Quality Assurance & Compliance Specialist- Hybrid Work Model

Arapahoe County•Aurora, CO

1d•$27 - $40•Hybrid

About The Position

The Arapahoe County government serves its communities in ways both obvious and obscure. As the beating heart of local and regional government, we’re here for our neighbors on their best days—and their worst. We share our residents’ goals of preserving our quality of life and strive to be the place we’re proud to call home. Our Mission: Arapahoe County Department of Human Services (ACDHS) builds strong communities by promoting the safety, independence, and stability of individuals and families. Our Vision: To end the cycle of poverty and prevent abuse and neglect of children and vulnerable adults (using an integrated Two-Generation approach) ACDHS uses an integrated Two-Generation (2Gen) approach to address all of the basic human services needs of the entire family unit. The 2Gen approach begins with a mindset focused on family-centered program design, continues with the alignment of services and resources within the department as well as across multiple organizations, resulting in coordinated services to children and adults together (family) in order to create long term stability and sustainability. The 2Gen approach builds well-being for families by focusing equally and intentionally on high-quality services in five areas of focus: early childhood education, adult education and employment pathways, economic security, health and well-being and social capital. This approach will help us achieve our core mission of breaking the generational cycle of poverty, preventing neglect and abuse and building strong communities. Applicant must list job duties for each previous position. Applications missing this information will not be considered, and a resume along is not sufficient. GENERAL DESCRIPTION OF JOB: Under limited supervision, the Quality Assurance and Compliance Specialist applies analytical and technical skills to deliver detailed and comprehensive reviews of program case files for the Department of Human Services and external auditing agencies that require a resolution of compliance problems and reconciliation of divergent viewpoints. In addition, the Quality Assurance and Compliance Specialist will compile data using recommended methodologies and software programs as required by the requesting internal or external agency to help evaluate trends, promote compliance with State and Federal regulations and identify best practices. This position is responsible for ensuring eligibility and payments for clients meet program requirements.

Requirements

Extensive knowledge of rules and regulations for various department programs, including but not limited to IV-E, SNAP, MAGI, Temporary Assistance for Needy Families, Adult Financial, Long-Term Care, Claims, Medicare Savings Program, Low Income Childcare and Child Support Enforcement Intake.
Ability to prioritize and effectively complete work in a timely manner despite tight deadlines, high volume of work and constant/frequent interruptions.
Extensive proficiency in Microsoft applications (Word, Excel, Outlook, etc.) and ability to learn various computer software applications (internal and external).
Strong knowledge of auditing best practices and methodologies.
Communicate ideas in both technical and user-friendly language to employees at all levels.
Accountability
Accessibility
Inclusivity
Integrity
Associate Degree in Business Administration or related field
At least 2 years of relevant experience determining eligibility for Human Services Programs (Colorado Works, MAGI, SNAP, Adult Financial, CCAP, Child Support, IV-E, etc.)
Knowledge in 2+ eligibility programs (SNAP, MAGI, Adult Financial, Colorado Works, CCAP etc.)
Any equivalent combination of education and work experience that satisfy the requirements of the job will be considered.
Must successfully pass pre-employment testing which includes an acceptable motor vehicle record (MVR) and background check.
Will require fingerprinting and a Colorado Bureau of Investigation (CBI) background check.

Responsibilities

Conduct case file reviews that enhance payment accuracy and improves program administration by measuring accuracy and outcomes using standardized tools and proven practices.
Maintain and consistently enhance knowledge of all programs and systems used within the Department of Human Services including Trails, ASCES, CBMS, CHATS, HSConnects, etc. and corresponding eligibility program area.
Consistently advances understanding of program rules in order to interpret changes, implement and apply new rules, and ensure that quality assurance standards are appropriately maintained and revised.
Accurately and thoroughly gather data and statistics, disseminating information to staff across all levels within the department. Collaborate with Human Services leadership to enhance client services and community outreach initiatives, drawing on feedback from customer service, clients, and the community to refine best practices.
Develop and share expertise on quality assurance best practices both within and outside the organization. Working alongside supervisors and managers in unit meetings focusing on quality assurance, providing information, gathering feedback, and delivering customized audit training to department staff in order improve adherence to program standards.
Execute internal audits, deliver reports and recommendations that tackle both current and future challenges throughout the department, including potential risks, internal and external fraud, operational, and compliance issues.
Serve as a liaison with the State Department of Human Services, Department of Health Care Policy and Financing, and other designated county auditors to execute, oversee and report detailed internal and external auditing data.
Serve as a backup to other Quality Assurance and Compliance colleagues in his/her absence.