Onsite Reviewer

Dayforce

Onsite Reviewer conducting thorough Medicaid provider reviews across North Carolina. Ensuring compliance with Medicaid requirements through detailed assessments and reports.

Posted 7/28/2026full-timeRaleigh • North Carolina • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in conducting compliance reviews and assessments for Medicaid providers, utilizing strong analytical and organizational skills to ensure adherence to North Carolina Medicaid requirements. Proficient in preparing detailed reports and managing travel schedules while maintaining professionalism in provider interactions.

Highest-signal resume keywords

Bachelor's DegreeCompliance ReviewMicrosoft Office ProficiencyStrong Written CommunicationAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Compliance RequirementsSite Review ChecklistsDocumentation SkillsProvider AssessmentRecommendations Analysis

Soft Skills

Organizational SkillsTime ManagementInterpersonal SkillsProfessional DemeanorListening Skills

Tools & Technologies

TabletsIPadsMicrosoft Office ApplicationsReporting Systems

Certifications & Qualifications

Valid Driver's LicenseCurrent Automobile Insurance

Industry Keywords

Medicaid Provider OperationsNorth Carolina MedicaidQuality AssuranceService DeliveryProcess Improvement

About the role

Key responsibilities & impact

Travel daily to Medicaid provider locations throughout North Carolina.
Conduct onsite reviews to verify provider operations, service delivery, and compliance requirements.
Complete North Carolina Medicaid-approved site review checklists and conduct provider interviews according to established protocols.
Observe, assess, and document provider practices, policies, and procedures.
Prepare detailed, accurate, and professional reports documenting site visit findings.
Submit all documentation within established quality assurance and compliance deadlines.
Analyze information gathered during reviews and provide recommendations regarding provider enrollment or continued participation in Medicaid programs.
Maintain strict confidentiality regarding provider information and site review findings.
Meet established productivity, quality, and customer service standards.
Independently manage travel schedules, workloads, timelines, and deadlines.
Address provider concerns professionally and identify opportunities for process improvement.
Evaluate provider documentation and operational practices to ensure compliance with North Carolina Medicaid requirements.
Utilize tablets, Microsoft Office applications, and reporting systems to complete reviews and documentation.
Represent SSO 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.
Ability and willingness to travel extensively throughout North Carolina.
Experience using iPads, tablets, or mobile technology.
Proficiency with Microsoft Office applications.
Strong written communication, documentation, and dictation skills.
Excellent organizational, analytical, and time-management skills.
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 and Discount Programs