Field Site Inspector

About This Role

Conduct independent site visit inspections for Medicare and Medicaid providers/suppliers, including taking photographs, conducting interviews, collecting data, and documenting findings. Ensure compliance with established guidelines and standards while maintaining confidentiality and professional integrity.

Responsibilities

• Conduct independent investigations of assigned cases in a specific geographic area
• Document and report observations, activities, and relevant information using mobile devices
• Maintain confidentiality and adhere to legal and ethical standards during site inspections
• Efficiently manage workload to meet assignment time completion
• Review and verify credentials including education, training, licensure, and certification for healthcare providers and facilities
• Ensure healthcare providers meet necessary qualifications as detailed on specific site visit checklist forms
• Collaborate with Desktop Inspectors and PEO SVS operational staff for inspection execution and reporting
• Maintain professional attire, demeanor, and interaction during all contacts with provider/supplier/facility staff

Requirements

• Possess a valid driver's license with at least one year of driving experience
• High school diploma or equivalent
• Proficient in utilizing laptop computers, mobile devices, and tablets
• Flexibility to work varied and irregular hours/days including weekends
• Successful completion of the Allied Universal Investigations' training/orientation course
• Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training

Qualifications

• High school diploma or equivalent

Nice to Have

• Associate degree or higher, preferably in Criminal Justice
• Prior insurance investigations and/or healthcare facility on-site inspections/compliance
• Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing
• Effective public speaking and communication skills

Benefits