Field Site Inspector - Medicare/Medicaid Compliance

About the role

Allied Universal Compliance and Investigations is hiring Field Site Inspectors to carry out site visit inspections for Medicare and Medicaid providers and suppliers in Santa Fe, NM. The inspector works independently, visiting assigned locations, taking photographs, interviewing, collecting data and documenting findings according to approved guidelines and standards. Multiple positions are available.

Key responsibilities

• Conduct independent investigations of assigned cases in a specific geographic area
• Document and report observations, activities and relevant information clearly and concisely using mobile devices (tablets and cell phones)
• Maintain confidentiality and follow legal and ethical standards during site inspections
• Manage workload efficiently and on time to meet assignment deadlines
• Review and verify credentials, including education, training, licensure and certification, for healthcare providers and facilities
• Ensure providers meet their qualification requirements as listed on provider/supplier-specific site visit checklist forms
• Collaborate with Desktop Inspectors and other operational staff on inspection performance and reporting
• Interact professionally with provider, supplier and facility administrative staff throughout the inspection process

Required profile

• Valid driver's license with at least one year of driving experience
• High school diploma or equivalent
• Flexibility to work varied and irregular hours and days, including weekends
• Successful completion of the Allied Universal Investigations training and orientation course
• Completion of all required Site Inspector training, including initial and in-service training required internally and by CMS

Preferred qualifications

• Associate degree or higher, preferably in Criminal Justice
• Prior insurance investigations and/or healthcare facility on-site inspections and compliance
• Familiarity with industry regulations such as NCQA, The Joint Commission, Medicare Provider Enrollment or healthcare credentialing
• Effective public speaking and communication skills

What we offer

• Pay rate of $23 - $28 per hour
• Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
• Seven paid holidays annually and sick days where required by law
• Vacation accrues at 3.08 hours biweekly, paid out only where required by law