Onsite Reviewer

Dayforce

Onsite Reviewer assessing and reviewing Ohio Medicaid providers for compliance and quality assurance. Conducting in-person evaluations and documenting findings for medicaid enrollment considerations.

Posted 7/28/2026full-timeRemote • Ohio • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting thorough onsite reviews of Medicaid provider operations, ensuring compliance with regulatory standards while maintaining confidentiality. Proficient in utilizing technology for documentation and analysis, with strong organizational and communication skills to manage provider interactions effectively.

Highest-signal resume keywords

Bachelor's DegreeRegulatory Compliance AssessmentStrong Written Communication SkillsExperience Using Tablets/iPadsMicrosoft Office Applications

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory ComplianceDocumentation PracticesData AnalysisSite Review ChecklistsProvider Interviews

Soft Skills

Organizational SkillsTime ManagementInterpersonal SkillsAnalytical SkillsProfessional Demeanor

Tools & Technologies

TabletsIPadsReporting SystemsMicrosoft Office

Certifications & Qualifications

Valid Driver's LicenseCurrent Automobile Insurance

Industry Keywords

Ohio MedicaidProvider OperationsQuality AssuranceCustomer Service StandardsProcess Improvement

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

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