Medicaid Fraud Control Unit Jobs Near Me

Job Description - External Auditor 1 (260005TO)

External Auditor 1 (260005TO)

Organization

Medicaid

Agency Contact Name and Information

HumanResources@medicaid.ohio.gov

Unposting Date

Aug 25, 2026, 3:59:00 AM

Work Location

50 W Town St 50 West Town Street Suite 300 Columbus 43215

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$28.76

Schedule

Full-time

Union

OCSEA

Primary Job Skill

Auditing

Technical Skills

Accounting and Finance, Auditing

Professional Skills

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

Agency Overview

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

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 partof 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

Why Work for the State of Ohio

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.

Qualifications

• 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

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.

ADA Statement

Ohio is a Disability Inclusion State and strides 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.

Drug-Free Workplace

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.