External Auditor for Provider Compliance & Fraud Prevention
Ohio Department of Medicaid
Ohio Department of Medicaid is seeking an External Auditor 1 to join the Provider Compliance unit within Program Integrity. The role involves conducting financial, compliance, and operational audits across provider sites, with travel to sites in Franklin County and Columbus. The position requires auditing or accounting experience, including at least 18 months of auditing, and may include on-site reviews and reporting on findings to improve compliance and quality of care. #J-18808-Ljbffr Ohio Department of Medicaid
- ...Ohio, through the Ohio Department of Medicaid, seeks an External Auditor 1 to join the Provider Compliance unit in Franklin County. The role focuses on routine... .... The candidate will analyze billing activity for fraud indicators, prepare reports, and collaborate with ODM...Fraud
- Northwest Bank is seeking a Fraud Analyst to detect, prevent, and recover from fraudulent activity across banking products. The role involves monitoring... ...cases to Investigators as needed, ensure regulatory compliance, and contribute to policies and controls to enhance...Fraud
- Northwest is seeking a Fraud Analyst in Columbus, OH to detect, prevent, and mitigate fraudulent activity across banking products. You will monitor transactions, analyze patterns, and work with customers and internal teams to resolve issues and strengthen fraud controls...Fraud
- A leading home improvement retailer is seeking an Asset Protection Specialist to prevent theft and fraud, ensure safety compliance, and drive a culture of loss prevention in their assigned stores. The role includes preparing detailed reports, interacting with law enforcement...Fraud
- ...Bancshares HQJob DescriptionThe Fraud Analyst is responsible for detecting, preventing, mitigating, and recovering from... ...Additionally, the position ensures compliance with regulatory requirements and... ...to the performance metrics provided by Northwest management and continue...FraudFull timeWork at office
$40.4 per hour
...The Ohio Department of Medicaid is seeking a compliance professional to be a part of our Network Management team. As a provider compliance team member your responsibilities... ...federal entities regarding credible allegations of fraud, indictments, convictions, exclusions,...FraudFull timeContract workWork at office$28.76 per hour
...Bureau: Program Integrity Working Title: External Auditor 1 (PN:20042146) Job Overview The... ...in auditing to be a part of our Provider Compliance unit. The Provider Compliance unit is... ...Program Integrity (BPI) which focuses on fraud, waste and abuse related activities....FraudFull timeWork at office$40.4 per hour
Job Description - Provider Compliance Manager (Medicaid Health Systems Administrator 1) (260005PS) Provider Compliance Manager (Medicaid Health... ...State and federal entities regarding credible allegations of fraud, indictments, convictions, exclusions, investigations etc....FraudFull timeContract workPart timeWork experience placementWork at office- ...JPMorganChase, where your expertise in compliance and risk management will... ...control environmentLead anti-fraud and cybersecurity initiatives... ...and communities to prevent repeated mistakes, synthesizes... ...compensation and benefits will be provided during the hiring process. We...Fraud
$155k - $255k
...the organization and identify external partners to help drive new... ...customer experience.Risk & Compliance Management:Ensure that all credit... ..., including credit risk, fraud prevention, and operational risk for... ...Specific work arrangements will be provided by the hiring team....FraudFull timeWork at officeRemote workWork from homeFlexible hours$34.53 per hour
The Ohio Department of Natural Resources seeks an External Auditor 3 to join the Office of Budget & Finance at Fountain Square Main Campus in Franklin County, Columbus, Ohio. You will conduct audits, lead teams, review agency activities, and prepare reports in line with...Full timeWork at office- ...(Information) Protection Fraud Prevention, Detection and Response Integrated Governance, Compliance and Risk Management Responsibilities... ...a variety of internal and external stakeholders to effectively... ...issues as necessary, providing technical architecture...FraudWork experience placementLocal areaFlexible hours
$34.53 per hour
...Department of Natural Resources (ODNR) in Columbus, Ohio seeks an External Auditor 3 to conduct and lead audits within the Office of Budget &... ...The role emphasizes data analysis, report preparation, and compliance with state auditing standards. Starting hourly pay is $34.53...Hourly payFull timeWork at office- ...Analytics Associate on our Consumer and Community Banking (CCB) Fraud Prevention Optimization Strategy team to reduce cost of fraud and... ...analysis succinctly to managers and executives. You will be provided an opportunity to be part of a dynamic team that is instrumental...Fraud
- ...risk mitigation initiatives, loss prevention programs, security investigations, regulatory compliance, security governance, and... ...Operations Security Director will provide leadership to regional security... ...investigations involving theft, fraud, workplace misconduct, cargo...FraudCasual workLocal areaRemote work
- ...improvement retailer is seeking an Asset Protection Specialist in Columbus, Ohio. The role involves preventing financial loss due to theft and fraud, supporting safety compliance, and managing store security audits. Candidates should demonstrate integrity and the ability to...Fraud
- ...our Internal Audit team as a Senior Auditor Associate and play a visible role... ...control groups (i.e. risk management, compliance, fraud prevention), external auditors, and regulators... ...audit findings and use judgment to provide an overall opinion on the control environment...Fraud
- ...Company Fast-paced payments business strengthening risk, compliance, and governance for growing payment programs. Industry... ...compliance, with a strong knowledge of ACH, card payments, fraud prevention, and regulatory compliance. Experience with NACHA rules, Visa...Fraud
- ...Trust and Security Organization. You will identify and mitigate compliance and operational risks, collaborating with executives to... ...You will monitor portfolios, represent control management in fraud prevention forums, and drive continuous improvement in risk practices while...Fraud
- ...Nationwide Mutual Insurance Company seeks a Senior Compliance Consultant to strengthen fraud governance across the enterprise. You will collaborate with claims, underwriting, and legal teams to detect, prevent and mitigate fraud risks in a highly regulated environment...Fraud
- Research Faculty - Cancer Prevention and Control (Open Rank/Track Faculty)Skip to main content#... ...Wexner Medical Center is committed to providing world-class care. At the Ohio State... ...harassment; research misconduct; financial fraud or misconduct; foreign influence violations...FraudWork at officeRelocationShift work
- ...for leading and maintaining the Bank's Fraud Risk Management Program. This role oversees... ...relationships. Works closely with risk, compliance, operations, BSA/AML, and other... ...management expectations for partners and service providers.Reviews fraud performance, reporting,...Fraud
- A leading home improvement retailer is seeking an Asset Protection Specialist, responsible for preventing financial loss caused by theft and fraud. Key duties include utilizing tools to minimize loss, preparing detailed case reports on apprehensions, and interacting with...Fraud
$112k - $210k
...Key’s second line of defense Compliance Risk Management function, the... ...risk testing professionals and provide oversight of the risk-based monitoring... ...Certified Information Systems Auditor (CISA), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), Certified...FraudFull timeWork at officeFlexible hoursShift work$81.07k - $129.71k
...mathematics, probability, statistics, and business principles to provide technical actuarial support. The Actuarial Analyst works closely... ...__________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations,...FraudWork at officeLocal areaRemote workFlexible hours2 days per week$100k
...powerhouse in their own right, providing specialized expertise... ...and loss control prevention industry since 1945 is seeking a Premium Auditor to grow our team.... ...looking for evidence of fraud and checking that... ...discrepancies and ensure compliance Prepare and submit...FraudHourly payWeekly payLocal areaWork from homeFlexible hours- ARMStrong Insurance Services seeks a Premium Auditor to perform remote premium audits with on-site travel within a limited territory... ...financial records, identify discrepancies, and ensure regulatory compliance across Workers’ Comp, General Liability, Garage, and Auto...FraudRemote job
- ...Elevate is committed to providing the highest quality... ...efficiency, and condensation prevention. • Collaborate with... ...internal teams and external partners on roofing... ...United States. In compliance with the ADA Amendments... ...YOURSELF FROM RECRUITMENT FRAUD The only way to...FraudFull timeFor contractorsLocal areaRemote workFlexible hours
- ...in Columbus is seeking a KYC Specialist to ensure regulatory compliance by performing due diligence and risk reviews on customers and... ...and fluent English. You will collaborate across teams to strengthen the payments ecosystem and prevent fraud. #J-18808-Ljbffr PLP GroupFraud
- ...financial activity across agencies, and report to senior leadership. The role oversees Accounts Payable, Supplier Operations, Travel & Expense, eSettlement, and 1099 processing, with a focus on governance, compliance, and fraud prevention. #J-18808-Ljbffr State of OhioFraudWork at office
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