Address
Form of workTHIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS
About Us:
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio's Medicaid program - focusing on the individual rather than the business of managed care.
The goals of the next generation of Ohio Medicaid are:
Office : Legal Counsel
Bureau: Program Integrity
Classification:External Auditor 2 (PN: 20043114 )
Job Overview :
The Ohio Department of Medicaid (ODM) is seeking an experienced auditor to be a part of our Clinical Audit & Review section. This position is part of the Bureau of Program Integrity which focuses on fraud, waste, and abuse related activities. This position is located in Columbus, OH (Franklin county). As an External Auditor 3, your responsibilities will include:
What's in it for you:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Medical Coverage
Qualifications
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
About Us:
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio's Medicaid program - focusing on the individual rather than the business of managed care.
The goals of the next generation of Ohio Medicaid are:
- Emphasize a personalized care experience
- Improve care for children and adults with complex behavioral health needs
- Improve wellness and health outcomes
- Support providers in better patient care
- Increase program transparency and accountability
Office : Legal Counsel
Bureau: Program Integrity
Classification:External Auditor 2 (PN: 20043114 )
Job Overview :
The Ohio Department of Medicaid (ODM) is seeking an experienced auditor to be a part of our Clinical Audit & Review section. This position is part of the Bureau of Program Integrity which focuses on fraud, waste, and abuse related activities. This position is located in Columbus, OH (Franklin county). As an External Auditor 3, your responsibilities will include:
- Monitoring Medicaid providers for compliance through onsite and desk reviews
- Traveling to provider sites where direct care services are provided to individuals
- Reviewing provider payment claims & coding, patient records and data
- Coordinate with the special investigative units, and possibly develop referrals to the Medicaid Fraud Control Unit within the Ohio Attorney General's Office
- Quality assurance reviews
- Provider education
What's in it for you:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Medical Coverage
- Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans.
- Dental, vision, and basic life insurance premiums are free after completed eligibility period . Length of eligibility period is dependent on union representation.
- Paid time off, including vacation, personal, and sick leave
- 11 paid holidays per year
- Childbirth/Adoption leave
- The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.
- OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee's salary. Visit the OPERS website for more information.
- The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
Qualifications
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
