Income Eligibility Quality Control Auditor

The Department of Health Services (DHS), Division of Medicaid Services (DMS) is recruiting to fill an Income Eligibility Quality Control Auditor position at the Milwaukee Enrollment Services (MilES). MilES serves residents of Milwaukee County to determine eligibility for Medicaid, BadgerCare Plus, FoodShare, and other income maintenance assistance programs.

As an employee of the State of Wisconsin, you'll also have access to an amazing benefits package, including:

• 3.5 weeks of vacation, 9 paid holidays and ample sick time.
• Top rated health plan options starting at $42/month for single plans and $104/month for family plans, after 2 months of state service.
• Premium pension plan with a 6.95% employer match in 2025. Plus, a tax advantaged supplemental retirement savings plan which allows you to save money directly from your paycheck for retirement. Use this Total Rewards Calculator to see the total value of our competitive benefits package!
• Several flex spending accounts: medical, dependent care, commuter, parking and High Deductible Health Savings.
• A casual office atmosphere, flexible work schedules, and telework options depending on the position’s requirements.
• Well Wisconsin Wellness Program
• A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.
• Public Service Loan Forgiveness Program employer.

This position will report to the office at 6055 N. 64th Street, Milwaukee on a scheduled rotation. Currently the schedule is a 4-week rotation: 1 week in the office and 3 weeks working remotely. This schedule may vary based on operational needs.

As an Income Eligibility Quality Control Auditor, you will provide direct support to approximately 400 eligibility workers at MilES. You will also conduct Income Maintenance Quality Assurance reviews, case corrections and problem resolution for the over 200,000 Milwaukee County Income Maintenance cases.

You will advise local staff, W-2 agency staff, and supervisors regarding Income Maintenance program eligibility policy and systems initiatives. The goal of this support is to prevent incorrect eligibility decisions and benefit issuance, to ensure Wisconsin residents receive the benefits and services available to them in an equitable and timely manner, to contribute to the State and local agencies’ error reduction efforts, and to prevent system misuse and fraudulent activities.

These positions use eligibility determination systems, including the Client Assistance for Re-Employment and Economic Support (CARES) system and CARES Worker Web (CWW). Supporting clients and MilES through regular call center/phone work is also required.

The starting pay is between $31.41 and $36.55 per hour (approximately between $65,300and $76,000 per year) depending on qualifications, plus excellent benefits. A 12-month probationary period is required.

Pay for current or former state employees will be set based on the rules that apply to compensation for the applicable transaction. This position is classified as Human Services Program Coordinator-Senior and is in pay schedule/range 07/03.

For positions that allow remote working flexibility, working outside of Wisconsin or in bordering cities will not be allowed except in extremely limited circumstances due to the need to report to an office location in Wisconsin on short notice. Employees must have access to both a private workspace and secure high-speed internet for remote work option. Mileage reimbursement to the employee’s headquarter location is not provided. Remote work flexibility will be discussed in more detail during the interview process.

All applicants who may be appointed to this position will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled.

DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire.

Minimally qualified applicants will have all of the following:

• Experience performing income maintenance program eligibility determination including the use of CARES/CWW.
• Experience with program analysis and evaluation (e.g., preparing reports related to research or data analysis, making recommendations for program improvements, etc.).
• Experience serving as the job expert in a team setting (e.g., providing technical assistance to others, problem resolution, serving on work groups, etc.).
• Experience auditing case reviews (e.g., reviewing determinations made by others, ensuring compliance with policy, etc.).

Well-qualified candidates will also have one or more of the following:

• Experience related to policy development (e.g., researching existing policies, making recommendations for changes, drafting policy updates, etc.).
• Experience providing formal training to others.

Your letter of qualifications is limited to 2 page(s). For a guide on developing your resume and letter of qualifications and what should be included in these materials, click here.

Applying is easy! Click “Apply for Job” to start your application process. Sign into your account or create an account before applying for the job. Follow the steps outlined in the application process to submit your application.

Helpful Information:

• Once your application is submitted, no changes are allowed. Click “Save” to allow changes to your application as needed before submitting by the deadline.
• You may want to save a copy of the job posting for referencing after the deadline.
• Submitted materials will be evaluated by a panel of job experts according to the qualifications above.
• Please monitor your email for communications related to this position.
• Current or former permanent, classified, state employees must complete the online application process to be considered.
• If viewing through an external site, please apply directly at Wisc.Jobs.
• For technical assistance and general information, please see Frequently Asked Questions. For questions about the position, to request a copy of the full position description, or for other employment inquiries, please contact Human Resources at DHSBHRMilES@dhs.wisconsin.gov.

DHS is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce.

Veterans are encouraged to apply. For complete information on veterans’ hiring programs with the WI Department of Veteran’s affairs, click here.

The deadline to apply is February 17, 2025 at 11:59 p.m. Applicants are strongly encouraged to allow ample time to finalize their applications keeping in mind that technical assistance is only available Monday through Friday 7:45 am – 4:30 pm. Late or incomplete applications will not be accepted.