Top 18 Medicaid fraud Jobs in Ohio

Audit Specialist
Akron Children's Hospital —Akron, OH
- Full-time
- CPA
- 5 years
- HIPAA
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Ohio
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Medicare Sales Representative - Base Salary + Commission Opportunities (Must Reside in Ohio)
CareSource —Ohio
- $47,400 - $76,000 a year
- Weekends as needed
- Bilingual
- High school diploma or GED
- Travel
- Flexible schedule
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Ohio
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
2d
Eligibility Technician (Eligibility Technician) (4452-12)
Hamilton County, Ohio —Cincinnati, OH
- $21.22 an hour
- Full-time
- Hybrid work
- Background check
- Writing skills
- Basic math
- Free parking
- Wellness program
Quick Apply
CASE MANAGEMENT SPECIALIST II
County of Summit, OH —Ohio
- $24.40 an hour
- Weekends as needed
- Background check
- Mid-level
- Office
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
1d
Public Assistance Caseworker
Butler County Job and Family Services —Hamilton, OH
- $20.88 an hour
- Full-time
- Computer literacy
- Office
- Databases
- Health savings account
- Health insurance
Quick Apply
10d
Medicare Sales Representative II-2
CareSource —Ohio
- $47,400 - $76,000 a year
- Weekends as needed
- Bilingual
- Microsoft Excel
- Up to 50% travel
Eligibility Referral Specialist 2
Hancock County Job and Family Services —Findlay, OH
- From $18.20 an hour
- Background check
- Word processing
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Social Service Assistant
Riverview Post Acute —South Point, OH
- Part-time
- Experience working with individuals with disabilities
- Basic math
- Mid-level
Quick Apply
DIRECTOR - INTERNAL AUDIT
Aultman Health Foundation —Canton, OH
- 8 hour shift
- 6 years
- CPA
- Writing skills
Program Manager
MASCO, Inc. —Youngstown, OH
- $50,000 - $65,000 a year
- 8 hour shift
- Microsoft Excel
- Pass drug screening
- Mid-level
- Health savings account
- Health insurance
Quick Apply
6d
Licensed Social Worker
Marion Valley Post Acute —Marion, OH
- Full-time
- Skilled nursing facility
- Experience working with individuals with disabilities
- Basic math
Quick Apply
General Counsel ( In House)
Primary Health Solutions —Hamilton, OH
- Computer literacy
- Writing skills
- HIPAA
Quick Apply

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Based on your search for medicaid fraud jobs.

Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Ohio
Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations for fraud and abuse.
$46,988 - $112,200 a year
Audit Specialist
Akron Children's Hospital —Akron, OH
Support drafting, refining, and maintaining compliance documentation aligned with federal and state healthcare regulations.

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Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
1d
Licensed Social Worker
Marion Valley Post Acute —Marion, OH
This role is responsible in assisting in planning, developing, organizing, implementing, evaluating, and directing our facility’s social service programs in…
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Audit Specialist

Akron Children's Hospital
Akron, OH

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Job Details

Full-time

Qualifications

Bachelor's degree

Full Job Description

Job Description

Job Requisition Number 32843

Full-Time, Days

Onsite

The Healthcare Compliance Senior Auditor plays a critical role in supporting Akron Children's Hospital's mission by ensuring adherence to all applicable healthcare laws, regulations, and internal policies. Reporting to the Compliance Manager, this position is responsible for planning and executing in-depth compliance audits, analyzing risk exposures, and guiding corrective actions to promote a culture of integrity and continuous improvement. In addition, this role will include developing critical components of the Compliance Program such as policies, procedures, training modules, and monitoring systems, and ensuring adherence to regulatory requirements and industry benchmarks.

Responsibilities:

Duties and Responsibilities

Plan, conduct, and oversee compliance audits in areas including finance, operations, and research.
Analyze audit results to identify root causes and risks; draft concise reports outlining organizational exposure and actionable management plans with assigned responsibilities.
Support drafting, refining, and maintaining compliance documentation aligned with federal and state healthcare regulations.
Design and deliver compelling compliance training sessions to staff, clinical providers, and leadership; ensure staff understand reporting mechanisms and expectations.
Conduct periodic risk assessments, monitoring, and auditing to proactively identify vulnerabilities.
Lead investigations, corrective action plan development, and timely resolution of compliance incidents.
Mentor guest auditors; manage projects and ensure quality assurance.
Work cross-functionally with leadership and team members, including clinical departments, to integrate compliance into day-to-day operations.

Technical Expertise

Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Medicare/Medicaid, fraud & abuse statutes).
Proficient in audit methodologies, controls evaluation, and corrective action implementation.
Analytical mindset with strong report writing and presentation skills.
Skilled in audit procedures, data analytics, and compliance training.
Proficient in Epic, Excel, Word, and healthcare billing systems.
Strong communication and organizational skills.

Other information:

Education and Experience

1. Education: Bachelor's degree required
2. Certification: CHC (Certified in Healthcare Compliance), CPA (Certified Public Accountant), CIA (Certified Internal Auditor), CFE (Certified Fraud Examiner) preferred.
3. Years of relevant experience: Minimum 5 years in healthcare compliance, audit, or related roles required.

FTE: 1.000000

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Refine Your Search

medicaid fraud jobs in ohio

Audit Specialist

Senior Investigator, Special Investigations Unit (Aetna SIU)

Medicare Sales Representative - Base Salary + Commission Opportunities (Must Reside in Ohio)

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Eligibility Technician (Eligibility Technician) (4452-12)

CASE MANAGEMENT SPECIALIST II

Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)

Public Assistance Caseworker

Medicare Sales Representative II-2

Eligibility Referral Specialist 2

Social Service Assistant

DIRECTOR - INTERNAL AUDIT

Program Manager

Licensed Social Worker

General Counsel ( In House)

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