NC Department of Health and Human Services
Quality Assurance Analyst
NC Department of Health and Human Services, Raleigh, North Carolina, United States
Agency
North Carolina Department of Health and Human Services (DHHS)
Position
Program Coordinator II (S), Position Number 60042818, Grade NC10.
Overview
The Quality Assurance Analyst will assist with the execution of state‑required audit projects, support the Eligibility Audit Manager by tracking audit data and criteria, capture and log audit data, calculate statistical rates, and conduct case auditing and policy research as needed.
Responsibilities
Assist the Eligibility Audit Manager with tracking audit data and criteria to ensure timely completion of audits.
Capture and log audit data and calculate statistical rates.
Assist with case auditing as needed.
Support the team of auditors by answering questions and conducting policy research.
Knowledge, Skills, and Abilities (Preferred)
Demonstrated knowledge of Medicaid policy to research, evaluate, and analyze eligibility determinations for all Medicaid programs.
Demonstrated knowledge and skill in utilizing the Medicaid eligibility system to evaluate beneficiary eligibility determinations and the MMIS claims system to obtain Medicaid payment amounts.
Demonstrated knowledge of statistical procedures, including data collection, analysis, and report preparation.
Compliance monitoring experience overseeing and managing quality assurance testing to ensure procedures are fully compliant with all regulatory requirements.
Minimum Education and Experience
Bachelor’s degree from an accredited institution and one year of related experience; or
An equivalent combination of training and experience.
Compensation & Benefits The State of North Carolina offers comprehensive benefits, including health insurance options, standard and supplemental retirement plans, the NCFlex program, paid vacation, sick leave, community service leave, and paid parental leave. Employees also receive federal funding support. For more details, visit the State Benefits website.
Application Process Complete the online application in its entirety. Resumes will not be accepted in lieu of completing the application. Applicants must provide detailed education, work experience, certificates, and licenses. Supplemental questions do not replace required information. Applications are accepted up to 11:59 p.m. on the closing date. Basic eligibility screening may include a criminal background check. For detailed instructions, log in to your account to track application status.
Contact Information Talent Acquisition:
talentacquisition@dhhs.nc.gov
Equal Employment Opportunity Statement The State of North Carolina is an Equal Employment Opportunity Employer and is dedicated to providing a workplace free from discrimination, harassment, or retaliation. Reasonable accommodation is provided for individuals with disabilities, pregnancy-related conditions, and religious beliefs.
Seniority Level Entry level
Employment Type Full‑time
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North Carolina Department of Health and Human Services (DHHS)
Position
Program Coordinator II (S), Position Number 60042818, Grade NC10.
Overview
The Quality Assurance Analyst will assist with the execution of state‑required audit projects, support the Eligibility Audit Manager by tracking audit data and criteria, capture and log audit data, calculate statistical rates, and conduct case auditing and policy research as needed.
Responsibilities
Assist the Eligibility Audit Manager with tracking audit data and criteria to ensure timely completion of audits.
Capture and log audit data and calculate statistical rates.
Assist with case auditing as needed.
Support the team of auditors by answering questions and conducting policy research.
Knowledge, Skills, and Abilities (Preferred)
Demonstrated knowledge of Medicaid policy to research, evaluate, and analyze eligibility determinations for all Medicaid programs.
Demonstrated knowledge and skill in utilizing the Medicaid eligibility system to evaluate beneficiary eligibility determinations and the MMIS claims system to obtain Medicaid payment amounts.
Demonstrated knowledge of statistical procedures, including data collection, analysis, and report preparation.
Compliance monitoring experience overseeing and managing quality assurance testing to ensure procedures are fully compliant with all regulatory requirements.
Minimum Education and Experience
Bachelor’s degree from an accredited institution and one year of related experience; or
An equivalent combination of training and experience.
Compensation & Benefits The State of North Carolina offers comprehensive benefits, including health insurance options, standard and supplemental retirement plans, the NCFlex program, paid vacation, sick leave, community service leave, and paid parental leave. Employees also receive federal funding support. For more details, visit the State Benefits website.
Application Process Complete the online application in its entirety. Resumes will not be accepted in lieu of completing the application. Applicants must provide detailed education, work experience, certificates, and licenses. Supplemental questions do not replace required information. Applications are accepted up to 11:59 p.m. on the closing date. Basic eligibility screening may include a criminal background check. For detailed instructions, log in to your account to track application status.
Contact Information Talent Acquisition:
talentacquisition@dhhs.nc.gov
Equal Employment Opportunity Statement The State of North Carolina is an Equal Employment Opportunity Employer and is dedicated to providing a workplace free from discrimination, harassment, or retaliation. Reasonable accommodation is provided for individuals with disabilities, pregnancy-related conditions, and religious beliefs.
Seniority Level Entry level
Employment Type Full‑time
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