Site Inspector - Remote Wisconsin

Site Inspector conducts onsite provider inspections to verify operational status, physical location, business signage, and the provider's ability to perform services identified within enrollment applications. Coordinate and schedule site visits with providers, including communication, appointment management, and utilization of virtual meeting technology when appropriate. Capture photographs, complete inspection templates, document findings, and upload supporting documentation into designated systems in accordance with established procedures. Perform enrollment program integrity compliance reviews, including research, analysis, and evaluation of provider information to identify potential compliance concerns. Prepare detailed reports, recommendations, and supporting documentation for enrollment determinations, sanctions, terminations, denials, and administrative review processes. Field-based position requiring frequent travel throughout Wisconsin to conduct provider site visits and inspections. Direct interaction with healthcare providers, clinics, agencies, suppliers, and other Medicaid-enrolled organizations. Collaboration with Wisconsin DHS Office of Inspector General (OIG) and Gainwell program integrity and provider enrollment teams. Independent work environment requiring strong time management, scheduling, documentation, and case management skills. Opportunity to make a direct impact on Medicaid program integrity while supporting compliance initiatives that help prevent fraud, waste, and abuse within the healthcare system.