Onsite Reviewer - Ohio

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Onsite Reviewer in Ohio:

(Locations – Central/NE OH area and SW/Cincinnati/Dayton area)

The overarching responsibility for this position is to ensure Ohio Medicaid providers are providing a legitimate service, operating within the required Ohio administrative code rules, and completing site visits at the providers listed service location(s) using a comprehensive checklist approved by the Ohio Department of Medicaid (ODM). 

The Onsite Reviewer will operate on a solo basis, within a team environment, and travel daily to various provider locations across Ohio. Overnight stays at hotels are at times required, based on the Onsite Reviewers location for a given week.

Ohio Department of Medicaid, Onsite Reviewer Job Description:

• Travel daily to various provider site locations.
• Conduct site visits at various locations across Ohio.
• Execute the site visit checklist and ask questions of the provider in accordance to protocol.
• Ability to thoroughly document the site visit with correct grammar and punctuation; documentation must convey a story of the site visit experience.
• Document the result of site visit according to protocol, and work in accordance with the QA department by meeting all deadlines.
• Make a recommendation based on the information gathered during the site visit whether to enroll or continue enrollment for the provider.
• Maintain confidentiality at all times, regarding provider/site visit information.
• Meet work standards (e.g. productivity, quality, and customer-service standards).
• Work as a solo reviewer and be able to self-manage deadlines and timelines.  
• Resolve provider concerns and identify work process improvements.
• Ensure compliance with the Ohio Department of Medicaid by analyzing provider practices and protocols by examining documentation practices of the provider.
• Must exhibit excellent technical skills.
• A professional appearance and personable with excellent listening and communication skills.

Onsite Reviewer Skills and Qualifications:

• Required skills or licensures include: Bachelor’s Degree, iPad / tablet experience, dictation skills, Microsoft office skills, good sense of direction, valid driver’s license, good driving record and auto insurance certificate. 
• Two years plus provider experience with any one or all of the following: public health, critical care, children, elderly, developmentally disabled. 
• One year of provider monitoring, Medicaid or 3rd party billing, or provider training. 
• One year in home health, public institution, LTC program, Mental Health or community social services.
• Excellent time management and organizational skills.
• Honest, reliable, self-motivated and able to work independently without direct supervision.