DHHS Quality Control Specialist

State of Nebraska•Omaha, NE

About The Position

The Department of Health and Human Services, Office of Economic Assistance, is seeking a detail-oriented specialist with strong oral and written communication skills. The DHHS Quality Control Specialist conducts quality control reviews of SNAP, Child Support, Medicaid, and/or other benefit programs. The role audits statistically valid, integrated samples of cases to ensure compliance with applicable regulations, terms, statutes, policies, and state and federal mandates. The specialist reviews selected cases to determine whether eligibility and benefit amounts were accurately determined; reviews case records, interviews households, and obtains required verifications to validate circumstances and eligibility; and analyzes and applies program policy objectively. The role documents payment errors and other findings, ensures conclusions are supported by case records, and completes reviews accurately and within state and federal timelines. Review information is entered and maintained in QCS and applicable tracking systems. This position is located in Omaha, Nebraska. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Business casual attire is expected, and driving is required. The stated hiring rate is $20.011 per hour, and the position is non-exempt.

Requirements

Bachelor’s degree in business, human services, or a related field, plus two years of experience determining or reviewing public assistance eligibility; or six years of relevant experience. Equivalent combinations of education and experience will be considered.
Valid driver's license or ability to provide independent authorized transportation.
Ability to learn and apply state and federal laws, regulations, and procedures necessary to conduct quality control reviews.
Ability to apply rules and regulations to the verification, determination, and documentation of reviews.
Ability to use computer output information to complete accurate findings.
Ability to operate a personal computer and general office equipment, including spreadsheets, word processing, databases, email, internet, and other programs.
Ability to perform basic math calculations, work independently with minimal supervision, and complete assigned workloads within established deadlines.
Knowledge of public assistance policies and regulations, eligibility processes, related computer systems, compliance, audit functions, and data research principles.
Oral and written communication skills and the ability to establish and maintain effective working relationships with staff and the general public.

Nice To Haves

Strong working knowledge of program policy and eligibility requirements, specifically in Child Support programs and applications.
Prior experience in eligibility determination, case management, or quality assurance.
Ability to analyze complex cases, accurately interpret policy, and identify errors.
High attention to detail and strong organizational and time-management skills.
Effective written and verbal communication skills for documenting findings and collaborating with staff.
Experience using eligibility systems, data tracking tools, and quality control or federal and state reporting processes.
Ability to work independently, maintain confidentiality, and apply policy objectively and consistently.
Adaptability to policy changes and evolving program requirements.
Previous work with the SNAP Program.
Previous work with Quality Control.

Responsibilities

Conduct quality control reviews of selected SNAP cases to determine whether eligibility and benefit amounts were accurately determined.
Review case records, interview households, and obtain required verifications to independently validate case circumstances and eligibility.
Analyze and apply program policy objectively.
Identify and document payment errors or other findings, ensuring review conclusions are supported by the case record.
Complete reviews accurately within required federal and state timelines.
Enter and maintain review information in QCS and applicable tracking systems.
Conduct on-site interviews with applicants, recipients, and public or private sources to obtain information.
Gather, verify, and analyze eligibility and financial data.