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DHHS Quality Control Specialist

Nebraska Government

DHHS Quality Control Specialist (Open)The Department of Health and Human Services (DHHS), Office of Economic Assistance, is seeking a highly motivated individual with keen attention to detail to join our Team in the DHHS Quality Control (QC) Specialist role. The successful candidate should possess good oral and written communications skills. The DHHS Quality Control Specialist is responsible for conducting quality control reviews of Supplemental Nutrition Assistance Program (SNAP), Child Support, Medicaid and/or other benefit programs. Incumbents are responsible for auditing a statistically valid, integrated sample of cases to ensure compliance of all applicable regulations, terms, statutes, policies, State and Federal mandates.As the DHHS Quality Control Specialist, you will:Conduct Quality Control reviews of selected SNAP cases to determine whether eligibility and benefit amounts were accurately determined.Review case records, interview households, and obtain required verifications to independently validate case circumstances and eligibility.Analyze and apply program policy objectively, identify and document payment errors or other findings, and ensure review conclusions are supported by the case record.Complete reviews accurately and within required federal and state timelines, including entering and maintaining review information in QCS and applicable tracking systems.Hire Rate: $20.011 per hour – non-exemptWork Schedule: Monday – Friday; 8:00 AM – 5:00 PMDress Attire: Business CasualLocation: OmahaDriving is RequiredRequirements / Qualifications:Minimum Qualifications: Bachelor's degree in business, human services, or a related field, plus two years of experience determining or reviewing public assistance eligibility; OR six years of relevant experience. Any equivalent combination of education and experience will be considered.Preferred Qualifications:Strong working knowledge of program-policy and eligibility requirements (specifically in Child Support programs and applications)Prior experience in eligibility determination, case management, or quality assuranceAbility to analyze complex cases, accurately interpret policy, and identify errorsHigh attention to detail with strong organizational and time-management skillsEffective written and verbal communication skills for documenting findings and collaborating with staffExperience using eligibility systems, data tracking tools, and QC or federal/state reporting processesAbility to work independently, maintain confidentiality, and apply policy objectively and consistentlyAdaptability to policy changes and evolving program requirementsPrevious work with the SNAP ProgramPrevious work with Quality ControlOther: Valid driver's license or able to provide independent authorized transportation.Knowledge, Skills, and Abilities:Knowledge of: researching and interpreting public assistance policies and regulations, public assistance eligibility processes, and related computer systems, along with a general knowledge of compliance, audit functions, and data research principles.Ability to: learn and apply state and federal laws, regulations, and procedures necessary to conduct quality control reviews, as well as an understanding of the role of quality control in public welfare agencies and welfare administration. Incumbents must be able to conduct on-site interviews with applicants, recipients, and public or private sources to obtain information; apply rules and regulations to the verification, determination, and documentation of reviews; utilize computer output information to complete accurate findings; gather, verify, and analyze eligibility and financial data; operate a personal computer and general office equipment, including spreadsheets, word processing, databases, email, internet, and other programs; perform basic math calculations; work independently with minimal supervision; and successfully complete assigned workloads within established deadlines.Skill in: oral and written communication skills; establishing and maintaining effective working relationships with staff and the general public.Benefits:We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: Opportunity StatementThe State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

Vacancy posted 4 days ago
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