Field-Based Medicaid Compliance Auditor

Staffing Solutions Organization LLC (SSO); North Carolina; Presencial; USD 70 000 - 110 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with Employer Match

PTO

Paid Holidays

FSA

EAP

Discount Programs

Resumo da oferta

Staffing Solutions Organization (SSO) seeks Healthcare Compliance Reviewers (Medicaid Provider Oversight) for field-based reviews of North Carolina Medicaid providers. You will verify service delivery, check documentation, and report findings to support enrollment and ongoing compliance at approved sites.

The role requires extensive travel across North Carolina, strong independence, and meticulous attention to regulatory requirements.

Qualificações

• Bachelor's degree preferred but not required.
• Willingness to travel extensively throughout North Carolina.
• Experience using iPads, tablets, or mobile technology.
• Proficiency with Microsoft Office applications.
• Strong written communication, documentation, and dictation skills.
• Excellent organizational, analytical, and time-management skills.
• Ability to work independently with minimal supervision.
• Professional demeanor with strong interpersonal, listening, and communication skills.

Responsabilidades

• Travel daily to Medicaid provider locations throughout North Carolina.
• Conduct onsite reviews to verify provider operations, service delivery, and compliance requirements.
• Complete North Carolina Medicaid-approved site review checklists and conduct provider interviews according to established protocols.
• Observe, assess, and document provider practices, policies, and procedures.
• Prepare detailed, accurate, and professional reports documenting site visit findings.
• Submit all documentation within established quality assurance and compliance deadlines.
• Analyze information gathered during reviews and provide recommendations regarding provider enrollment or continued participation in Medicaid programs.
• Maintain strict confidentiality regarding provider information and site review findings.
• Meet established productivity, quality, and customer service standards.
• Independently manage travel schedules, workloads, timelines, and deadlines.
• Address provider concerns professionally and identify opportunities for process improvement.
• Evaluate provider documentation and operational practices to ensure compliance with North Carolina Medicaid requirements.
• Utilize tablets, Microsoft Office applications, and reporting systems to complete reviews and documentation.
• Represent SSO professionally during all provider interactions.

Conhecimentos

Written communication

Analytical thinking

Time management

Independent work

Professional demeanor

Formação académica

Bachelor's degree (preferred)

Ferramentas

Microsoft Office

iPad / Tablets

Descrição da oferta de emprego

Staffing Solutions Organization (SSO) seeks Healthcare Compliance Reviewers (Medicaid Provider Oversight) for field-based reviews of North Carolina Medicaid providers. You will verify service delivery, check documentation, and report findings to support enrollment and ongoing compliance at approved sites.

The role requires extensive travel across North Carolina, strong independence, and meticulous attention to regulatory requirements.