The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio’s Medicaid program -- one that strengthens Ohio’s future and ensures everyone has the chance to live life to its full potential.

Today, more than 90 percent of Ohio Medicaid members are supported by managed care organizations. During the year ahead, ODM will begin implementing a new vision for care; focusing on the individual, a strong partnership among MCOs and the department, and supporting specialization in addressing critical needs.

A program that puts the individual first

Adopting Governor DeWine’s philosophy of service to Ohioans, ODM embarked on an aggressive effort to redesign its managed care program. The goal is to provide more personal, holistic care and supports for millions of Ohioans served by Medicaid. Listening to feedback from more than 1,100 individuals and organizations we identified five procurement goals that would put the individual front and center of Medicaid’s program and policy decisions. They are:

• Emphasize a personalized care experience,


• Improve care for children and adults with complex behavioral health needs,


• Improve wellness and health outcomes,


• Support providers in better patient care and


• Increase program transparency and accountability.

Unless required by legislation or union contract, starting salary will be set at step 1 of the pay range.

Office: Legal Counsel

Bureau: Program Integrity/LTC & State Agency Audits

Working Title: External Auditor 3 (PN:20042156)

Job Overview: 

The Ohio Department of Medicaid is seeking an experienced auditor to be a part of our Long Term Care and Sister State Agencies Audit Section. The Long Term Care and State Agency Audits section is part of the Bureau of Program Integrity which 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 long term care facilities and sister state agencies 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 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.

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.