External Auditor 1

About the Role

The Ohio Department of Medicaid is seeking a candidate with an interest in auditing to be part of the Provider Compliance unit within Program Integrity (BPI). This unit focuses on fraud, waste, and abuse-related activities. The position is located in Franklin County and requires travel to provider sites.

Responsibilities

• Conducting routine financial, compliance, and operational audits.
• Operating accounting and auditing software (e.g., spreadsheets, word processors, databases).
• Analyzing confidential records and information stored in the department’s various data systems.
• Working collaboratively with other BPI reviewers and/or ODM professionals to analyze provider payment claims and coding to identify potential fraud, waste, and abuse.
• Analyzing healthcare providers' records related to billing activities and the quality of care during on-site reviews.
• Preparing audit reports and recommendations for corrective action plans.
• Maintaining favorable relations with internal and external customers.

Requirements

• Three years of experience in auditing or accounting, which must include 18 months of auditing experience in accordance with auditing standards or prescribed management policies/procedures.
• OR completion of undergraduate core coursework in accounting, business administration, computer science, or a related field, plus 12 months of experience in auditing or accounting, which must include auditing experience.
• OR equivalent of the minimum class qualifications noted above.

Skills

Technical Skills

• Auditing
• Accounting and Finance

Professional Skills

• Attention to Detail
• Analyzation
• Collaboration
• Critical Thinking
• Goal Setting
• Interpreting Data
• Priority Setting
• Results Oriented
• Verbal Communication
• Written Communication

About the Agency

The Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision for Ohio’s future. As the single state Medicaid agency, it is committed to supporting the health and well-being of nearly one in every four Ohioans 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 partners and providers to measurably strengthen wellness and health outcomes.
• Streamlining administrative burdens so healthcare providers have more time for patient care.
• Ensuring financial transparency and operational accountability across all Medicaid programs and services.

Pay

$28.76 per hour

Schedule

• Full-time
• Work Hours: 8:00 am - 5:00 pm