Managed Care/Provider Audit Manager (External Audit Manager 1)

Schedule: Full-time

What You Will Do at ODM:

Office: Legal Counsel

Bureau: Program Integrity

Classification: External Audit Manager 1 (PN 20100479)

Job Overview:

As a Managed Care/Provider Audit Manager in the office of Legal Counsel/Program Integrity, Ohio Department of Medicaid (ODM), your responsibilities will include:

Supervising lower-level external auditors (establishing unit goals, assigning work, providing direction, monitoring and evaluating performance, recommending discipline, recommending applicants to hire, approve/deny leave requests, conduct staff meetings)

Working closely with the Medicaid Managed Care program area to assess risks, measure performance, and validate information related to the Managed Care Plans (MCPs) and their network providers

Conducting final review of all audit work papers, memos, overpayments letters, proposed exceptions, adjustments, and reclassifications for MC & Providers South unit

Conferring with staff concerning problems and emphasis of audits

Developing and implementing policies, procedures & standards for units in accordance with section goals

Completion of undergraduate core coursework in accounting, business administration, computer science or related field; 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; 1 yr. exp. or 1 yr. trg. in supervisory principles/techniques.

-Or 7 yrs. exp. in auditing, accounting which must have included 42 mos. auditing exp. in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description; 1 yr. exp. or 1 yr. trg. in supervisory principles/techniques.

-Or 12 mos. exp. as External Audit Supervisor, 66465.

-Or equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Auditing

Technical Skills: Auditing, Program Management, Compliance Enforcement

Professional Skills: Collaboration, Establishing Relationships, Written Communication, Verbal Communication, Analyzation,