Staffing Solutions Organization LLC (SSO)

Review and assess Medicaid cases by applying policy rules and processing client documentation to reduce backlogs. Conduct proactive outbound outreach to members to confirm contact information and increase awareness of program changes.

Oversees corrective action processes for Disability and Brain Injury Services to ensure regulatory compliance and quality improvement. Coordinates with cross-functional stakeholders and analyzes compliance data to drive program enhancements.

The Healthcare Compliance Investigator conducts thorough investigations into incidents involving Medicaid recipients and providers to ensure health, safety, and welfare standards are met. They are responsible for documenting findings, identifying rule violations, and coordinating with external regulatory agencies and law enforcement.

The Provider Management Specialist conducts provider compliance reviews, evaluates documentation, and performs on-site visits to ensure adherence to state regulations. Duties include building relationships, conducting compliance interviews, assessing documentation against standards, and summarizing findings in reports.

The Antimicrobial Resistance Specialist will work to identify and evaluate various antimicrobial resistance data sources and collaborate with healthcare facilities to enhance antimicrobial stewardship programs. The role involves engaging with stakeholders to develop educational materials and assess facility practices in response to public health threats.