which must have included 12 mos. auditing exp. in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description.
• Or 4 yrs. exp. in auditing or accounting which must have included 2 yrs. auditing exp. in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description.
• Or 12 mos. exp. as External Auditor 1, 66461.
• Or equivalent of Minimum Class Qualifications for Employment noted above.
• Technical Skills: Auditing
• Professional Skills: Attention to Detail, Goal Setting, Interpreting Data, Priority Setting, Results Oriented, Verbal Communication, Written Communication, Analyzation

Responsibilities

• Monitoring Medicaid providers for compliance through onsite and desk reviews
• Audits and onsite reviews may include a variety of providers and partner state agencies and may have a higher concentration of effort with specific provider/agency types for certain periods depending on data analysis, risk assessment, known issues, changes in regulations, industry trends and/or overall complexity of the audits or reviews
• Participating in monitoring efforts coordinated with other ODM or non-ODM teams
• Working independently or collaboratively with bureau staff (e.g., reviewing provider payment claims and data related to payments or individual care)
• Assisting with provider education and working collaboratively with other affected ODM bureaus
• Handling confidential records and information, and using a variety of tools to analyze and understand relevant data

Benefits

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 101-250 employees