DHHS Program Accuracy Specialist
About The Position
The Nebraska Department of Health & Human Services (DHHS) is seeking a dedicated Program Accuracy Specialist to help ensure high-quality services for individuals and communities across Nebraska. Guided by our mission—Helping people live better lives—this role plays a critical part in maintaining accuracy, compliance, and excellence in program delivery. The Program Accuracy Specialist (PAS) validates Nebraska DD and AD waiver providers’ compliance with CMS and State HCBS rules—including the HCBS Final Settings Rule—by conducting desk reviews, audits, on‑site monitoring, and National Core Indicators (NCI) participant‑experience interviews. Under general supervision, the PAS will: Conduct desk reviews, audits, on-site evaluations, and scheduled, ad-hoc, and unannounced monitoring of DD and AD HCBS waiver providers. Conduct NCI participant-experience interviews in-person, virtually, or by phone (AD only). Assess provider performance, determine compliance levels, and support corrective actions and remediation against CMS and State HCBS requirements. Review participant support plans as needed and maintain understanding of behavioral, mental, and physical health needs. Provide real-time feedback and technical assistance to providers and Service Coordination staff. Interpret and apply State and Federal regulations in daily work. Recognize and report suspected abuse, neglect, or exploitation per mandated-reporting requirements. Prepare monitoring reports, correspondence, and other documentation; assist in developing QA tools and training. Participate in team meetings and collaborate across DHHS on regulatory updates and procedural changes. Authority to recommend corrective actions, provide technical assistance, and escalate compliance or safeguarding concerns per protocol. Other duties as assigned. Office-based with travel to provider sites; occasional evening or extended hours may be required. Travel up to 50% may be required.
Requirements
- Two years experience in a health and/or human services field or public service organization with responsibility for determining eligibility, assessing public assistance needs, or case management using program rules and regulations OR 24 semester hours of post high school education in behavioral sciences, social sciences, public/business administration, adult education or closely related field and experience in eligibility determination or assessing needs for public assistance and/or social services programs.
- Knowledge CMS HCBS Waiver rules, HCBS Final Settings Rule, and relevant State guidelines.
- DD and AD HCBS waiver services, participant support planning, and NCI.
- Skills Analytically assess compliance, synthesize review/interview data, identify risks.
- Clear report writing and sensitive interview skills.
- Proficiency with electronic documentation and QA tools preferred.
- Manage multiple monitoring activities and meet deadlines.
- Abilities Strong written and verbal communication, attention to detail, interview and report writing skills.
- Valid driver’s license and ability to travel to provider sites; a state vehicle may be provided depending on office location.
- Ability to recognize and report abuse, neglect, or exploitation.
- Build and maintain productive relationships across DHHS and with providers.
- Drive continuous improvement through monitoring and corrective action.
- Provide constructive technical assistance to diverse stakeholders.
- Exercise sound judgment when interpreting regulations and escalating concerns.
Nice To Haves
- A bachelor’s degree in social work, public health, psychology, or a related field is required, along with experience working with HCBS waiver programs, CMS regulations, or National Core Indicators.
- The ideal candidate will have a background in human services, behavioral health, developmental disabilities, or elder care, as well as experience leading corrective action planning and providing cross-agency technical assistance.
Responsibilities
- Conduct desk reviews, audits, on-site evaluations, and scheduled, ad-hoc, and unannounced monitoring of DD and AD HCBS waiver providers.
- Conduct NCI participant-experience interviews in-person, virtually, or by phone (AD only).
- Assess provider performance, determine compliance levels, and support corrective actions and remediation against CMS and State HCBS requirements.
- Review participant support plans as needed and maintain understanding of behavioral, mental, and physical health needs.
- Provide real-time feedback and technical assistance to providers and Service Coordination staff.
- Interpret and apply State and Federal regulations in daily work.
- Recognize and report suspected abuse, neglect, or exploitation per mandated-reporting requirements.
- Prepare monitoring reports, correspondence, and other documentation; assist in developing QA tools and training.
- Participate in team meetings and collaborate across DHHS on regulatory updates and procedural changes.
- Authority to recommend corrective actions, provide technical assistance, and escalate compliance or safeguarding concerns per protocol.
- Other duties as assigned.
Benefits
- We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life.
- Your paycheck is just part of your total compensation.
- For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
101-250 employees
