Contract control audit program manager

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

• Under the direction of the Director of the MCO Business Unit, the MCO Contract Control Audit Program Manager will lead the management of ensuring contract compliance of BWC’s 9 managed care organizations. This responsibility includes developing policies and operational controls to ensure the integrity and compliance with security controls and contract terms.
• This role includes compiling and reviewing large amounts of data used in the evaluation of control compliance. This role will utilize information gathered by auditors to outline contract violations, and to work with the Medical Services’ leadership and MCO to resolve.
• The contract controls manager will work with the contract and audit team to develop the appropriate monitoring tools, and statistical analyses needed to demonstrate contract compliance with controls.
• The contract controls manager will facilitate relevant controls training of BWC staff and managed care organizations.
  
  

The ideal candidate will be familiar with use of Microsoft Excel. The candidate should also possess an ability to work both independently and to facilitate project teams, and demonstrate a high level of critical thinking and analytical skills.

To Qualify, You Must Clearly Demonstrate

Required Experience and/or Education:

Completion of graduate core program in health care administration AND 12 months experience in medical policy development for medical provider or insurance company.

Or completion of undergraduate program core coursework in pre-medicine, allied medical field, nursing or related field of study AND 12 months practical experience in health care field AND 12 months experience in writing medical policies & procedures for medical provider or insurance company.

Or certified medical coder in current procedural terminology (CPT) hospital coding, or current ICD coding system AND 12 months experience in writing medical policies & procedures for medical provider or insurance company AND 12 months practical experience in health care field.

• THE 12 MONTHS EXPERIENCE WRITING MEDICAL POLICIES & PROCEDURES IS REQUIRED FOR EACH SECTION FOR THE ABOVE MINIMUM QUALIFCATIONS. YOU MUST HAVE THIS IN ADDITION TO THE OTHER MINIMUM QUALIFICATIONS IN THE SECTION ***
  
  

Major Worker Characteristics

Knowledge of medical/rehabilitation services; health care coverage & reimbursement techniques; health care

administration; cost containment measures; statistical analysis; workers' compensation medical policies & insurance

industry standards*; supervisory principles/techniques*. Skill in operation of personal computer*. Ability to understand

somewhat abstract field of study (i.e., health care); write & edit technical manuals & instructions; create complex reports

using computer software; gather, collate & classify information about data, people or things.

(*)Developed after employment.

Organization

Workers' Compensation

Agency Contact Name and Information

[email protected]

Unposting Date

Sep 24, 2025, 11:59:00 PM

Work Location

William Green Building

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$39.22/hr.

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

Exempt from Union

Primary Job Skill

Health Administration

Technical Skills

Health Administration, Medical, Nursing

Professional Skills

Attention to Detail, Critical Thinking, Developing Others

Agency Overview

A Little About Us:

With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers.

For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries.

Our Culture

BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society’s impact on our services and workplace, and learn about how different perspectives can improve leadership skills.

Our Vision

To transform BWC into an agile organization driven by customer success.

Our Mission

To deliver consistently excellent experiences for each BWC customer every day.

Our Core Values

One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.

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.