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

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.

Position Overview

What You’ll Be Doing:

The MCO Contract Control Program Manager plays a critical role in ensuring Managed Care Organizations (MCOs) meet all contractual, regulatory, and operational requirements. Under the direction of the Director of MCO Business Reporting, this position leads the development and oversight of contract controls, compliance monitoring, and strategic initiatives that support the integrity and performance of the seven contracted managed care organizations (MCOs) working within Ohio’s Health Partnership program (HPP).

Key Responsibilities

Policy Development, Contract Compliance & Oversight

• 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.

Training & Communication

• 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.

To Qualify, You Must Clearly Demonstrate

Required Experience and/or Education:

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.

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.

Job Skills:

Program Management

MAJOR WORKER CHARACTERISTICS: 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.

Organization

Workers' Compensation

Agency Contact Name and Information

[email protected]

Unposting Date

Feb 27, 2026, 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

8:00am - 5:00pm

Classified Indicator

Classified

Union

Exempt from Union

Primary Job Skill

Program Management

Technical Skills

Business, Health Administration, Management, Law

Professional Skills

Attention to Detail, Leading Others, Strategic Thinking, Continuous Improvement

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.