Quality Assurance Technician

Important Recruitment Information for this vacancy

Job Posting closes: March 10, 2025

Required documents uploaded by: March 10, 2025

Kansas Department of Health and Environment:

Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans.

About the Position

Who can apply: External (Open to Anyone)

Classified/Unclassified Service: Unclassified

Full-Time/Part-Time: Full-time

Regular/Temporary: Regular

Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)

Eligible to Receive Benefits: Yes

Veterans' Preference Eligible: Yes

Compensation:

• Hourly Pay Range: $25.68-$28.31
• Salary can vary depending upon education, experience, or qualifications.

Employment Benefits

Comprehensive medical, mental, dental, vision, and additional coverage

Sick & Vacation leave

Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave

Paid State Holidays (designated by the Governor annually)

Fitness Centers in select locations

Employee discounts with the STAR Program

Retirement and deferred compensation programs

Visit the Employee Benefits page for more information…

Position Summary & Responsibilities

Position Summary:

The position (K0222057)

The Kansas Department of Health and Environment has an opening for a Quality Assurance Technician in Topeka. Monitor the activities relevant to the agency's Medicaid and CHIP programs. Review all information related to the Medicaid/CHIP eligibility decision (all programs) and/or other information as defined by project parameters. The review may include but is not limited to analyzing documentation in paper and electronic files, researching the eligibility system and other systems to secure accuracy of agency determinations, computation of beneficiary income, consumer interviews, contacting and/or requesting verification from outside collaterals, determination of the dollar amount of claims paid correctly or in error, and meeting any other federal or state project requirement.

Responsible for the comprehension & application of all federal and state regulations including yearly changes and the incorporation of these changes into the review decisions. Completes a comprehensive and concise written report of the review decision including notation of policy references supporting this decision and maintains a QC case record per written guidelines for federal or internal audit purposes. Inputs specific case information, the review decision, & recommended corrective action into a database and sends to the agency contact for comment. Responds to questions raised by MEQC Manager, state or federal agency personnel, and secures additional information if necessary to resolve differences. Due to the nature of the communication with the agency, written communication skills must incorporate appropriate grammar, punctuation, and the ability to tailor complex information in a succinct manner.

Job Responsibilities may include but are not limited to the following:

Participates in the development of MEQC projects including the design & testing of MEQC forms, worksheets, letters, Eligibility Auditor Questionnaire, identifies system defects, etc. (e.g., assigned specific duties that must be completed for project development). Prepare reports as directed by the MEQC Manager or other state personnel. Plans and schedules work to complete assigned reviews within the time frame established by CMS and the MEQC Manager.

Qualifications

• Education:
  • High School, GED
• Licensing & Certification:
  • Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State
• Minimum Qualifications:
  • Three years of experience interviewing, investigating, compiling information, documenting decisions, interpreting guidelines and/or providing technical assistance relevant to the agency's programs
• Preferred Qualifications:
  • Bachelor’s degree - Any course of study
  • Word, Excel, PowerPoint, Access
  • Proofreading, editing, attention to detail
  • Ability to navigate Eligibility Auditor, KMMS and Kansas Eligibility Systems
  • Ability to interpret and apply state and federal regulations to audit decision
  • Ability to conduct comprehensive research, gather information, and apply analytical thinking
  • Ability to write audit reports in a succinct manner
  • Skills in project development
  • One to two years processing or auditing elderly and disabled medical requests
  • One to two years processing or auditing family medical requests for Medicaid and CHIP coverage
  • Experience writing concise and comprehensive audit summaries and/or reports
  • Experience with the comprehension and application of the KEESM/KFMAM and CMS regulations
  • Experience navigating KAECSES and KEES in determining eligibility for Kansas medical programs
  • Experience with development of questionnaires, forms, worksheets, and job aides for project purposes

Recruiter Contact Information

Name: Tracey Benson

Email: Tracey.N.Benson@ks.gov

Mailing Address: 1000 SW Jackson St. Suite 580 Topeka, KS 66612

Job Application Process

• First Sign in or register as a New User.
• Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications.
• Upload required documents listed below for the Careers> My Job Applications page. *This information is included on all your job applications.
• Start your draft job application, upload other required documents, and Submit when it is complete.
  • Manage your draft and submitted applications on the Careers> My Job Applications page.
• Check your email and My Job Notifications for written communications from the Recruiter.
  • Email – sent to the Preferred email on the My Contact Information page
  • Notifications – view the Careers> My Job Notifications page

Helpful Resources at jobs.ks.gov: “How to Apply for a Job – Instructions” and “How to Search for a Job – Instructions"

Required Documents for this Application to be Complete

Upload these on the Careers - My Job Applications page

Transcripts

DD214 (if you are claiming Veteran’s Preference)

Upload these on the Attachments step in your Job Application

• Resume
• Cover Letter

Helpful Resources at jobs.ks.gov: “How, What, & Where do I Upload Documents”

How to Claim Veterans Preference

Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.

Learn more about claiming Veteran’s Preference

How to Claim Disability Hiring Preference

Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.

Learn more about claiming Disability Hiring Preference

PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to (785)296-7712, scanned and emailed to Gustavo.Victoriano@ks.gov, or can be mailed/delivered in person to:

ATTN: Disability Hiring Preference Coordinator
Office of Personnel Services
Landon State Office Building
900 SW Jackson, Rm 401
Topeka, KS 66612

Equal Employment Opportunity

The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.

If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.