External Auditor 1 (PN 20068570) at Ohio Department of Administrative Services

Columbus, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

0.0

Posted On

06 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Auditing, Accounting, Compliance Reviews, Data Analysis, Report Preparation, MCO Monitoring, PBM Monitoring, Statistical Software, Microsoft Office, Risk Management, Insurance, Public Relations, Human Relations

Industry

Government Administration

Description

What Our Employees Have to Say: BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include: BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work. I have worked at several state agencies and BWC is the best place to work. Best place to work in the state and with a sense of family and support. I love the work culture, helpfulness, and acceptance I've been embraced with at BWC. I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC. If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application! BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval. What You’ll Be Doing: Conducts compliance reviews for Managed Care Organization (MCO), Pharmacy Benefits Manager (PBM), and Rebate Aggregator programs. Monitors and measures compliance programs for partners and vendors and evaluates for partner/vendor compliance. Tracks recommendations and findings of reviews. Prepare draft reports on the effectiveness of the programs. Conducts various audits and routine monitoring of MCOs and PBM. Conducts analysis of various data submitted by partners/vendors for multiple areas of review. Unusual Working Conditions: Travel includes overnight stays. Some travel is to other states. Up to 40%25 of time is spent in the field. During periods of travel, meals and hotels are typically covered out-of-pocket by employee who is then reimbursed by BWC 1-2 weeks upon return from traveling. Transportation: Position may require travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle. To Qualify, You Must Clearly Demonstrate: 3 years experience in auditing or accounting which must have included 18 mos. auditing experience 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 AND 12 months experience in auditing or accounting which must have included auditing. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Auditing Major Worker Characteristics: Knowledge of: BWC, divisional & departmental policies and procedures;* business administration; insurance & risk management or accounting; public & human relations; operational testing methods;* . Skill In: personal computer, PBM system; EDI and PowerSuite; Microsoft Office; Statistical software applications; BWC website service offerings. Ability to: deal with many variables & determine specific action; use statistical analysis; prepare meaningful, concise & accurate reports; use proper research methods in gathering data; prepare & deliver speeches before specialized audiences & general public; respond to sensitive issues & inquiries related to medical programs; gather, collate & classify information about data, people or things; cooperate with co-workers on group projects. (*) Developed After Employment

Responsibilities

The role involves conducting compliance reviews for Managed Care Organization (MCO), Pharmacy Benefits Manager (PBM), and Rebate Aggregator programs, monitoring partners and vendors for compliance, and tracking review findings and recommendations. This position also requires preparing draft reports on program effectiveness and conducting various audits and routine monitoring of MCOs and PBMs.