What You'll Be Doing
The purpose of the
Family and Children’s Medicaid Quality Assurance (QA) Reviewer is to conduct compliance audits and communicate quality information to staff in Economic Services (ES) Programs. The Quality Assurance Reviewer provides support to the Family and Children’s Medicaid program. The QA Reviewer partners with Economic Services training staff, systems support staff, works with management, and supervisory staff to discuss findings and develop corrective action plans.
Essential job functions and responsibilities include: - Planning and leading quality reviews for Family and Children’s Medicaid cases
- Keeping abreast of policy changes and communicating them as necessary to Economic Services staff
- Assisting with answering policy questions from Economic Services staff and communicating with state reps on policy clarifications
- Gathering information, analyzing trends and reporting information to Economic Services management, supervisory staff, and members of the program staff development team
- Lead or assist with the development of policy review meetings, newsletters, checklists, job aids, and other materials to help staff become more proficient in their policy and NCFAST knowledge
- Assisting with the preparation of materials for external monitoring
- Lead or assist with development, improvement, and training of our quality assurance monitoring tools
About Our Team
Wake County Health and Human Services (WCHHS) is the consolidation of programs and services that include social services, public health, job search assistance, child support, and transportation. Our mission, in partnership with the community, is to facilitate full access to high quality and effective health and human services for Wake County residents. In addition to our numerous standard programs, Wake County Health and Human Services (WCHHS) is engaged in a number of special initiatives that are impacting services and programs throughout our entire agency. Whether legislated down from the changing regulations on the Federal or State level or bubbling up from the entrepreneurial spirit of our staff, you can always look forward to Wake County Health and Human Services implementing new and exciting enhancements to our services and programs.
The Basics (Required Education and Experience)
- Bachelor's degree
- Two years of job-related experience
- Equivalent education and experience are accepted
Beyond the Basics (Preferred Education and Experience)
- Two (2) years or more of experience processing and auditing Family and Children’s Medicaid cases in NC FAST
- 91% or higher quality review average score
- Demonstrated experience coaching co-workers/employees to provide error-free work
- Great written and verbal communication skills
- Proficient with using technology including Excel and Donesafe System
How Will We Know You're 'The One'?
- Complete and thorough knowledge of current Family and Children’s Medicaid policies
- Ability to use NC FAST for Family and Children’s Medicaid
- Great communication skills (verbal and written)
- Ability problem-solve and use analytic thinking, collect, and analyze data and conduct research
- Commitment to accountability and continuous improvement
- Ability to use Microsoft Office Projects, Word, Excel, and PowerPoint
About This Position
Location: Human Services Center Somerset Raleigh, NC 27609
Employment Type: Regular
Work Schedule: Mon-Fri 8:00 am - 5:00 pm
Hiring Range: 23.47 - 31.68 Commensurate with experience
Market Range: 23.47 - 39.90
Posting Closing Date: 7:00 pm on 5/20/2024
What Makes Wake Great
Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive to the spectacular mountains or coast. Wake County Government is governed by a seven-member Board of Commissioners, who are elected at-large to serve two-year terms. Wake County Government has a general operating budget of $1.874 billion, employs over 4400 employees, experiences minimal turnover, and is an award-winning leader in wellness and technology initiatives; such as offering employees and covered spouses free access to the Employee Health Center. Wake County Government offers a wide range of training and development opportunities, a stable career in public service with a balance of work and family life, flexible work schedules and a competitive salary and benefits package.
Equal Opportunity Statement
Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.
Background Check Statement
Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.
Emergency Service Worker Statement
In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.
