BENEFITS AND ELIGIBILITY SPECIALIST ADVANCED (QUALITY CONTROL REVIEWER)

Arizona Department of Administration•Tucson, AZ

8d•Hybrid

About The Position

The Department of Economic Security, Division of Benefits and Medical Eligibility is seeking an experienced and highly motivated individual to join our team as a Benefits and Eligibility Specialist Advanced (Quality Control Reviewer) for the Office of Program Evaluation (OPE). This position is responsible for primarily evaluating the effectiveness of benefit and eligibility programs by performing quality case reviews of eligibility determinations, auditing processes and reporting findings to management. At this level, employees serve as a resource for solving complex problems involving multiple programs or issues and coordination of benefits across multiple programs or reconciliation of benefits in programs involving both state and federal laws and regulations and serves as an advocate in an appeals process. This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Requirements

Knowledge in: Federal, State, and agency statutes, rules, and regulations governing eligibility and grant determination for multiple public assistance programs and related case administrative techniques.
Knowledge in: Policies, procedures, and programs of the department applicable to area of assignment.
Knowledge in: Interviewing and assessment techniques, community resources, and customer service.
Skills in: Written and verbal communication to explain and interpret Federal and State laws, statutes, rules, regulations, and guidelines applicable to the area of assignment.
Ability to: Evaluate and make appropriate decisions (or determinations).
Ability to: Resolve program related issues.
Ability to: Provide technical assistance to staff.
Ability to: Detect and evaluate potential fraudulent situations.
Ability to: Access, maintain, review and interpret database information.
Driver’s License Requirements.
Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agency’s ability to reasonably accommodate any restrictions.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Nice To Haves

Three (3) years of experience performing benefits and eligibility reviews and determinations in the programs provided by the Family Assistance Administration (FAA).

Responsibilities

Performs quality control and/or quality assurance reviews of staff eligibility determinations to verify and ensure accuracy of benefit determinations based on the established Federal and State rules, regulations, policies, and procedures.
Develop reports on audit findings. Completes and submits monthly reports related to the work activity of the Specialized Unit. Provides feedback to management on error trends.
Reads, interprets, and applies state and federal laws, as well as internal policies and procedures.
Applies legal research principles and techniques and completes research on relevant laws, regulations, and legal articles.
Reviews program compliance with applicable Federal and State laws, rules, and regulations. Re-works cases to complete eligibility determinations, as necessary.

Benefits

Affordable medical, dental, life, and short-term disability insurance plans
Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
10 paid holidays per year
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities