QUALITY CONTROL ANALYST - 60067034

State of Florida•Temple Terrace, FL

1d•Onsite

About The Position

The Florida Department of Children and Families (DCF) is the state of Florida’s social services agency. The agency oversees services for child safety, fostering, adoption, domestic violence, adult protective services, refugees, homelessness, mental health, substance abuse, childcare providers, human trafficking, and public assistance. The agency’s mission is to work in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Within DCF, the Economic Self Sufficiency (ESS) Program helps to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals and families on the road to economic recovery. Under the ESS Program, the Office of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud or misuse regarding the SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. This is a highly responsible professional position within the Office of Public Benefits Integrity, Office of Quality Management. The incumbent in this position has responsibility in implementing the quality assurance techniques used to measure successful performance outcomes for the monitoring of public assistance programs at the state and region level. This position requires the coordination of operational and management improvements as a result of Quality Assurance/Quality Control activities. The primary function is to ensure public benefits case/payment accuracy for the Food Assistance, Temporary Cash Assistance (TCA), Medicaid, and Refugee Assistance Program (RAP) Programs. Incumbent must be computer proficient and knowledgeable of Microsoft Office, web browsers, and the Florida Online Recipient Integrated Data Access (FLORIDA) system.

Requirements

Must be a current DCF Economic Self-Sufficiency employee.
Must have a valid Florida driver’s license.
Must have a minimum of two years (24 months) documented work experience determining Food Assistance, Temporary Cash Assistance, and/or Medicaid eligibility or oversight/monitoring.
Willingness for overnight travel
Coordination: Adjusting actions in relation to others' actions.
Speaking: Talking to others to effectively convey information.
Writing: Communicating effectively with others in writing as indicated by the needs of the audience.
Reading Comprehension: Understanding written sentences and paragraphs in work related documents.
Active Listening: Listening to what other people are saying and asking questions as appropriate.
Information Gathering: Knowing how to find information and identifying essential information.
Time Management: Managing one's own time and the time of others.
Critical Thinking: Using logic and analysis to identify the strengths and weaknesses of different approaches. Identifying
Downstream Consequences: Determining the long-term outcomes of a change in operations.
Implementation Planning: Developing approaches for implementing an idea.
Identification of Key Causes: Identifying the things that must be changed to achieve a goal.
Visioning: Developing an image of how a system should work under ideal conditions.
Administration and Management: Knowledge of principles and processes involved in business and organizational planning, coordination, and execution. This may include strategic planning, resource allocation, manpower modeling, leadership techniques, and production methods.
Education and Training: Knowledge of instructional methods and training techniques including curriculum design principles, learning theory, group and individual teaching techniques, design of individual development plans, and test design principles.
Mathematics: Knowledge of numbers, their operations, and interrelationships, including one or more of the following: arithmetic, algebra, geometry, calculus, statistics, and their applications.
English Language: Knowledge of the structure and content of the English language, including the meaning and spelling of words, rules of composition, and grammar.
Customer and Personal Service: Knowledge of principles and processes for providing customer and personal services, including needs assessment techniques, quality service standards, alternative delivery systems, and customer satisfaction evaluation techniques.
Computer: Knowledge of computer software including applications.

Nice To Haves

At least two years (24 months) experience as an Economic Self-Sufficiency Specialist II or above
At least two years (24 months experience determining eligibility for SSI-related Medicaid with the Florida Department of Children and Families

Responsibilities

Reviews all agency material on file relevant to the assistance unit under review, including the computerized eligibility determination system and related cross-matched data systems available; coding and completing the appropriate forms to reflect what is discovered. Initiates inquiries concerning questions of citizenship and alien status, residence, living arrangements, household composition, income, assets, etc. as they relate to the quality control review process.
Conduct Management Evaluation (ME) Reviews as indicated by: Creating valid case review samples. Timely and accurately reviewing cases as well as tracking case corrections. Collecting and analyzing statistical data Timely and accurately submitting report of findings. Providing corrective action guidance and technical assistance, track and release CAPs
Schedules and conducts field investigations to establish and verify various elements of eligibility to determine the accuracy of the benefit amount issued by the state.
Completes required forms and writes a narrative report on the finding of the review, detailing the nature and cause of any discrepancies discovered. Reports are provided to headquarters program staff, district office staff and for federal re-review.
Maintains knowledge of state policy and procedure changes and how those changes are interpreted under federal guidelines. Maintains knowledge of changes in federal quality control policy and procedures and their effect upon the review process. Provides clarifying information regarding any review questioned in the federal re-review process or in the state rebuttal process.
Perform case review validations and feedback to Unit as indicated by: Timely and accurately completing case review validations Providing feedback and technical assistance to Operations/Unit Ensuring timely case corrections
Conduct regular regional program data analysis to gauge performance and provide feedback to Operations as indicated by: Timely and accurately gathering and evaluating information Suggesting recommendations for improvement
Provide technical assistance to regions on program improvement as indicated by: Providing Corrective Action Plan (CAP) guidance Monitoring circuit/region CAPs to ensure compliance is met Providing technical assistance on case reading tools
Assists supervisor with validation of case reviews and reports, meetings and trainings
Prepares for and participates in individual conferences with the unit supervisor and scheduled staff meetings. Attends training as needed to maintain expertise in area of assignment.
Performs other related duties as assigned.