REPOST: PREVIOUS APPLICANTS WILL NEED TO REAPPLY!
The Quality Assurance Analyst position will promote accuracy, efficiency and effectiveness in the implementation of Social Services programs to maximize the resources available to families and individuals in need of assistance and to enhance opportunities for self-sufficiency. The analyst conducts audits of Local Department of Social Services (LDSS) cases in Supplemental Nutrition Assistance Program (SNAP), Medicaid and other programs, as assigned to evaluate LDSS performance as measured by accuracy of expenditures, timeliness of benefit delivery and compliance with federal mandates and state guidelines. To protect the integrity and competence of Virginia's program administration, the analyst identifies correct cases as well as policy and procedural misunderstanding by LDSS; describes performance trends and refers questions of program abuse for fraud investigation. As mandated by the United States Center for Medicare and Medicaid services (CMS), pilots are developed for audits of Medicaid populations and sub-programs each fiscal year. QA Analyst review findings are utilized by CMS and management in both VDSS and the Virginia Department of Medical Assistance Services (DMAS) in the statewide assessment of Medicaid program performance and appropriateness of expenditures. US Department of Agriculture (USDA) Food and Nutrition Services (FNS) utilizes QA Analyst audit findings to determine the SNAP error rate for Virginia, which is compared to other state error rates. The work of Virginia's QA Analysts is subject to review by USDA, historically at least 40% of active and closed case audits. Errors in the QA analyst's work that are identified by USDA magnify the state error rate using a complex federal regression formula. Participate in the coordination, monitoring, and reporting of all Benefit Program areas including but not limited to Medicaid, TANF, and Energy Assistance.
Experience working with eligibility requirements for the SNAP, Medicaid, TANF, and Energy Assistance programs. Proficiency in Quality Control/Assurance audit policies and procedures. Ability to independently manage a deadline-oriented workload with overlapping assignments and a high degree of accuracy; to interpret and apply complex state and federal regulations and procedures; and to demonstrate effective oral and written communication skills. Demonstrate excellent investigatory and analytical skills; high level of interpersonal skills to elicit cooperation of diverse customer populations and interested third parties. Ability to work effectively with high-level professional staff from both the private and public sectors. Must be proficient in the use of document management principles; Windows, Internet and MS Office (Excel, Word, PowerPoint, etc.).
Bachelor's degree from an accredited college or university in social sciences or related field preferred or an equivalent combination of education, training and experience may substitute for college degree.
Experience in SNAP and Medicaid strongly preferred.
A valid driver's license is essential. A criminal history background check will be conducted.
NOTICE: DSS will record information from each new employee's Form I-9 (Employment Eligibility Verification) into the Federal E-Verify system to confirm identity and work authorization.
- 20 months ago - save job