Healthcare Secret Shopper

CBIZ • Tallahassee, FL

1d • Hybrid

About The Position

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. This is a full-time hybrid position based in the Miami-Dade area, requiring regular local travel. Candidates must reside within the Miami-Dade area and be comfortable with travel throughout the region. When not in the field, the role offers the flexibility to work remotely. This is a great opportunity for someone seeking a flexible job!

Requirements

• High School diploma or GED
• Ability to adhere to strict confidentiality guidelines and maintain professionalism.
• Willingness to provide unbiased feedback based on observations rather than personal opinions or biases.

Nice To Haves

• 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.
• 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.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED