MCO Contract Control Audit Program Manager - (PA3) - 20068987

State of Ohio • Columbus, OH

1d • Onsite

About The Position

Position Overview: The MCO Contract Control Program Manager plays a critical role in ensuring Managed Care Organizations (MCOs) meet all contractual, regulatory, and operational requirements. Under the direction of the Director of MCO Business Reporting, this position leads the development and oversight of contract controls, compliance monitoring, and strategic initiatives that support the integrity and performance of the seven contracted managed care organizations (MCOs) working within Ohio’s Health Partnership program (HPP) .

Requirements

• 5 yrs. trg. or 5 yrs. exp. in business administration, management or public administration.
• completion of undergraduate core program in business administration, management or public administration; 36 mos. trg. or 36 mos. exp. in supervisory, administrative &/or managerial position.
• completion of undergraduate core program for academic field of study commensurate with program area to be assigned per approved Position Description on File; 36 mos. trg. or 36 mos. exp. in supervisory, administrative, managerial &/or staff position involving planning, research &/or policy/procedure development.
• 1 yr. exp. as Program Administrator 2, 63123.
• equivalent of Minimum Class Qualifications For Employment noted above.
• Knowledge of business administration, management science or public administration; supervisory principles/techniques; public relations; employee training & development; budgeting.
• Ability to define problems, collect data, establish facts & draw valid conclusions; develop complex reports & position papers; handle sensitive face-to-face contacts with public & government officials; establish friendly atmosphere as supervisor of work unit.

Nice To Haves

• Prefer graduate level candidate, including master’s degree in business administration, management, health or public administration, or law degree; or a bachelor’s degree in accounting or related field with contract management, audit or compliance experience.

Responsibilities

• Policy Development, Contract Compliance & Oversight Formulate and implement program policies to support the MCO Contract Control, Risk and Compliance Management program.
• Lead the monitoring and enforcement of MCO contract controls (e.g., Business Continuity Plans, cyber insurance, AICPA SOC1/SOC2 compliance).
• Develop and implement policies and operational controls to ensure MCOs comply with contract terms and Ohio regulations.
• Develop the compliance strategy to mitigate Agency risks, and t rack and report MCO compliance status, timelines, and violations to the Director and Medical Services Chief.
• Identify and document contract violations, providing evidence-based reports to leadership and legal teams.
• Initiate and manage strategic projects to support program and policy development and management (e.g., SOC2 training, AI-based continuity evaluations, compliance tracking tools).
• Develop project plans, metrics, and presentation materials for internal governance and external stakeholders.
• Represent the Medical Services Division in cross-divisional and external collaborations.
• Training & Communication Design and deliver internal and external training on MCO contract control programs.
• Serve as a representative on MCO Business Council subcommittees and workgroups.
• Act as a spokesperson for the Director and Division leadership at meetings and events.
• Assist in developing communication strategies for internal staff, stakeholders, and providers.

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: Manager