Medicaid
Managed Care/Provider Audit Manager (External Audit Manager 1)
Medicaid, Frankfort, Kentucky, United States
Overview
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: Responsibilities
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 Qualifications
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: AuditingTechnical Skills: Auditing, Program Management, Compliance EnforcementProfessional Skills: Collaboration, Establishing Relationships, Written Communication, Verbal Communication, Analyzation, Medicaid
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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: Responsibilities
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 Qualifications
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: AuditingTechnical Skills: Auditing, Program Management, Compliance EnforcementProfessional Skills: Collaboration, Establishing Relationships, Written Communication, Verbal Communication, Analyzation, Medicaid
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