External Auditor 3

What You Will Do At ODM

Office: Legal Counsel

Bureau: Program Integrity

Classification: External Auditor 3 (PN: 20043059)

Job Overview

The Ohio Department of Medicaid is seeking an experienced auditor to be a part of our Managed Care & Provider Audits Section. Managed Care & Provider 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.

Completion of undergraduate core coursework in accounting, business administration, computer science or related field; 3 yrs. exp. in auditing or accounting which must have included 18 mos. auditing exp. in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description; 12 mos. exp. as audit team lead or auditor in charge.

• Or 5 yrs. exp. in auditing or accounting, which must have included 30 mos. auditing exp. in accordance with auditing
  
  

standards or in accordance with prescribed management policies &/or procedures as specified on agency position

description; 12 mos. exp. as audit team lead or auditor in charge.

• Or 12 mos. exp. as External Auditor 2, 66462.
• Or equivalent of Minimum Class Qualifications for Employment noted above.
  
  

Technical Skills: Auditing

Professional Skills: Analyzation, Attention to Detail, Interpreting Data, Results Oriented, Goal Setting, Priority Setting, Written Communication

Organization

Medicaid

Agency Contact Name and Information

HumanResources@medicaid.ohio.gov

Unposting Date

May 4, 2025, 11:59:00 PM

Work Location

Lazarus 4

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$32.08/hour

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

OCSEA

Primary Job Skill

Auditing

Technical Skills

Auditing

Professional Skills

Attention to Detail, Goal Setting, Interpreting Data, Priority Setting, Results Oriented, Verbal Communication, Written Communication, Confidentiality

Agency Overview

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.

Responsibilities

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.