External Auditor 3

About the position

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.

Responsibilities

• 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

Requirements

• Completion of undergraduate core coursework in accounting, business administration, computer science or related field
• 3 years of experience in auditing or accounting which must have included 18 months auditing experience in accordance with auditing standards or in accordance with prescribed management policies &/or procedures
• 12 months experience as audit team lead or auditor in charge
• Or 5 years of experience in auditing or accounting, which must have included 30 months auditing experience in accordance with auditing standards or in accordance with prescribed management policies &/or procedures
• 12 months experience as audit team lead or auditor in charge
• Or 12 months experience as External Auditor 2, 66462
• Or equivalent of Minimum Class Qualifications for Employment noted above

Nice-to-haves

• Ability to adapt to change and work on multiple projects simultaneously
• Objective and professional demeanor when working with internal and external customers