Medicaid Site Inspector - Flexible Hours & Remote

Gainwell Technologies; Wisconsin; Remote; USD 54,000 - 78,000; Full time

Benefits offered by this job

401(k) employer match

Health benefits

Educational assistance

Generous vacation policy

Career development academies

Job summary

Gainwell Technologies seeks a Site Inspector to conduct provider site visits and program integrity reviews in support of Wisconsin Medicaid enrollment and revalidation requirements. This role collaborates with the Wisconsin DHS OIG to verify operational readiness, ensure CMS compliance, and support anti-fraud efforts.

Responsibilities include scheduling inspections, documenting findings, performing research, and preparing legally defensible documentation for enrollment actions and compliance

Qualifications

• Two or more years of experience in inspections, auditing, investigations, compliance, healthcare operations, provider relations, program integrity, or a related field.

Responsibilities

• Conduct onsite provider inspections to verify operational status and provider readiness.
• Coordinate and schedule site visits with providers and use virtual meeting technology when appropriate.
• Capture photographs, complete inspection templates, and upload documentation into designated systems.

Skills

Inspections experience

Auditing

Investigations

Compliance

Program integrity

Fraud prevention

Healthcare operations

Provider relations

Communication

Tools

Microsoft Office

Documentation systems

Databases

Virtual meeting platforms

Job description

Gainwell Technologies seeks a Site Inspector to conduct provider site visits and program integrity reviews in support of Wisconsin Medicaid enrollment and revalidation requirements. This role collaborates with the Wisconsin DHS OIG to verify operational readiness, ensure CMS compliance, and support anti-fraud efforts.

Responsibilities include scheduling inspections, documenting findings, performing research, and preparing legally defensible documentation for enrollment actions and compliance