QUALITY CONTROL CASE REVIEWER jobs in United States
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NYC Department of Social Services · 20 hours ago

QUALITY CONTROL CASE REVIEWER

NYC Department of Social Services is dedicated to providing essential services to individuals and families in need. They are seeking a Quality Control Case Reviewer responsible for conducting compliance reviews of SNAP cases, ensuring accurate eligibility determinations, and preparing audit-related documentation.

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Responsibilities

Conduct monthly case reviews of SNAP cases selected from a sample of activated, recertified, denied, and closed transaction types by retrieving and/or reviewing client's information using relative Agency systems i.e., Welfare Management System (WMS), Streamline Paperless Office System (SPOS), Activity and General Information Exchange (Angie) system, TALX/The Work Number Service, State Online Query (SOLQ) system, Systematic Alien Verification for Entitlements (SAVE), Microsoft Word and Excel to identify errors and discrepancies in eligibility determinations, benefit calculations, and documentation
Prepare case review summaries related to audit findings to be used for case error analyses. Prepare case records requested by external auditors and identify missing documentation and processing errors that could result in negative audit findings by external auditors. Prepare corrective action memorandums for supervisory review
Ensure the accuracy of the review sample by conducting preliminary WMS inquiries and case review; utilize reports to verify that sample is auditable; identifies inconsistencies, when required, for sample selection revision. Collect all policies and procedures necessary for the audit review and share documents with the Deputy Director of the SNAP Benefits Error Resolution Unit (BERU) to ensure the appropriateness of the documents
Review SNAP procedures, policies, and desk aids to determine the need for supervisory clarification and identify possible contradictions between state policies and agency procedures. Review case documentation for accuracy and completeness, ensuring that all required information is present and properly recorded. Report all findings to the Deputy Director
Provide detailed summary of error findings to the Deputy Director for the development and delivery of training sessions aimed at improving compliance and reducing error rates acting as the voice of the customer to ensure trainings are effective with frontline program staff
Collaborate with staff involved with the Eligibility determination process, supervisors, and other team members to address compliance issues and implement corrective actions

Qualification

Quality ControlCompliance ReviewsSNAP PoliciesWelfare Management SystemAudit PreparationError AnalysisMicrosoft WordMicrosoft ExcelTraining DevelopmentCollaboration

Required

A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty
An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described in '1' above
A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in '1' above
Education and/or experience equivalent to '1', '2', or '3' above. However, all candidates must possess the one year of administrative or supervisory experience as described in '1' above
Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in '1' above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3½ years

Benefits

Public Service Loan Forgiveness

Company

NYC Department of Social Services

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The Department of Social Services (DSS) is comprised of the administrative units of the NYC Human Resources Administration (HRA) and the Department of Homeless Services (DHS).

Funding

Current Stage
Late Stage

Leadership Team

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Ann Marie Scalia
General Counsel & Chief Legal Officer
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Beatriz Fritschler, MPA
Deputy Commissioner, Strategic Partnerships
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