HYBRID - External Auditor 3

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Supplemental Information:

Compensation is as listed on the posting unless required by legislation or union contract.

Travel required, some with overnight stays. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.

The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.

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

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

THIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS

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.

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.

What You Will Do At ODM:

Office\: Legal Counsel

Bureau: Program Integrity

Classification: External Auditor 3 (PN: 20043070)

Job Overview:

The Ohio Department of Medicaid is seeking an experienced auditor to be a part of our Managed Care & Provider Audits Section. The Managed Care & Provider Audits section is part of the Bureau of Program Integrity that focuses on fraud, waste and abuse related activities. This position is in Franklin County and may require travel to 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 managed care plan’s structure, 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 cleared

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.

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

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)

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.