Quality Assurance Specialist jobs in United States
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Jefferson County, Colorado · 10 hours ago

Quality Assurance Specialist

Jefferson County, Colorado is seeking a Quality Assurance Specialist responsible for performing quality assurance reviews of eligibility case files to ensure benefit accuracy across various programs. The role involves identifying discrepancies, issuing reports, and ensuring compliance with regulations while working independently to meet state-mandated deadlines.

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Responsibilities

Reviews eligibility programs to verify compliance with federal and state rules and regulations and adherence to county procedures and practices as well as detect and assess operational errors, risks and fraud. Monitors and reviews multiple state/county systems and reports to assess anomalies and inconsistencies in program and business practices and processes
Identifies, evaluates and analyzes adverse quality trends that may impact program effectiveness and funding
Research program rules and regulations and works with federal/state program staff to understand and clarify proper application
Independently determines a personal work-plan daily for prioritizing multiple duties
Conducts multi-program reviews and documents review results in the Human Services Quality Assurance database. Emails initial findings to workers and management to correct or rebut findings. Provides final monthly reports detailing review findings
Other duties and responsibilities as assigned

Qualification

Quality AssuranceColorado Benefit Management SystemCJIS certificationData analysisMS 365 SuiteWritten communicationVerbal communicationTime managementAttention to detailIndependent work

Required

Associate's Degree
A minimum of three (3) years of work-related experience in determining eligibility in the Colorado Benefit Management System or quality assurance
Must become CJIS certified within 6 months of hire

Preferred

Must have excellent written and verbal communication skills and the ability to work with various levels of staff from entry level, leadership, and internal stakeholders
Experience working with individuals from diverse backgrounds
Self-motivated with the ability to work independently and meet State-mandated deadlines
Strong time management and prioritization skills
High attention to detail when proofreading/correcting all reports
Strong computer proficiency including data entry, internet research, MS 365 Suite, and the ability to run reports and pull data from various sources required
Experience working in Quality Assurance and familiarity with quality assurance databases as a staff-side user and assisting others in all program areas
Ability to gather, understand and analyze complex data sets from a variety of sources as it relates to business administration
Ability to explain data implications to a variety of stakeholders
Ability to receive and apply feedback to enhance growth and development
Preferential consideration for interviews will be given to those candidates with demonstrated experience in program eligibility

Benefits

Dental, medical, and vision insurance
Paid time off and holidays
Retirement matching
Wellness programs
Tuition reimbursement
Flexible schedules
Remote work options

Company

Jefferson County, Colorado

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A career with Jefferson County offers professional growth, a diverse workforce and the opportunity to participate in a strong tradition of public service.

Funding

Current Stage
Late Stage
Total Funding
$0.23M
Key Investors
U.S. Environmental Protection Agency
2023-10-23Grant· $0.23M

Leadership Team

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Dr. Stephanie Corbo
Chief Financial Officer
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Abigail Hoeh, MA, BCC
Training Senior HR Business Partner
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