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Ohio BWC (official) · 1 day ago

MCO Contract Control Audit Program Manager - (PA3) - 20068987

Columbus, OH

Full-time, Contract

Onsite

Senior Level

$39.22/hr - $39.22/hr

5+ years exp

Ohio BWC is a state agency focused on promoting workplace safety and providing care to injured workers. The MCO Contract Control Program Manager is responsible for ensuring that Managed Care Organizations meet contractual, regulatory, and operational requirements, leading policy development, compliance monitoring, and strategic initiatives.

Employee BenefitsInsuranceTraining

Comp. & Benefits

Responsibilities

Formulate and implement program policies to support the MCO Contract Control, Risk and Compliance Management program

Lead the monitoring and enforcement of MCO contract controls (e.g., Business Continuity Plans, cyber insurance, AICPA SOC1/SOC2 compliance)

Develop and implement policies and operational controls to ensure MCOs comply with contract terms and Ohio regulations

Develop the compliance strategy to mitigate Agency risks, and track and report MCO compliance status, timelines, and violations to the Director and Medical Services Chief

Identify and document contract violations, providing evidence-based reports to leadership and legal teams

Initiate and manage strategic projects to support program and policy development and management (e.g., SOC2 training, AI-based continuity evaluations, compliance tracking tools)

Develop project plans, metrics, and presentation materials for internal governance and external stakeholders

Represent the Medical Services Division in cross-divisional and external collaborations

Design and deliver internal and external training on MCO contract control programs

Serve as a representative on MCO Business Council subcommittees and workgroups

Act as a spokesperson for the Director and Division leadership at meetings and events

Assist in developing communication strategies for internal staff, stakeholders, and providers

Qualification

Contract ComplianceProgram ManagementPolicy DevelopmentRisk ManagementCompliance MonitoringLeading OthersContinuous ImprovementPublic RelationsAttention to DetailStrategic Thinking

Required

5 yrs. trg. or 5 yrs. exp. in business administration, management or public administration

Or completion of undergraduate core program in business administration, management or public administration; 36 mos. trg. or 36 mos. exp. in supervisory, administrative &/or managerial position

Or completion of undergraduate core program for academic field of study commensurate with program area to be assigned per approved Position Description on File; 36 mos. trg. or 36 mos. exp. in supervisory, administrative, managerial &/or staff position involving planning, research &/or policy/procedure development

Or 1 yr. exp. as Program Administrator 2, 63123

Or equivalent of Minimum Class Qualifications For Employment noted above

Knowledge of business administration, management science or public administration; supervisory principles/techniques; public relations; employee training & development; budgeting

Ability to define problems, collect data, establish facts & draw valid conclusions; develop complex reports & position papers; handle sensitive face-to-face contacts with public & government officials; establish friendly atmosphere as supervisor of work unit

Preferred

Prefer graduate level candidate, including master's degree in business administration, management, health or public administration, or law degree; or a bachelor's degree in accounting or related field with contract management, audit or compliance experience

Company

Ohio BWC (official)

BWC helps thousands of injured workers and their employers each year by providing support, resources, and services to ensure workplace safety and recovery.

Founded in 1912

Columbus, Ohio, USA

1001-5000 employees