ECONOMIC SERVICES QUALITY ASSURANCE ANALYST

Primary Reason Classification Exists

To perform paraprofessional work under limited supervision conducting quality control reviews primarily of Adult and Family & Children’s Medicaid programs with a secondary focus in Food & Nutrition Services. Distinguishing Features of the Class

An employee in this classification provides in-depth review and evaluation of randomly selected economic services records to determine if errors were made in processing the cases and to determine the cause of such errors. Collaborate with the Supervisors & Lead Workers to develop targeted training for the Medicaid and Food & Nutrition Services programs based upon the audited findings. Employee must exercise considerable initiative and independent judgement in ensuring proper appraisal methods and results. Employee must also exercise considerable tact and courtesy in the contact with employees, clients, other professionals and the general public. Employee will report directly to the Income Maintenance Program Administrator. Quality assurance (2nd party file reviews) will be completed monthly by the Quality Assurance Analyst. Each month a specific number of reviews in specific programs will be required. Random case files from case workers will be pulled and reviewed using state monitoring tools. Problematic findings, errors, and recommendations for improved practice will be reported to the unit supervisors and recommendations for training made. Spreadsheets of quality assurance reviews will be maintained. Performs specialized administrative services in support of the Department of Social Services operations. Provides training, instruction and leadership to Income Maintenance Caseworkers as assigned. Interprets and ensures compliance with all applicable policies, procedures, laws and regulations pertaining to assigned department programs; assists in providing policy training for department staff as necessary in collaboration with the Supervisor and Lead Worker for specific area. Attends meetings, training, workshops, etc., as required to enhance job knowledge and skills. Gathers information for reports required by the County and /or other agencies. Performs a variety of routine clerical/administrative duties in support of department activities, while preparing various reports and records, compiling information and data, copying and filing documents, sending and receiving faxes, entering and retrieving computer data, and answering the telephone. Operates a variety of equipment, which includes a computer, printer, fax machine, copier, telephone calculator. Interacts and communicates with various groups and individuals such as the immediate supervisor, co-workers, other County personnel, other government agencies and officials. Attends meetings, trainings, workshops, etc., as required to enhance job knowledge and skills. May assist with special projects or programs as assigned to include Low-Income Energy Assistance, DSNAP, Crisis Intervention and Low-Income Household Water Assistance. Position performs duties for Shelter Duty in the event of shelters opening. Performs related duties as required. Knowledge and Qualifications

Thorough knowledge in the methods, policies and procedures of the Department and County pertaining to specific duties of the Economic Service Quality Assurance Analyst. Second party review, training, assisting Income Maintenance Administrator and Income Maintenance Supervisors with monitoring trends of all other third-party audits performed within the Medicaid and Food & Nutrition area. Knowledge of the processes involved in determining client eligibility for government social services in order to properly review cases. Knowledge of administrative, bookkeeping, organizational, customer service and clerical activities. Knowledge of modern office practices and equipment. Knowledge of proper English usage, vocabulary, punctuation and spelling; has knowledge of basic mathematics. Knowledge of all applicable local, state and federal laws and regulations. Skilled in applying responsible attention to detail as necessary in preparing records and reports. Ability to comprehend, interpret and apply regulations, procedures and related information. Ability to maintain accurate, up-to-date and confidential client records within the guidelines of Second Party Review. Ability to offer training, instruction, leadership and advice to co-workers regarding departmental policies, methods and regulations. Ability to read and interpret various materials pertaining to the responsibilities of the job. Ability to use computers for data and word processing and records management. Ability to type accurately at a rate sufficient for the successful performance of assigned duties. Ability to operate and maintain a variety of office equipment as necessary in the performance of daily activities. Ability to read, and verify for completeness, financial / insurance records and various other documents pertaining to the responsibilities of the job. Ability to use independent judgment in performing routine and non-routine tasks. Ability to plan, organize and prioritize daily assignments and work activities. Ability to offer assistance to fellow employees as necessary. Ability to learn and utilize new skills and information to improve job performance and efficiency. Ability to perform duties in a courteous manner and with the utmost integrity in the best interest of the public. Ability to work under stressful conditions as required. Ability to react calmly and quickly in emergency situations. Excellent communication skills are essential in this position. Excellent knowledge and skill in both oral and written communication are essential. The skills and ability to apply complex and diverse communication techniques when interacting with staff, and the public are critical to carrying out the mission and responsibilities of the agency to maintain the agency’s public image. Agency values of Respect, Accountability, Communication, Integrity, Punctuality & Timeliness, Reliability and Safety should be practiced and used in all interactions driving exemplary customer service. Teamwork is essential to success of the Quality Assurance program. Bachelor's Degree from an accredited college or university and two years of experience as an Income Maintenance Caseworker; or an Associate’s Degree from an accredited college in Human Services, Business Administration, Paralegal Technology, or related area and three years’ experience as an Income Maintenance Caseworker; or an equivalent combination of education and experience. Special Requirements

Valid North Carolina Driver’s License FLSA Status

Non-Exempt Disclaimer

This classification specification has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to perform the job. Bladen County reserves the right to assign or otherwise modify the duties assigned to this classification. August 2022 BLADEN COUNTY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER

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