Economic Services Quality Assurance Analyst

Overview

Primary Reason Classification Exists To perform paraprofessional work under limited supervision conducting quality control reviews primarily of Adult and Family & Children’s Medicaid programs with a secondary focus in Food & Nutrition Services.

Description Primary Reason Classification Exists To perform paraprofessional work under limited supervision conducting quality control reviews primarily of Adult and Family & Children’s Medicaid programs with a secondary focus in Food & Nutrition Services.

Distinguishing Features of the Class An employee in this classification provides in-depth review and evaluation of randomly selected economic services records to determine if errors were made in processing the cases and to determine the cause of such errors. Collaborate with the Supervisors & Lead Workers to develop targeted training for the Medicaid and Food & Nutrition Services programs based upon the audited findings.

Employee must exercise considerable initiative and independent judgement in ensuring proper appraisal methods and results. Employee must also exercise considerable tact and courtesy in the contact with employees, clients, other professionals and the general public. Employee will report directly to the Income Maintenance Program Administrator.

Quality assurance (2nd party file reviews) will be completed monthly by the Quality Assurance Analyst. Each month a specific number of reviews in specific programs will be required. Random case files from case workers will be pulled and reviewed using state monitoring tools. Problematic findings, errors, and recommendations for improved practice will be reported to the unit supervisors and recommendations for training made.

Spreadsheets of quality assurance reviews will be maintained.

DUTIES

• 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.

Knowledge,

Skills And Abilities

• 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…