Health Care Secret Shopper

Myers and Stauffer LC; Tampa (FL); Sur place; USD 40 000 - 60 000; Temps partiel

Résumé du poste

Myers and Stauffer LC is looking for a Compliance Specialist to support their Network Adequacy team. This part-time hybrid position involves evaluating health plan provider networks through onsite visits and telephonic surveys. Candidates should reside within the Tampa area and be comfortable with travel throughout the region.

The ideal candidate will have strong communication skills, proficiency with data entry tools, and a high school diploma or GED. This role offers flexibility with remote work when not in the field, and candidates should be able to travel up to 60% of the time.

Qualifications

• Proficient in data entry tools and Microsoft Office Suite.
• Strong organizational and time management skills.
• Strong written and verbal communication skills.
• Bilingual in English and Spanish.
• Reliable transportation to conduct onsite evaluations.
• Willingness to travel up to 60%.

Responsabilités

• Conduct onsite and telephonic surveys to assess healthcare provider availability.
• Document responses and observations accurately.
• Work with the team to improve processes and develop recommendations.
• Maintain professional behavior during assessments.

Connaissances

Data entry tools

Microsoft Office Suite (Word, Excel)

Organizational skills

Time management skills

Communication skills

Bilingual (English and Spanish)

Formation

High School diploma or GED

Description du poste

Job Description

This is a part‑time hybrid position based in the Tampa area, requiring regular local travel. Candidates must reside within Tampa area and be comfortable with travel throughout the region. When not in the field, the role offers the flexibility to work remotely.

Myers and Stauffer is seeking an observant, detail‑oriented, and reliable Compliance Specialist to support the Network Adequacy team. This position involves evaluating adequate health plan provider networks through onsite visits, telephonic surveys of healthcare providers, and assessing the accuracy of provider directories; ultimately helping to improve patient access and satisfaction.

Essential Functions And Primary Duties

• Conduct onsite and telephonic surveys (as a "secret shopper") to assess the availability, and accessibility of healthcare providers.
• Ability to use survey platform and call center tools.
• Follow review surveys and checklists and fully document responses and observations accurately.
• Maintain detailed, organized records and follow reporting timelines.
• Work with the team to improve processes, share insights, and develop recommendations for monitoring access to care.
• Maintain professional behavior while conducting assessments in both onsite and telephonic settings.
• Additional responsibilities as assigned.

Preferred Qualifications

• Proficiency in data entry tools and Microsoft Office Suite (Word, Excel).
• Strong organizational and time management skills to manage assignments effectively and meet deadlines.
• Strong written and verbal communication skills.
• Bilingual in English and Spanish.
• Reliable transportation to conduct onsite evaluations.
• Ability to travel up to 60% of time based on client and business needs.
• Ability to work flexible hours to accommodate various assignments.
• Ability to work with minimal supervision while fulfilling all obligations.
• Ability to adhere to strict confidentiality guidelines and maintain professionalism.
• Willingness to provide unbiased feedback based on observations rather than personal opinions or biases.
• Familiarity with healthcare networks, provider enrollment processes, and/or patient services.
• Prior experience in any of the following roles: secret shopper, healthcare compliance, auditing, program integrity, health plan provider/member enrollment, customer care call center.

Minimum Qualifications

• High School diploma or GED