What are the responsibilities and job description for the Quality Control Supervisor (HCA/ISD #35942) position at State of New Mexico?
Posting Details
This posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.
This job posting may be used to fill multiple vacancies.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees' continuous growth and wellness.
Why does the job exist?
The Quality Control Supervisor will:
Supervise Quality Assurance Specialists and other quality control staff;
Review Quality Control case files to ensure accuracy and correctness in benefits issued;
Responsible for maintaining the day-to-day operations of the Quality Control office;
Assist in other types of reviews statewide;
How does it get done?
The Quality Assurance Supervisor is responsible for:
The direct supervision of five (5) to six (6) Level 1 Quality Control (QC) reviewers;
Completing 100% review of all cases assigned to the unit;
Ensuring adherence and the correct application of state and federal policies, standards and procedures to case reviews prior to final case submission;
Coaching, training and the development of level 1 reviewers assigned to their unit;
Ensuring that employees have all the tools necessary to complete their job assignments;
Managing work force based on organizational goals, budget consideration and staffing needs;
Who are the customers?
The Health Care Authority (HCA) Income Support Division (ISD).
Ideal Candidate
The Health Care Authority (HCA) Income Support Division (ISD).
Minimum Qualification
High School diploma or equivalent and five (5) years of experience as a Family Assistance Analyst, Income Support Specialist, Child Support Legal Assistant, and/or Child Support Enforcement Case Worker. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling five (5) years will substitute for the required experience.
Employment Requirements
Must possess and maintain a valid Driver's License.
Working Conditions
Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Frequent in-state travel with overnight stays is required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Theresa Romero. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
This posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.
This job posting may be used to fill multiple vacancies.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees' continuous growth and wellness.
Why does the job exist?
The Quality Control Supervisor will:
Supervise Quality Assurance Specialists and other quality control staff;
Review Quality Control case files to ensure accuracy and correctness in benefits issued;
Responsible for maintaining the day-to-day operations of the Quality Control office;
Assist in other types of reviews statewide;
How does it get done?
The Quality Assurance Supervisor is responsible for:
The direct supervision of five (5) to six (6) Level 1 Quality Control (QC) reviewers;
Completing 100% review of all cases assigned to the unit;
Ensuring adherence and the correct application of state and federal policies, standards and procedures to case reviews prior to final case submission;
Coaching, training and the development of level 1 reviewers assigned to their unit;
Ensuring that employees have all the tools necessary to complete their job assignments;
Managing work force based on organizational goals, budget consideration and staffing needs;
Who are the customers?
The Health Care Authority (HCA) Income Support Division (ISD).
Ideal Candidate
The Health Care Authority (HCA) Income Support Division (ISD).
Minimum Qualification
High School diploma or equivalent and five (5) years of experience as a Family Assistance Analyst, Income Support Specialist, Child Support Legal Assistant, and/or Child Support Enforcement Case Worker. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling five (5) years will substitute for the required experience.
Employment Requirements
Must possess and maintain a valid Driver's License.
Working Conditions
Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Frequent in-state travel with overnight stays is required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Theresa Romero. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
