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Onsite Reviewer
Simple Staffing Group. Conduct field-based reviews of North Carolina Medicaid providers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting field-based reviews and compliance assessments for North Carolina Medicaid providers, utilizing strong analytical and organizational skills to prepare detailed reports and recommendations. Proficient in managing travel schedules and maintaining confidentiality while ensuring adherence to Medicaid requirements.
Highest-signal resume keywords
Field-Based ReviewsCompliance AssessmentMicrosoft Office ProficiencyPublic Health ExperienceProvider Monitoring
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Compliance RequirementsDocumentation AnalysisProvider InterviewsQuality AssuranceOperational Practices Evaluation
Soft Skills
Strong Written CommunicationExcellent Organizational SkillsInterpersonal SkillsTime-Management SkillsAnalytical Skills
Tools & Technologies
TabletsMicrosoft Office ApplicationsReporting Systems
Certifications & Qualifications
Valid Driver's LicenseCurrent Automobile Insurance
Industry Keywords
Medicaid ProgramsHealthcare ComplianceProvider TrainingHome HealthLong-Term Care
About the role
Key responsibilities & impact- Conduct field-based reviews of North Carolina Medicaid providers
- Travel daily to Medicaid provider locations throughout North Carolina, with occasional overnight travel
- Conduct onsite reviews to verify provider operations, service delivery, and compliance requirements
- Complete North Carolina Medicaid-approved site review checklists and conduct provider interviews
- Observe, assess, and document provider practices, policies, and procedures
- Prepare detailed reports documenting site visit findings
- Submit documentation within quality assurance and compliance deadlines
- Analyze review information and provide recommendations regarding provider enrollment or continued Medicaid participation
- Maintain confidentiality regarding provider information and site review findings
- Manage travel schedules, workloads, timelines, and deadlines independently
- Address provider concerns and identify process improvement opportunities
- Evaluate provider documentation and operational practices for compliance with North Carolina Medicaid requirements
- Use tablets, Microsoft Office applications, and reporting systems to complete reviews and documentation
- Represent SSO professionally during provider interactions
Requirements
What you’ll need- Bachelor's degree preferred but not required
- Valid driver's license with an acceptable driving record
- Current automobile insurance
- Ability and 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
- Minimum of two (2) years of experience in Public Health, Critical Care, Home Health, Long-Term Care (LTC), Developmental Disabilities Services, Children's Services, Elder Care Services, Behavioral Health or Mental Health Services, or Community Social Services
- Additional experience in Medicaid programs, provider monitoring or auditing, third-party billing, provider training and education, healthcare compliance, quality assurance, or healthcare administration is preferred
Benefits
Comp & perks- Medical Insurance
- Dental Insurance
- Vision Insurance
- 401(k) with Employer Match
- Paid Time Off (PTO)
- Paid Holidays
- Flexible Spending Accounts (FSA)
- Employee Assistance Program (EAP)
- Additional Employee Perks and Discount Programs