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Medicaid Program Integrity Jobs in Ohio (NOW HIRING)

Basecamp Recovery Center

Housing Director

Columbus, OH

$60K - $70K/yr

... CARF-accredited, Medicaid-funded behavioral health and substance use disorder treatment ... program integrity. This role requires on-call availability for housing emergencies, behavioral ...

Premier Health

PATIENT FINANCIAL COUNSELOR

Dayton, OH · On-site

$18.25 - $23.75/hr

The FC uses financial systems to document data and conducts procedures to assist the patient in filing for Medicaid and/or other public assistance programs. Integrity, good judgment, and trust are ...

Premier Health

PATIENT FINANCIAL COUNSELOR

Dayton, OH · On-site

$18.25 - $23.75/hr

The FC uses financial systems to document data and conducts procedures to assist the patient in filing for Medicaid and/or other public assistance programs. Integrity, good judgment, and trust are ...

Premier Health

PATIENT FINANCIAL COUNSELOR

Dayton, OH · On-site

$18.25 - $23.75/hr

The FC uses financial systems to document data and conducts procedures to assist the patient in filing for Medicaid and/or other public assistance programs. Integrity, good judgment, and trust are ...

Premier Health

PATIENT FINANCIAL COUNSELOR

Dayton, OH · On-site

$18.25 - $23.75/hr

The FC uses financial systems to document data and conducts procedures to assist the patient in filing for Medicaid and/or other public assistance programs. Integrity, good judgment, and trust are ...

The University of Toledo

Program Coordinator

Toledo, OH · On-site

$44K - $56K/yr

This position is responsible for the integrity, timeliness, and accuracy of assigned cardiac ... Medicaid CMS, the Ohio Department of Health (ODH), The Joint Commission (TJC), and specialty ...

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Medicaid Program Integrity information

What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?

AspectMedicaid Program IntegrityMedicaid Claims Examiner
Primary FocusDetecting and preventing fraud, waste, and abuse in Medicaid programsReviewing and processing Medicaid claims for accuracy and compliance
Required CredentialsTypically healthcare or compliance certifications, knowledge of Medicaid policiesHealthcare or claims processing certifications, attention to detail
Work EnvironmentRegulatory agencies, government offices, compliance departmentsInsurance companies, healthcare providers, government Medicaid offices

Medicaid Program Integrity professionals focus on safeguarding Medicaid funds by identifying fraudulent activities, while Medicaid Claims Examiners primarily verify claims for accuracy and proper coding. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work settings.

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For Medicaid Program Integrity jobs in Ohio, the most frequently searched job titles are:

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The top searched job categories for Medicaid Program Integrity jobs in Ohio are:

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Medicaid Program Integrity jobs near you
Infographic showing various Medicaid Program Integrity job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

External Auditor 1

Ohio Department of Taxation

Columbus, OH • On-site

Full-time

Posted 8 days ago

Job description

What You Will Do At ODM:

Office: Legal Counsel
Bureau: Program Integrity
Working Title: External Auditor 1 (PN:20042146)

Job Overview: 

The Ohio Department of Medicaid is seeking a candidate with an interest in auditing to be a part of our Provider Compliance unit. The Provider Compliance unit is part of Program Integrity (BPI) which focuses on fraud, waste and abuse related activities. This position is located in Franklin County and will require travel to provider sites. As an External Auditor 1, your responsibilities will include:

  • 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 of fraud, waste, and abuse
  • Analyzing health care providers records related to billing activities and the quality of care when conducting on site reviews
  • Preparing audit reports and recommendations for corrective actions plans
  • Maintaining favorable relations with internal and external customers

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. 
-Or completion of undergraduate core coursework in accounting, business administration, computer science or related field; 12 mos. exp. in auditing or accounting which must have included auditing. 
-Or equivalent of Minimum Class Qualifications for Employment noted above. 

Job Skills: Auditing

   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

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