Healthcare Compliance Inspector- Wisconsin Onsite

2 weeks ago

Madison, United States Gainwell Technologies LLC Full time

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

**Summary**:
We are seeking a seeking a highly motivated Healthcare Compliance Inspector to join our team and play a vital role in preventing fraud within the Medicaid system.

**Your role in our mission**:

- ** Conduct Site Visits**: Verify the legitimacy and operational capabilities of high-risk Medicaid providers through on-site and virtual visits.
- ** Schedule & Coordinate**: Schedule appointments with providers, ensuring smooth communication and visit coordination.
- ** Assess & Document**: Perform comprehensive site visits, verifying location, signage, and facility capabilities for stated services. Capture photographic evidence for in-person visits.
- ** Report & Upload**: Document visit findings clearly using standardized templates and upload documentation to the State Uniform Reporting System (SURS).
- ** Maintain Communication**: Maintain clear and concise communication with providers throughout the entire process.

**What we're looking for**:

- ** Communication Master**: Strong communication skills, both verbal and written, to effectively interact with diverse audiences.
- ** Organizational Expert**: Ability to confidently make calls, schedule meetings, and request information from providers.
- ** Detail-Oriented**: Meticulous eye for detail and a commitment to documenting visit results accurately and objectively.
- ** Travel Ready**: Ability to travel to the office at 1 West Wilson, Madison, WI, and to healthcare provider locations throughout the state (valid driver's license required).
- ** Tech-Savvy**: Proficiency in using computers and a willingness to learn new software systems.
- Experience working within the healthcare industry.
- Familiarity with Medicaid regulations and compliance procedures.

**What you should expect in this role**:
This position is primarily **office-based at 1 West Wilson, Madison, WI**, with **travel required** for in-person site visits throughout Wisconsin.

LI-ONSITE

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We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
- Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees._

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