Program Accuracy Specialist - Developmental Disabilities

State of NebraskaOmaha, NE
$23Onsite

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: Monitor DD and AD HCBS waiver providers through desk reviews, audits, on-site evaluations, and unannounced visits. Conduct NCI participant-experience interviews via in-person, virtual, and telephonic (AD only) platforms. Evaluate provider performance and compliance levels against CMS and State HCBS requirements. Facilitate provider remediation by overseeing corrective action plans and technical assistance. Review participants support plans to ensure alignment with behavioral, mental, and physical health needs. Interpret and apply State and Federal regulations to daily oversight and decision-making. Identify and report suspected abuse, neglect, or exploitation in accordance with mandated-reporting protocols. Generate monitoring reports, formal correspondence, and quality assurance tools or training materials. Collaborate with cross-functional DHHS teams on regulatory updates and procedural improvements. Escalate high-risk compliance or safeguarding concerns to leadership as required. Perform 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.

Nice To Haves

  • Education: Bachelor’s degree in social work, Public Health, Psychology, or a related human services field.
  • Program Knowledge: Demonstrated experience with HCBS waiver programs, CMS regulations, and National Core Indicators (NCI).
  • Specialized Expertise: Professional background in developmental disabilities (DD), behavioral health, or aging/elder care services.
  • Regulatory Oversight: Proven experience leading corrective action planning (CAP) and providing cross-agency technical assistance.
  • Knowledge Regulatory Framework: CMS HCBS Waiver rules, the HCBS Final Settings Rule, and relevant State guidelines.
  • Service Delivery: DD and AD HCBS waiver services, participant-centered support planning, and National Core Indicators (NCI).
  • Skills Analytical Oversight: Ability to assess compliance, synthesize complex data from reviews or interviews, and identify systemic risks.
  • Communication: Advanced report writing and the ability to conduct sensitive participant interviews.
  • Technical Proficiency: Skilled in using electronic documentation systems and quality assurance (QA) tools.
  • Project Management: Ability to manage multiple concurrent monitoring activities while meeting strict regulatory deadlines.
  • Abilities Professional Judgment: Exercise sound judgment when interpreting regulations, providing technical assistance, and escalating safeguarding concerns.
  • Relationship Management: Build and maintain productive, collaborative relationships across DHHS and with external providers.
  • Operational Readiness: Maintain a valid driver’s license and travel to provider sites as required.
  • Safety & Compliance: Identify and report suspected abuse, neglect, or exploitation by mandated protocols.
  • Continuous Improvement: Drive provider performance through constructive feedback and the implementation of corrective actions

Responsibilities

  • Monitor DD and AD HCBS waiver providers through desk reviews, audits, on-site evaluations, and unannounced visits.
  • Conduct NCI participant-experience interviews via in-person, virtual, and telephonic (AD only) platforms.
  • Evaluate provider performance and compliance levels against CMS and State HCBS requirements.
  • Facilitate provider remediation by overseeing corrective action plans and technical assistance.
  • Review participants support plans to ensure alignment with behavioral, mental, and physical health needs.
  • Interpret and apply State and Federal regulations to daily oversight and decision-making.
  • Identify and report suspected abuse, neglect, or exploitation in accordance with mandated-reporting protocols.
  • Generate monitoring reports, formal correspondence, and quality assurance tools or training materials.
  • Collaborate with cross-functional DHHS teams on regulatory updates and procedural improvements.
  • Escalate high-risk compliance or safeguarding concerns to leadership as required.
  • Perform 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.
  • Check out all that the State of Nebraska has to offer!
  • Benefit eligibility may vary by position, agency and employment status.
  • For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits
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