Ohio Department of Medicaid ยท 5 days ago
External Auditor 2 (Multiple Positions)
The Ohio Department of Medicaid is seeking an audit professional to be part of their Bureau of Program Integrity. This role focuses on the prevention and detection of fraud, waste, and abuse within Medicaid providers through compliance monitoring and audits.
Government Administration
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
Qualification
Required
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
Company
Ohio Department of Medicaid
The Ohio Department of Medicaid (ODM) delivers health care coverage to more than 3 million Ohioans on a daily basis.