Washington State DSHS Quality Control Specialist in Washington

Description

Economic Services Administration (ESA), Division of Program Integrity (DPI) is looking for a full-time, permanent Quality Control Specialist in the Medical Team. The Quality Control Specialist position serves as a Headquarters outreach position for the Division of Program Integrity in order to monitor and improve the administration of government programs within DSHS. This position is responsible for conducting federally mandated independent audits of public assistance programs, as well as stakeholder requested audit reviews. Our ideal candidate will have strong analysis and communication skills.

This job will be located in one of the following locations: the Olympia, Lakewood or Capitol Hill DPI office.

Duties

Some of what you will be doing

  • Conducts a systematic audit of focused or random cases selected in the Quality Control sample universe and thoroughly evaluate and analyze case information.
  • Conduct face-to-face, in-depth client interviews, including interviews of potentially hostile clients and collateral contacts, employing investigative interviewing practices.
  • Collect, evaluate, and analyze documentary evidence provided by the client.
  • Identify collateral sources for secondary evidence.
  • Resolve instances where the information received is inconsistent or questionable.
  • Obtain necessary verification to establish accuracy of eligibility determinations.
  • Determine the accuracy of the benefit/payment, eligibility determination, and/or program participation.
  • Prepare detailed audit reports for use by the administration, partners, stakeholders, and federal agencies in assessing performance and effectiveness of program administration and delivery.
  • Use a systematic method of monitoring and assessing program operations within the State and proficiently utilize all computer programs in use by the Division of Program Integrity.
  • Maintain and apply knowledge of rules and regulations contained in State manuals, memos, policy interpretations, Federal program regulations and Federal Quality Control manuals.
  • Maintain current knowledge of program policy and procedures as it relates to eligibility and payment determinations.
  • Participate with local, regional, and state staff on the application of policy or findings, or in the interpretation of the regulation that affects the quality assurance case findings, as needed.
  • Establish work priorities and organization of workload. Effectively utilize time to complete assignments within predetermined Federal and State deadlines. Participate on work-related committees as appropriate. Work both independently and collaboratively. Attend unit meeting and mandatory training sessions. Desired Knowledge, Abilities and Experience:

  • FSS experience in the last six months or DPI experience is highly desired.

  • Proficient in Microsoft Word, Outlook, Access and Excel preferred.
  • Experience using HealthPlanFinder, Barcode, ACES, Social Security Cross Match, ACES 3G, ACES online, SSPS, SEMS, Electronic Case Records systems, and Access databases are a plus.
  • Experience with DSHS programs, research, and rule interpretation
  • Experience communicating to and working with executive management and federal and state stakeholders
  • Ability to research, analyze, and interpret state and federal DSHS regulations and legislation
  • Experience assessing eligibility determination
  • Ability to self-motivate
  • Ability to identify issues/concerns AND offer resolutions
  • Critical thinking skills and the ability to synthesize and present information and ideas
  • Communicate orally and in writing with executive management, co-workers, partner states, stakeholders and advocates
  • Ability to work semi-independently with minimal supervision.
  • Excellent problem solving and analysis skills and experience researching, collecting, and organizing data.
  • Strong written, verbal, and interpersonal communication skills and ability to communicate effectively and respectfully with clients, management, peers, and the public.
  • Ability to maintain high standards of professional integrity and confidentiality.
  • Ability to establish rapport with individuals from diverse backgrounds in potentially hostile situations.
  • Ability to perform basic mathematical computations.
  • Knowledge of State and Federal laws and regulations pertaining to public assistance programs.
  • Knowledge of procedures and practices of local office administration.
  • Ability to travel to attend required training. Qualifications

Professionals with:

  • A Bachelor's degree AND

  • Two years' experience as a Financial Services Specialist 3, 4, or 5 or a WorkFirst Program Specialist, or WorkFirst Program Supervisor.

  • One year experience must have been gained within the State of Washington.
  • Additional qualifying experience determining eligibility for public assistance programs, may be substituted, year for year for education.
  • Qualifying experience can only be gained in a Community Service Office, Welfare Office, or Public Assistance Office. OR

  • Equivalent education/experience.

To Apply:

In addition to the application and supplemental questions, please submit the following items:

  • Cover letter, not to exceed 1 page, addressing what you will bring to DPI as a QCS
  • Current Resume
  • Three professional references

Questions regarding this job? Please email Crystal Boling or call 360-664-8912.

Questions regarding the application process? Please contact Lynette Ryder at 360-829-4956, referencing 09359. Supplemental Information

Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.

Washington State Department of Social & Health Services is an equal opportunity employer and does not discriminate on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at 360-725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.

Salary: $3,700.00 - $4,857.00 Monthly

Location: Multiple Locations - Western Washington, WA

Job Type: Full Time - Permanent

Department: Dept. of Social and Health Services

Job Number: 2017-09359

Closing: 10/19/2017 11:59 PM Pacific

Agency: State of Washington

Address: View Job Posting for Agency Information View Job Posting for Location, Washington, 98504.

Phone: View Posting for Agency Contact

Website: http://www.careers.wa.gov