What are the responsibilities and job description for the Economic Benefits - Quality Assurance Reviewer position at Wake County?
What You'll Be Doing
We need you to help us get it right! Wake County is looking for a Quality Assurance Reviewer to join the Family and Children’s Medicaid (FCMA) Team . In this role, you will conduct compliance reviews for FCMA applications, review and communicate quality information to staff, and provide support to the FCMA Program. This role partners with the Division of Economic Services training staff, systems support staff, and works with management and supervisory staff to discuss findings and develop corrective action plans. This is a fully remote opportunity.
Essential Job Functions And Responsibilities Include
About
About Our Team
Wake County Human Services (WCHS) is the consolidation of programs and services that include social services, public health, behavioral health, job search assistance, child support, housing and transportation. Our mission, in partnership with the community, is to facilitate full access to high quality and effective health and human services for Wake County residents. In addition to our numerous standard programs, Wake County Human Services (WCHHS) is engaged in a number of special initiatives that are impacting services and programs throughout our entire agency. Whether legislated down from the changing regulations on the Federal or State level or bubbling up from the entrepreneurial spirit of our staff, you can always look forward to Wake County Human Services implementing new and exciting enhancements to our services and programs.
Required
The Basics (Required Education and Experience)
Location: HSC Somerset Raleigh, NC 27609
Employment Type: Regular
Work Schedule: Monday - Friday 8:00 am - 5:00 pm
Hiring Range: 23.94 - 32.32
Market Range: 23.94 - 40.70
Please include ALL prior work experience on your application and resume.
Posting Closing Date: 7:00 pm on 3/10/2025
What Makes Wake Great Equal Opportunity Statement Background Check Statement Emergency Service Worker Statement
What Makes Wake Great
Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive to the spectacular mountains or coast. Wake County Government is governed by a seven-member Board of Commissioners, who are elected at-large to serve two-year terms. Wake County Government has a general operating budget of $1.874 billion, employs over 4400 employees, experiences minimal turnover, and is an award-winning leader in wellness and technology initiatives; such as offering employees and covered spouses free access to the Employee Health Center. Wake County Government offers a wide range of training and development opportunities, a stable career in public service with a balance of work and family life, flexible work schedules and a competitive salary and benefits package.
Equal Opportunity Statement
Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.
Background Check Statement
Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.
Emergency Service Worker Statement
In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.
We need you to help us get it right! Wake County is looking for a Quality Assurance Reviewer to join the Family and Children’s Medicaid (FCMA) Team . In this role, you will conduct compliance reviews for FCMA applications, review and communicate quality information to staff, and provide support to the FCMA Program. This role partners with the Division of Economic Services training staff, systems support staff, and works with management and supervisory staff to discuss findings and develop corrective action plans. This is a fully remote opportunity.
Essential Job Functions And Responsibilities Include
- Planning and leading quality reviews of Family and Children’s Medicaid cases
- Keeping abreast of policy changes and communicating them as necessary to Economic Services staff
- Assisting with answering policy questions from ESS staff and communicating with state reps on policy clarifications
- Gathering information, analyzing trends, and reporting information to Economic Services management, supervisory staff, and members of the program staff development team
- Leading or assisting with the development of policy review meetings, newsletters, checklists, job aids, and other materials to help staff become more proficient in their policy and NCFAST knowledge
- Assisting with the preparation of materials for external monitoring
- Leading or assisting with the development, improvement, and training of our quality assurance monitoring tools
About
About Our Team
Wake County Human Services (WCHS) is the consolidation of programs and services that include social services, public health, behavioral health, job search assistance, child support, housing and transportation. Our mission, in partnership with the community, is to facilitate full access to high quality and effective health and human services for Wake County residents. In addition to our numerous standard programs, Wake County Human Services (WCHHS) is engaged in a number of special initiatives that are impacting services and programs throughout our entire agency. Whether legislated down from the changing regulations on the Federal or State level or bubbling up from the entrepreneurial spirit of our staff, you can always look forward to Wake County Human Services implementing new and exciting enhancements to our services and programs.
Required
The Basics (Required Education and Experience)
- Bachelor's degree
- Two years of job-related experience
- Equivalent education and experience are accepted
- Please include ALL prior work experience on your application and resume.
- Two (2) years or more of experience in NCFAST
- Two (2) years or more of experience in auditing FCMA programs.
- Demonstrated experience in public speaking and/or training.
- Proficient with using technology including Microsoft Word, Excel, and PowerPoint
- Current and thorough knowledge of Family and Children's Medicaid (FCMA) policies
- Experience processing and auditing FCMA cases
- Recent experience utilizing NCFAST
- Excellent communication skills, both verbal and written
- The ability to problem-solve and use analytical thinking; collect and analyze data, and conduct research
- Commitment to accountability and continuous improvement
Location: HSC Somerset Raleigh, NC 27609
Employment Type: Regular
Work Schedule: Monday - Friday 8:00 am - 5:00 pm
Hiring Range: 23.94 - 32.32
Market Range: 23.94 - 40.70
Please include ALL prior work experience on your application and resume.
Posting Closing Date: 7:00 pm on 3/10/2025
What Makes Wake Great Equal Opportunity Statement Background Check Statement Emergency Service Worker Statement
What Makes Wake Great
Home to the State Capital, Wake County is one of the fastest growing areas in the nation and the most populous county in the state, with more than 1.1 million residents. The County has received national and international rankings and accolades from publications such as Money, Fortune, and Time magazines as being one of the best places to live, work and play. The central location of the County allows for a short drive to the spectacular mountains or coast. Wake County Government is governed by a seven-member Board of Commissioners, who are elected at-large to serve two-year terms. Wake County Government has a general operating budget of $1.874 billion, employs over 4400 employees, experiences minimal turnover, and is an award-winning leader in wellness and technology initiatives; such as offering employees and covered spouses free access to the Employee Health Center. Wake County Government offers a wide range of training and development opportunities, a stable career in public service with a balance of work and family life, flexible work schedules and a competitive salary and benefits package.
Equal Opportunity Statement
Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.
Background Check Statement
Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.
Emergency Service Worker Statement
In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.
Salary : $32 - $41
