Quality Assurance Analyst

dpi.nc.gov

North Carolina, US
$24.00 to $28.00 ph
Temporary position, likely onsite or hybrid (specific work mode not specified in the job description).
Medicaid recipient eligibility reviews
Ensure accuracy and compliance
Identify and resolve errors
The North Carolina Department of Health and Human Services is seeking a temporary Quality Assurance Analyst to conduct reviews of Medicaid eligibility determinations, ensuring compliance with policies and accuracy. The role involves collaboration with county staff and requires a strong understanding of Medicaid regulations and internal controls

Job Summary

  • This position is responsible for conducting reviews of Medicaid recipient eligibility determinations in local Departments of Social Services.
  • The purpose is to ensure determinations made for Medicaid programs are accurate and in compliance with policy while identifying instances of error for resolutions.
  • This is a temporary position and there are no leave or retirement benefits offered with this position.

Matching Summary

Match Score: 75

The North Carolina Department of Health and Human Services is seeking a temporary Quality Assurance Analyst to conduct reviews of Medicaid eligibility determinations, ensuring compliance with policies and accuracy. The role involves collaboration with county staff and requires a strong understanding of Medicaid regulations and internal controls.

Salary

$24.00 to $28.00 per hour

Skills & Requirements

Must-have

  • Medicaid recipient eligibility reviews
  • Ensure accuracy and compliance
  • Identify and resolve errors
  • Prepare written reports
  • Conduct conferences with county staff

Nice-to-have

  • Enhance knowledge of Medicaid policy
  • Mitigate risk and recurrence of errors
  • Support county staff implementation

Key Requirements

  • Bachelor's degree or equivalent combination of training and experience
  • One year of related experience
  • Prior experience as an eligibility caseworker or investigator preferred
  • Extensive knowledge of NCFAST and NC TRACKS systems preferred

Work Rights

Not specified

Tailored Resume

Cover Letter