# Healthcare Compliance Reviewer

> Simple Staffing · Toledo, United States (Hybrid) · Full-time · Posted 2026-10-20

**Workplace:** hybrid

## Description

​\* Simple Staffing is hiring for this position on behalf of Staffing Solutions Organization LLC \*  

**Pay Rate: $25.00 per hour**

The **Healthcare Compliance Reviewer** plays a critical role in ensuring Ohio Medicaid providers deliver legitimate services, maintain compliance with Ohio Administrative Code requirements, and operate from approved service locations. Using a comprehensive site review checklist approved by the Ohio Department of Medicaid (ODM), the Onsite Reviewer conducts independent, in-person provider assessments while collaborating with a larger quality assurance team.

**This position requires extensive daily travel throughout Ohio, with occasional overnight stays based on assigned territories and schedules.**

**Key Responsibilities**

-   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.

**Required Qualifications**

-   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.

**Preferred Experience**

Minimum of two (2) years of experience in one or more of the following areas:

-   Public Health
-   Critical Care
-   Home Health
-   Long-Term Care (LTC)
-   Behavioral Health or Mental Health Services
-   Developmental Disabilities Services
-   Children's Services
-   Elder Care Services
-   Community Social Services

In addition, experience in one or more of the following is preferred:

-   Medicaid programs
-   Provider monitoring or auditing
-   Compliance reviews
-   Third-party billing
-   Provider training and education
-   Healthcare operations
-   Quality assurance

**What We're Looking For**

Successful candidates will be:

-   Honest, dependable, and self-motivated.
-   Comfortable working independently in the field.
-   Detail-oriented with strong investigative and observational skills.
-   Skilled at analyzing information and making objective recommendations.
-   Able to maintain professionalism while navigating challenging situations.
-   Customer-focused with excellent problem-solving abilities.

## Requirements

-   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

Health insurance, Paid time off, Dental insurance, 401(k), Vision insurance, 401(k) matching, Other

## Apply

[Apply at Simple Staffing](https://apply.workable.com/simple-staffing/j/E13D4E4C27/apply)

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