Reviewer

• 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.

Onsite Reviewer conducting field-based Medicaid provider reviews in North Carolina

Onsite Reviewer

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

• Use rubrics and supplemental information to provide fair and consistent evaluations with encouraging, specific, and actionable feedback
• Maintain an in-depth knowledge of every component of curriculum within assigned workload
• Swiftly respond to student outreach and return evaluations to students within 48 hours of submission
• Work with Goal Lead to provide proactive outreach to students in need of academic assistance
• Participate in Reviewer online community
• Support academic integrity validation and processing potential violations
• Participate in quality assurance processes and project improvement activities, as needed

Reviewer evaluating student projects at Southern New Hampshire University

Reviewer responsible for evaluating student project submissions at Southern New Hampshire University. Provide actionable feedback and ensure academic integrity in evaluations.

• In-person interview may be required during the hiring process
• Manage relationships with internal and external customers/vendors

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance

MD Appraisal Reviewer

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance. Collaborating with internal and external teams to ensure efficient processes and accurate valuations.

• Analyze submitted documentation to determine whether it is sufficient to meet Fair Housing guidelines.
• Review other profile information for accuracy of information.
• Show attention to detail and critical thinking skills.
• Take ownership of assignments and be proactive towards achieving goals.
• Meet designated production goals
• Provide professional explanations to users regarding insufficient information.
• Collaborate with the team in discussions regarding questionable information.
• Participate in team discussions regarding procedural changes or continued training.
• Report to team lead and management as appropriate.
• Prolonged periods of sitting and working on a computer.
• Proficient computer skills with the ability to learn new software.
• Meet individual and team performance targets by achieving key productivity and quality KPIs.
• Contribute to a collaborative team by sharing ideas and process improvements, while working in a hybrid environment.

Junior Assistance Animal Reviewer with PetScreening analyzing documentation for Fair Housing compliance

Junior Assistance Animal Reviewer

Junior Assistance Animal Reviewer at PetScreening reviewing documentation for Fair Housing compliance. Collaborating with teams while working in a hybrid office environment in Mooresville, NC.

Reviewer jobs in North Carolina

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Onsite Reviewer

Reviewer

MD Appraisal Reviewer

Junior Assistance Animal Reviewer