Quality Assurance Specialist

Job Details

Job Posting Closes at 11:59PM on: 02/10/26

Division: Business and Finance Division

Management Level: Individual Contributor

Scheduled Weekly

Hours:

40

Benefit Eligibility: This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement.

The Quality Assurance Specialist is responsible for performing quality assurance (QA) review of eligibility case files to ensure benefit accuracy for the following programs:
Colorado Works, Adult Programs (Old Age Pension OAP and Aid to Needy and Disabled AND), Supplemental Nutritional Assistance Program (SNAP), Modified Adjusted Gross Income (MAGI), Non-Modified Adjusted Gross Income (Non-MAGI), and Long-Term Care (LTC) Medicaid, and CCCAP (Colorado Childcare Assistance Program). Review cases for discrepancies to ensure accurate payments; identify training needs; and detects possible program fraud. Issue reports outlining findings.

Interpret and apply ever-changing county, state and federal regulations and policies.

• 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.

Minimum Qualifications:

• 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.
• Note an equivalent combination of education and experience is acceptable.

* Must become CJIS certified within 6 months of hire.*

Preferred

Knowledge, Skills and Abilities:

• 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-mmandated 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.

* This position has access to extremely sensitive information. Preferential consideration for interviews will be given to those candidates with demonstrated experience in program eligibility. *

ADDITIONAL JOB INFORMATION:

Accommodations Statement:
We encourage people with disabilities to apply and are committed to providing reasonable accommodations throughout our hiring process. For assistance with applications, interviews, or other hiring-related accommodations, contact career talent. This contact is for accommodation requests only and cannot provide application status updates.

• Criminal History and MVR Background Checks are required for every position.
• A…