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Hiring Agency:
Health & Human Services - Agency 25
Location:
Hiring Rate:
Job Posting:
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Job Description:
Under limited supervision, a Program Accuracy Specialist is responsible for conducting full quality assurance reviews of case management activities; coordinating with management and staff to develop and implement various strategies and initiatives to achieve the highest possible accuracy rate; performing related work as assigned.
Examples of Work
As the DHHS Program Accuracy Specialist, you will:
- Review Medicaid program cases for accuracy and provide feedback and corrections to the field
- Provide information to field staff when an error is determined.
- Collaborate with Medicaid policy and provide guidance to the field.
Hiring Rate: $23.126 per hour – Non-Exempt
Work Schedule: Monday – Friday; 8:00 AM – 5:00 PM
Dress Attire: Business Casual
Location: Statewide depending on space availability
Driving: Occasional travel required
Requirements/Qualifications
Minimum Qualifications: 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.
Preferred Qualifications:
- At least 3 years of experience as an Medicaid Social Services Worker OR at least 2 years of experience as an Medicaid Social Services Lead or Supervisor OR at least 3 years of combined experience as a Social Services Worker, Lead, or Supervisor.
- Experience in eligibility determination, case management, quality control, or program integrity.
- Proficiency with eligibility systems, data tracking tools, and federal/state reporting requirements.
- Experience identifying error trends and documenting findings clearly and objectively.
Job Specific Knowledge, Skills, & Abilities
- Strong knowledge of Medicaid program policies and eligibility requirements.
- High attention to detail with strong analytical and problem-solving skills.
- Strong written and verbal communication skills for collaboration and reporting.
- Ability to accurately review and analyze complex cases and apply policy consistently.
- Ability to work independently, manage deadlines, and maintain confidentiality.
Other Relative KSA's
Knowledge of: Federal and State program regulations, laws, and case processing; quality assurance and monitoring tools and methods; case management practices including assessment, analyzing critical information, plan development and implementation, adult training theories, principles and practices; statistical data and collection methods.
Skill in: Teaching others; monitoring and assessing work performance of others.
Ability to: Learn and apply agency policies and procedures; interpret, explain, and apply State and Federal laws and regulations; conduct data analysis, quality assurance reviews, and identify trends; communicate with others to receive and relay information; analyze situations and develop an appropriate course of action; effectively interrelate with a wide variety of individuals; formulate conclusions; coach others; develop, implement and present training programs; conduct root cause analysis and recommend appropriate actions.
Ability to accurately review and analyze complex cases and apply policy consistently.
Ability to work independently, manage deadlines, and maintain confidentiality.
If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/
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
Equal Opportunity Statement
The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.
Skills Required
- Two years of experience in a health and/or human services field or public service organization involving eligibility determination, public assistance needs assessment, or case management using program rules and regulations; or 24 semester hours of relevant post-high-school education plus experience in eligibility determination or assessing public assistance or social services needs.
- At least 3 years of experience as a Medicaid Social Services Worker; or at least 2 years as a Medicaid Social Services Lead or Supervisor; or at least 3 years of combined experience as a Social Services Worker, Lead, or Supervisor.
- Experience in eligibility determination, case management, quality control, or program integrity.
- Proficiency with eligibility systems, data tracking tools, and federal/state reporting requirements.
- Experience identifying error trends and documenting findings clearly and objectively.
- Knowledge of Medicaid program policies and eligibility requirements.
- Strong analytical, problem-solving, written communication, verbal communication, and attention-to-detail skills.
- Ability to review complex cases, apply policy consistently, work independently, manage deadlines, and maintain confidentiality.
Nebraska Department of Veteran Affairs Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Nebraska Department of Veteran Affairs and has not been reviewed or approved by Nebraska Department of Veteran Affairs.
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Retirement Support — Retirement plan is considered excellent and a central reason total compensation feels strong. Long-term security is positioned as offsetting lower base wages.
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Healthcare Strength — Health insurance is described as comprehensive within a benefits package that helps balance modest hourly pay. Coverage is viewed alongside retirement as a core component of overall value.
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Leave & Time Off Breadth — Paid leave is included within the comprehensive package and contributes to perceived total compensation value. The breadth of time off helps make moderate salaries more workable.
Nebraska Department of Veteran Affairs Insights
What We Do
The Nebraska Department of Veterans' Affairs is a state agency dedicated to providing support, benefits, and assistance to veterans and their dependents within Nebraska.
