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Onsite Reviewer

Onsite Reviewer - Ohio (5 Openings) Locations:<ul><li>Columbus</li><li>Cleveland</li><li>Akron/Canton</li><li>Cincinnati </li></ul> Employment Type: Full-TimePay Rate: $25.00 per hour About the Role:The Onsite Reviewer plays a critical role in ensuring Ohio Medicaid providers deliver legitimate services, maintain compliance with Ohio Administrative Code requirements, and operate from approved service locations. Using a comprehensive site review checklist approved by the Ohio Department of Medicaid (ODM), the Onsite Reviewer conducts independent, in-person provider assessments while collaborating with a larger quality assurance team. This position works remotely but requires extensive daily travel throughout Ohio, with occasional overnight stays based on assigned territories and schedules. Key Responsibilities:<ul><li>Conduct onsite reviews of Ohio Medicaid provider locations throughout the state.</li><li>Travel daily to provider sites and complete assigned review schedules.</li><li>Execute ODM-approved site review checklists and conduct provider interviews in accordance with established protocols.</li><li>Assess provider operations, documentation practices, and regulatory compliance requirements.</li><li>Document site visit findings accurately, thoroughly, and professionally using proper grammar, punctuation, and objective observations.</li><li>Submit completed reviews within established quality assurance and compliance deadlines.</li><li>Analyze collected information and provide recommendations regarding provider enrollment or continued participation in Medicaid programs.</li><li>Maintain strict confidentiality regarding provider information, findings, and review outcomes.</li><li>Meet established productivity, quality, and customer service performance standards.</li><li>Work independently while effectively managing priorities, deadlines, and travel schedules.</li><li>Address provider questions and concerns professionally and identify opportunities for process improvement.</li><li>Utilize technology, tablets, and reporting systems to document and complete reviews.</li><li>Represent the organization professionally during all provider interactions.</li></ul> Required Qualifications;<ul><li>Bachelor's Degree required.</li><li>Valid driver's license with an acceptable driving record.</li><li>Current automobile insurance.</li><li>Willingness and ability to travel extensively throughout Ohio.</li><li>Experience using tablets/iPads and Microsoft Office applications.</li><li>Strong written communication, documentation, and dictation skills.</li><li>Excellent organizational, time management, and analytical skills.</li><li>Demonstrated ability to work independently with minimal supervision.</li><li>Professional demeanor with strong interpersonal, listening, and communication skills.</li></ul> Preferred Experience:Minimum of two (2) years of experience in one or more of the following areas:<ul><li>Public Health</li><li>Critical Care</li><li>Home Health</li><li>Long-Term Care (LTC)</li><li>Behavioral Health or Mental Health Services</li><li>Developmental Disabilities Services</li><li>Children's Services</li><li>Elder Care Services</li><li>Community Social Services</li></ul> In addition, experience in one or more of the following is preferred:<ul><li>Medicaid programs</li><li>Provider monitoring or auditing</li><li>Compliance reviews</li><li>Third-party billing</li><li>Provider training and education</li><li>Healthcare operations</li><li>Quality assurance</li></ul> Successful candidates will be:<ul><li>Honest, dependable, and self-motivated.</li><li>Comfortable working independently in the field.</li><li>Detail-oriented with strong investigative and observational skills.</li><li>Skilled at analyzing information and making objective recommendations.</li><li>Able to maintain professionalism while navigating challenging situations.</li><li>Customer-focused with excellent problem-solving abilities.</li></ul> Benefits Through Staffing Solutions Organization (SSO)SSO offers a competitive benefits pake hat may include:<ul><li>Medical Insurance</li><li>Dental Insurance</li><li>Vision Insurance</li><li>401(k) with Employer Match</li><li>Paid Time Off (PTO)</li><li>Paid Holidays</li><li>Flexible Spending Accounts (FSA)</li><li>Employee Assistance Program (EAP)</li><li>Additional Employee Perks</li></ul> Keywords SearchOhio Medicaid, Healthcare Compliance, Provider Review, Site Auditor, Healthcare Auditor, Field Reviewer, Quality Assurance, Medicaid Provider Enrollment, Regulatory Compliance, Home Health, Long-Term Care, Public Health, Behavioral Health, Provider Monitoring, Healthcare Operations, Field-Based Position, Statewide Travel, Documentation Review, Healthcare Inspection, Medicaid Compliance.

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