Catawba County, NC
Eligibility Specialist III (IMC III) - Quality Assurance (Adult Medicaid)
Catawba County, NC, Hickory, North Carolina, United States, 28601
Salary :
$47,489.21 - $59,361.51 Annually Location :
Social Services Main Hickory, NC Job Type:
Full-Time Job Number:
02213 Department:
Social Services Opening Date:
09/05/2025 Closing Date:
9/19/2025 11:59 PM Eastern
Position Description Catawba County Social Services is seeking a detail-oriented and motivated professional to join our Economic Services Quality Assurance team. This position plays a key role in ensuring the accuracy, integrity, and effectiveness of Adult Medicaid services. The ideal candidate will be proficient in interpreting complex federal and state policies, analyzing data to identify trends, and providing training and feedback to enhance program performance. Strong communication, project management, and adaptability are essential, as this role works closely with staff across multiple levels of the organization. The ideal applicant will have knowledge and experience in Adult Medicaid.
Responsibilities
Review Adult Medicaid case records, benefit determinations, and communicate with clients to ensure compliance with policy and proper service delivery Conduct accurate, timely case reviews for Eligibility staff and provide constructive feedback Gather and analyze quality review data to identify error trends and recommend corrective action Develop and deliver training, resources, and reference materials for new and existing staff Stay current with policy changes and ensure staff are updated with clear guidance Support staff in using automated systems through both formal and informal training Provide customer service and problem resolution when clients dispute case actions Perform casework periodically to remain current on policy, systems, and practice Interview, gather, and verify information to support eligibility determinations Qualifications
Associate's degree in Human Services, Business, or a closely related field and 2 years of experience as an Adult Medicaid Income Maintenance Caseworker; OR High school diploma or GED equivalent and 3 years of demonstrated experience with mathematical work and/or public contact involving interviewing, gathering, and compiling information, and 2 years of experience as an Adult Medicaid Income Maintenance Caseworker specifically. Additional Requirements
Comprehensive knowledge of income maintenance programs, forms, and documentation, with specialized knowledge in Adult Medicaid Excellent written and verbal communication skills, with the ability to tailor messaging to diverse audiences Proven ability to facilitate groups, present effectively, and foster a positive learning environment Strong analytical skills to interpret, apply, and explain policies, procedures, and regulations Good judgment in assessing training needs, setting objectives, and evaluating learning outcomes Advanced computer skills, particularly with Microsoft Word and Excel
Catawba County is an Equal Opportunity Employer. Catawba County Benefits As of 7/1/
2024: You will find that Catawba County has one of the best benefits packages around. Our Human Resources staff are dedicated to keeping in touch with trends in benefits on both a local and national level, listening to employees' suggestions regarding benefits, and continually reviewing to ensure our benefits package is of good quality and meets the needs of both our employees and our organization. Available benefits include: Health Care
Health:
For a small bi-weekly premium, employees may choose between a traditional (co-pay) health plan and a high deductible health plan coupled with a Health Savings Account (HSA). Coverage may also be purchased for spouse, child(ren), or family. Dental Insurance:
At no cost to full-time employees, the County covers preventive, routine, and non-routine care. Coverage for the same benefits may also be purchased for spouse, child(ren) and family. In addition, a $2,000 benefit toward orthodontia coverage is provided for children up to age 19. Vision Care:
Coverage is available, at group rates, for employee and dependents, with 2 plan options to choose from. Supplemental critical care and accident insurance plans:
These optional coverage plans are available at a nominal cost. Flexible Spending Accounts:
Pre-tax accounts which can be used to pay for qualified out-of-pocket medical, dental, vision expenses.
Employee Wellness
Employee Health Clinic (EHC):
An employee medical clinic, available to all County employees, which operates 40 hours a week. Services provided include acute care, first aid, evaluation and care for workers' compensation injuries, pre-employment screenings, health education, and behavioral health referrals. Services offered both in person and through telehealth. Acute care available to employee's children ages 5-17 regardless of health insurance coverage and for employee's adult children (ages 18-26) or employee's spouse if covered on the county's health insurance. Wellness:
The County recognizes the importance of our health and well-being. We maintain a very proactive and effective Wellness Program, including reimbursement and discounts for gym membership, incentives for physical activity, on-site nutrition counseling, free exercise opportunities, wellness education and more. Employee Assistance Program:
Counseling services are available to all County employees and immediate family members in the home. Services are provided in a private and confidential setting (in-person or virtually). The County provides coverage for the first six visits.
Work Life Balance
Annual Leave:
Full-time employees earn from 10-21 days annually based on years of service. Service credit from other NC and Local Governments in the retirement system may be transferred to the County. Sick Leave:
Full-time employees earn one day (8 hours) of sick leave per month. Sick leave from other NC and Local Governments in the retirement system may be transferred to the County. Holiday Leave:
Throughout the year, 11 days of paid leave are provided in recognition of holidays. Flexible
work schedules. Time off
for activities that support our local schools. Continuing
educational assistance. Discount tickets
to recreational venues. Employee appreciation
days/activities. Tax-free
flexible spending account
to pay for dependent care.
Financial Security
Local Governmental Employees Retirement System:
For employees assigned to work 20 hours per week or more in a benefitted position, participation in this program is automatic. Employees contribute 6% of their salary, which is tax deferred. After (5) years of creditable service, you become fully vested in the retirement system. Employees may also take advantage of individual and group retirement counseling through the Human Resources department. 401K:
The County provides a 2% contribution plus an additional 1% match (up to 3% total contribution by the County). Our sworn law enforcement officers receive a flat 5% contribution to their 401k. Other Tax Deferred Programs:
Other tax-sheltering programs are available through IRS Code 125 (Cafeteria Plan), and a 457 supplemental retirement plan (Deferred Compensation). Longevity Pay:
After 5 years of creditable service, employees receive an annual longevity payment that is paid every year thereafter. This lump sum payment rewards employees for their length of service to Catawba County. The amount is based on years of service. Life Insurance:
Death benefit equal to one times employee's annual salary with a minimum coverage amount of $25,000. Optional supplemental life insurance coverage is also available for both employee and dependents through payroll deduction at group rates. Short Term Disability:
Available at no cost to employees, benefits are available after a 55-day waiting period. Long Term Disability:
Available through payroll deduction at group rates. Eligibility for membership and financial services
at State Employees Credit Union (SECU)/Local Government Federal Credit Union (LGFCU).
01
Describe your experience working as an Income Maintenance Caseworker (IMC) within Social Services, including the types of programs you've worked with (e.g., Adult Medicaid, Family and Children's Medicaid, Food & Nutrition Services, etc.). 02
Share an example of when you developed or delivered training to staff. How did you assess the training need, and what methods did you use to ensure the training was effective? Required Question
$47,489.21 - $59,361.51 Annually Location :
Social Services Main Hickory, NC Job Type:
Full-Time Job Number:
02213 Department:
Social Services Opening Date:
09/05/2025 Closing Date:
9/19/2025 11:59 PM Eastern
Position Description Catawba County Social Services is seeking a detail-oriented and motivated professional to join our Economic Services Quality Assurance team. This position plays a key role in ensuring the accuracy, integrity, and effectiveness of Adult Medicaid services. The ideal candidate will be proficient in interpreting complex federal and state policies, analyzing data to identify trends, and providing training and feedback to enhance program performance. Strong communication, project management, and adaptability are essential, as this role works closely with staff across multiple levels of the organization. The ideal applicant will have knowledge and experience in Adult Medicaid.
Responsibilities
Review Adult Medicaid case records, benefit determinations, and communicate with clients to ensure compliance with policy and proper service delivery Conduct accurate, timely case reviews for Eligibility staff and provide constructive feedback Gather and analyze quality review data to identify error trends and recommend corrective action Develop and deliver training, resources, and reference materials for new and existing staff Stay current with policy changes and ensure staff are updated with clear guidance Support staff in using automated systems through both formal and informal training Provide customer service and problem resolution when clients dispute case actions Perform casework periodically to remain current on policy, systems, and practice Interview, gather, and verify information to support eligibility determinations Qualifications
Associate's degree in Human Services, Business, or a closely related field and 2 years of experience as an Adult Medicaid Income Maintenance Caseworker; OR High school diploma or GED equivalent and 3 years of demonstrated experience with mathematical work and/or public contact involving interviewing, gathering, and compiling information, and 2 years of experience as an Adult Medicaid Income Maintenance Caseworker specifically. Additional Requirements
Comprehensive knowledge of income maintenance programs, forms, and documentation, with specialized knowledge in Adult Medicaid Excellent written and verbal communication skills, with the ability to tailor messaging to diverse audiences Proven ability to facilitate groups, present effectively, and foster a positive learning environment Strong analytical skills to interpret, apply, and explain policies, procedures, and regulations Good judgment in assessing training needs, setting objectives, and evaluating learning outcomes Advanced computer skills, particularly with Microsoft Word and Excel
Catawba County is an Equal Opportunity Employer. Catawba County Benefits As of 7/1/
2024: You will find that Catawba County has one of the best benefits packages around. Our Human Resources staff are dedicated to keeping in touch with trends in benefits on both a local and national level, listening to employees' suggestions regarding benefits, and continually reviewing to ensure our benefits package is of good quality and meets the needs of both our employees and our organization. Available benefits include: Health Care
Health:
For a small bi-weekly premium, employees may choose between a traditional (co-pay) health plan and a high deductible health plan coupled with a Health Savings Account (HSA). Coverage may also be purchased for spouse, child(ren), or family. Dental Insurance:
At no cost to full-time employees, the County covers preventive, routine, and non-routine care. Coverage for the same benefits may also be purchased for spouse, child(ren) and family. In addition, a $2,000 benefit toward orthodontia coverage is provided for children up to age 19. Vision Care:
Coverage is available, at group rates, for employee and dependents, with 2 plan options to choose from. Supplemental critical care and accident insurance plans:
These optional coverage plans are available at a nominal cost. Flexible Spending Accounts:
Pre-tax accounts which can be used to pay for qualified out-of-pocket medical, dental, vision expenses.
Employee Wellness
Employee Health Clinic (EHC):
An employee medical clinic, available to all County employees, which operates 40 hours a week. Services provided include acute care, first aid, evaluation and care for workers' compensation injuries, pre-employment screenings, health education, and behavioral health referrals. Services offered both in person and through telehealth. Acute care available to employee's children ages 5-17 regardless of health insurance coverage and for employee's adult children (ages 18-26) or employee's spouse if covered on the county's health insurance. Wellness:
The County recognizes the importance of our health and well-being. We maintain a very proactive and effective Wellness Program, including reimbursement and discounts for gym membership, incentives for physical activity, on-site nutrition counseling, free exercise opportunities, wellness education and more. Employee Assistance Program:
Counseling services are available to all County employees and immediate family members in the home. Services are provided in a private and confidential setting (in-person or virtually). The County provides coverage for the first six visits.
Work Life Balance
Annual Leave:
Full-time employees earn from 10-21 days annually based on years of service. Service credit from other NC and Local Governments in the retirement system may be transferred to the County. Sick Leave:
Full-time employees earn one day (8 hours) of sick leave per month. Sick leave from other NC and Local Governments in the retirement system may be transferred to the County. Holiday Leave:
Throughout the year, 11 days of paid leave are provided in recognition of holidays. Flexible
work schedules. Time off
for activities that support our local schools. Continuing
educational assistance. Discount tickets
to recreational venues. Employee appreciation
days/activities. Tax-free
flexible spending account
to pay for dependent care.
Financial Security
Local Governmental Employees Retirement System:
For employees assigned to work 20 hours per week or more in a benefitted position, participation in this program is automatic. Employees contribute 6% of their salary, which is tax deferred. After (5) years of creditable service, you become fully vested in the retirement system. Employees may also take advantage of individual and group retirement counseling through the Human Resources department. 401K:
The County provides a 2% contribution plus an additional 1% match (up to 3% total contribution by the County). Our sworn law enforcement officers receive a flat 5% contribution to their 401k. Other Tax Deferred Programs:
Other tax-sheltering programs are available through IRS Code 125 (Cafeteria Plan), and a 457 supplemental retirement plan (Deferred Compensation). Longevity Pay:
After 5 years of creditable service, employees receive an annual longevity payment that is paid every year thereafter. This lump sum payment rewards employees for their length of service to Catawba County. The amount is based on years of service. Life Insurance:
Death benefit equal to one times employee's annual salary with a minimum coverage amount of $25,000. Optional supplemental life insurance coverage is also available for both employee and dependents through payroll deduction at group rates. Short Term Disability:
Available at no cost to employees, benefits are available after a 55-day waiting period. Long Term Disability:
Available through payroll deduction at group rates. Eligibility for membership and financial services
at State Employees Credit Union (SECU)/Local Government Federal Credit Union (LGFCU).
01
Describe your experience working as an Income Maintenance Caseworker (IMC) within Social Services, including the types of programs you've worked with (e.g., Adult Medicaid, Family and Children's Medicaid, Food & Nutrition Services, etc.). 02
Share an example of when you developed or delivered training to staff. How did you assess the training need, and what methods did you use to ensure the training was effective? Required Question