Onsite Reviewer - Ohio

Staffing Solutions Organization LLC (SSO)

2d•$25•Onsite

About The Position

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 requires extensive daily travel throughout Ohio, with occasional overnight stays based on assigned territories and schedules.

Requirements

Bachelor's Degree required.
Valid driver's license with an acceptable driving record.
Current automobile insurance.
Willingness and ability to travel extensively throughout Ohio.
Experience using tablets/iPads and Microsoft Office applications.
Strong written communication, documentation, and dictation skills.
Excellent organizational, time management, and analytical skills.
Demonstrated ability to work independently with minimal supervision.
Professional demeanor with strong interpersonal, listening, and communication skills.

Nice To Haves

Minimum of two (2) years of experience in one or more of the following areas: Public Health, Critical Care, Home Health, Long-Term Care (LTC), Behavioral Health or Mental Health Services, Developmental Disabilities Services, Children's Services, Elder Care Services, Community Social Services.
Experience in one or more of the following is preferred: Medicaid programs, Provider monitoring or auditing, Compliance reviews, Third-party billing, Provider training and education, Healthcare operations, Quality assurance.

Responsibilities

Conduct onsite reviews of Ohio Medicaid provider locations throughout the state.
Travel daily to provider sites and complete assigned review schedules.
Execute ODM-approved site review checklists and conduct provider interviews in accordance with established protocols.
Assess provider operations, documentation practices, and regulatory compliance requirements.
Document site visit findings accurately, thoroughly, and professionally using proper grammar, punctuation, and objective observations.
Submit completed reviews within established quality assurance and compliance deadlines.
Analyze collected information and provide recommendations regarding provider enrollment or continued participation in Medicaid programs.
Maintain strict confidentiality regarding provider information, findings, and review outcomes.
Meet established productivity, quality, and customer service performance standards.
Work independently while effectively managing priorities, deadlines, and travel schedules.
Address provider questions and concerns professionally and identify opportunities for process improvement.
Utilize technology, tablets, and reporting systems to document and complete reviews.
Represent the organization professionally during all provider interactions.