Quality Assurance Reviewer, Compliance Specialist 2, Two Positions

Initial Posting Date:
12/04/2023
Application Deadline:
12/17/2023
Agency:
Department of Human Services
Salary Range:
4536.00 - 6952.00
Position Type:
Employee
Position Title:
Quality Assurance Reviewer, Compliance Specialist 2, Two Positions
Job Description:
We are proud to be an Equal Opportunity Employer. We are actively working to build an equitable agency with the Equity North Star as our guide toward our vision of an agency free of racism, discrimination and bias. We believe that teams in which everyone can show up as their full authentic self are key to creating a thriving workforce that can better serve communities. We welcome members of historically underrepresented racial/ethnic groups, women, individuals with disabilities, veterans, LGBTQIA2S+ community members, and others to apply.
About, the Quality Assurance Reviewer
The position is responsible for reviewing cases statewide. Complete Quality Assurance reviews and evaluate Medical, Supplemental Nutrition Assistance Program (SNAP), Employee Related Daycare (ERDC) and CASH program cases to determine if discrepancies exist that are non-compliant with specific program policy.
ABOUT Oregon Eligibility Partnership
The Oversight and Quality Assurance section is responsible for data analysis, centralized support services of hearings, Quality Assurance (QA) along with service level agreement (SLA) establishment and monitoring. Units include Statewide Quality, Central Coordination, Quality Assurance, and Hearings.
Oregon Eligibility Partnership, or OEP, provides direction and resources to everyone working to determine eligibility for Oregonians applying for and receiving medical, food, cash, and childcare benefits through the ONE eligibility system.
Oregon Department of Human Services (ODHS), A place to belong and make a difference!

• When you join the ODHS, you join a community of over 10,000 employees dedicated to serving and helping Oregonians achieve wellbeing and independence through opportunities that protect, empower, respect choice, and preserve dignity.
• Connect with ODHS Employee Resource Groups (ERGs) and find a place to belong, build community and participate in shared learning. ERGs are employee-driven committees that support each other as well as the ODHS' overall mission and vision.
• We are committed to building an antiracist and equitable agency. Equity is foundational to our role as a human services agency and we are committed to integrating equity into all we do. The Equity North Star has four points that explain the agency's goals related to equity, inclusion, and racial justice.
• We know that life is unpredictable and ODHS cares about keeping you well. Enjoy a work-life balance, 11 paid holidays a year, flexible work schedules, and competitive benefits packages including health, dental, vision and much more!

The key responsibilities of the Quality Assurance Reviewer will include:

• Analyze case records and supplemental evidence, such as income verification, bank statements, collateral statements, etc. to identify which rules and policies have been violated. Compile and prepare reports describing the circumstances of the error, citing rules and policy to support the findings.
• Provide information regarding review trends to local district and branch leadership as well as direct feedback and coaching to staff.
• Collaborate with local districts and branches to improve overall program accuracy.
• Conduct exit conferences when necessary for special project reviews with branch and district leadership and eligibility staff to explain the review results, trends and best practices observed.
• Deliver training for field staff on all aspects of case processing including policies, rules, procedures, and methods for preventing and/or correcting incidents of incorrectly issued benefits.
• Periodically, complete eligibility determinations and attend trainings to maintain technical skills and support local staff.

Qualifying applicants will possess the following:

• Four years' experience doing administrative research that included compiling and evaluating facts to recommend management action or decide compliance with program guidelines and regulations. Two of the four years must be above the technical support level.
• Note: college-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years.

The ideal candidate will also possess a work history that demonstrates the following attributes and experience:

• Knowledge of Supplemental Nutrition Assistance Program (SNAP), Employee Related Daycare (ERDC), CASH and Medical program (MAGI and non-MAGI), rules, and policies.
• Knowledge related to determining financial eligibility.
• Knowledge of investigative and fact-finding principles and practices.
• Knowledge of principles and methods of automated data collection, analysis, and evaluation.
• Ability to interpret rules and applicable statutes.
• Strong communication and customer service skills including diverse populations, over the phone and through electronic correspondence.
• Strong written skills (spelling, grammar, and editing/proofreading).
• Ability to multi-task and prioritize work assignments, in fast paced environment where priorities frequently change.
• Ability to perform a high degree of accuracy with excellent attention to detail with good judgement and critical thinking.
• Experience gathering data and writing reports or making presentations.

Please be sure to clearly describe how you meet these attributes within your application materials. These attributes will be used to determine which candidates will be selected to move forward in the process. Your application and/or resume will be used when completing a pay equity assessment. The pay equity assessment determines your pay rate/salary step, so complete and detailed work and education history is helpful.
Working conditions

• The position requires wide contact with staff and leaders in multiple offices, always maintaining a professional commitment and work ethic, are essential.
• Works independently and without direct supervision.
• This position is responsible for reviewing cases statewide and may require some travel.
• Working an adjusted schedule may be necessary during weeks of travel.
• This position requires use of a state or private vehicle for travel. Use of private vehicles must be approved by the manager on a case-by-case basis.
• Overnight travel may be required depending on the official work site of the position.
• Position deals with time constraints and large volume of case reviews, reviewer reports, multiple deadlines, and coordination of reviews with various ODHS offices.
• Remote work position with an option for Hybrid dependent on location will be considered in filling this position. The ability to report to Salem may require when training, business or operational needs are dependent on onsite activities.

Application instructions

• Your work history profile, cover letter, and resume are the perfect opportunity to highlight your interest in the position and showcase your skills and experience that make you the best candidate for the position.
• Please upload a resume or complete the Workday history profile. Note: Your resume and cover letter may be uploaded in the Resume/CV field on the online application.
• A cover letter is not required for this application. However, you may attach one if you wish. This may help the manager understand better how you possess the essential attributes.
• Current State of Oregon employees: Apply via your employee Workday account.
• If you are not a current State of Oregon employee: view this application instructional video.
• After you submit your application, you will have additional tasks to complete in Workday. Please continue to check your Workday account throughout the recruitment process.

Additional requirements:

• Finalists for this position will be subject to a computerized criminal history and abuse check. Adverse background information will be reviewed and could result in withdrawal of a conditional job offer or termination of employment.
• The Oregon Department of Human Services does not offer visa sponsorship. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States. ODHS will use E-Verify to confirm that you are authorized to work in the United States.
• A valid driver's license and acceptable driving record are required.

Helpful information

• This position is represented by the Union (SEIU).
• This recruitment may be used to fill future vacancies.
• Have questions about Workday, and want some tips on understanding the state application process? Check out our Oregon job opportunities page.
• IMPORTANT: Please monitor your Workday account as all communications will be sent there.
• The salary listed is the non-PERS qualifying salary range. If the successful candidate is PERS qualifying, the salary range will reflect the additional 6.95%. Please review the Classification and Compensation page for more details, or you may visit our website for information on Pay Equity.
• For questions about the job duties or application process, please contact Nora.L.Leyva-Esquivel@odhs.oregon.gov. Please be sure to include the job requisition number.
• If you need an accommodation under the Americans with Disabilities Act (ADA) to participate in the application or selection process, please contact ADA.DHS@dhsoha.state.or.us. Please be sure to include the job requisition number.

We thank you for considering this employment opportunity with the Oregon Department of Human Services.