The Ohio Department of Medicaid is seeking an experienced auditor to be a part of our Long-Term Care Audits Section. Long-Term Care Audits Section is part of the Bureau of Program Integrity that focuses on fraud, waste and abuse related activities in the Managed Care setting. This position is in Franklin County and may require travel to Managed Care plan and provider sites. As an External Auditor 3, your responsibilities will include: Acting as an audit team lead Preparing audit scope, objectives, and audit programs Executing audits of Managed Care Plans and their provider networks by understanding the policies, processes, internal controls, contractual agreements and federal and state Medicaid regulations Documenting audit tests, completing audit work papers, accurately identifying audit issues, maintaining appropriate documentation, preparing and presenting reports on audit findings and providing recommendations Performing peer review of work papers of equal or lower-level staff, preparing review notes and discussing with staff, and verifying that review notes are clear Handling confidential records and information Coordinating with bureau data analytics staff and systems Working closely and communicating effectively with ODM staff, team members, and managers The preferred candidate will be able to adapt to change and work on multiple projects simultaneously. Additionally, the preferred candidate will be objective and professional as this position will involve working with internal and external customers.
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Job Type
Full-time
Career Level
Mid Level