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NEOGOV · 1 day ago

ECONOMIC SERVICES QUALITY ASSURANCE ANALYST

Elizabethtown, NC

Full-time

Onsite

Entry, Mid Level

$50K/yr - $54K/yr

2+ years exp

NEOGOV is seeking an Economic Services Quality Assurance Analyst to conduct quality control reviews primarily of Medicaid programs. The role involves evaluating economic services records, providing training to caseworkers, and ensuring compliance with policies and procedures.

GovTechHuman ResourcesInformation TechnologySoftware

Responsibilities

Performs specialized administrative services in support of the Department of Social Services operations

Provides training, instruction and leadership to Income Maintenance Caseworkers as assigned

Interprets and ensures compliance with all applicable policies, procedures, laws and regulations pertaining to assigned department programs; assists in providing policy training for department staff as necessary in collaboration with the Supervisor and Lead Worker for specific area

Attends meetings, training, workshops, etc., as required to enhance job knowledge and skills

Gathers information for reports required by the County and /or other agencies

Performs a variety of routine clerical/administrative duties in support of department activities, while preparing various reports and records, compiling information and data, copying and filing documents, sending and receiving faxes, entering and retrieving computer data, and answering the telephone

Operates a variety of equipment, which includes a computer, printer, fax machine, copier, telephone calculator

Interacts and communicates with various groups and individuals such as the immediate supervisor, co-workers, other County personnel, other government agencies and officials

Attends meetings, trainings, workshops, etc., as required to enhance job knowledge and skills

May assist with special projects or programs as assigned to include Low-Income Energy Assistance, DSNAP, Crisis Intervention and Low-Income Household Water Assistance

Position performs duties for Shelter Duty in the event of shelters opening

Performs related duties as required

Qualification

Quality assuranceMedicaid programs knowledgeFood & Nutrition ServicesData analysisClient eligibility determinationTrainingInstructionClerical activitiesBasic mathematicsOffice equipment operationCommunication skillsAttention to detailOrganizational skillsTeamwork

Required

Bachelor's Degree from an accredited college or university and two years of experience as an Income Maintenance Caseworker; or an Associate's Degree from an accredited college in Human Services, Business Administration, Paralegal Technology, or related area and three years' experience as an Income Maintenance Caseworker; or an equivalent combination of education and experience

Valid North Carolina Driver's License

Thorough knowledge in the methods, policies and procedures of the Department and County pertaining to specific duties of the Economic Service Quality Assurance Analyst

Second party review, training, assisting Income Maintenance Administrator and Income Maintenance Supervisors with monitoring trends of all other third-party audits performed within the Medicaid and Food & Nutrition area

Knowledge of the processes involved in determining client eligibility for government social services in order to properly review cases

Knowledge of administrative, bookkeeping, organizational, customer service and clerical activities

Knowledge of modern office practices and equipment

Knowledge of proper English usage, vocabulary, punctuation and spelling; has knowledge of basic mathematics

Knowledge of all applicable local, state and federal laws and regulations

Skilled in applying responsible attention to detail as necessary in preparing records and reports

Ability to comprehend, interpret and apply regulations, procedures and related information

Ability to maintain accurate, up-to-date and confidential client records within the guidelines of Second Party Review

Ability to offer training, instruction, leadership and advice to co-workers regarding departmental policies, methods and regulations

Ability to read and interpret various materials pertaining to the responsibilities of the job

Ability to use computers for data and word processing and records management

Ability to type accurately at a rate sufficient for the successful performance of assigned duties

Ability to operate and maintain a variety of office equipment as necessary in the performance of daily activities

Ability to read, and verify for completeness, financial / insurance records and various other documents pertaining to the responsibilities of the job

Ability to use independent judgment in performing routine and non-routine tasks

Ability to plan, organize and prioritize daily assignments and work activities

Ability to offer assistance to fellow employees as necessary

Ability to learn and utilize new skills and information to improve job performance and efficiency

Ability to perform duties in a courteous manner and with the utmost integrity in the best interest of the public

Ability to work under stressful conditions as required

Ability to react calmly and quickly in emergency situations

Excellent communication skills are essential in this position. Excellent knowledge and skill in both oral and written communication are essential. The skills and ability to apply complex and diverse communication techniques when interacting with staff, and the public are critical to carrying out the mission and responsibilities of the agency to maintain the agency's public image

Teamwork is essential to success of the Quality Assurance program