DCF Quality Control Specialist

State of Vermont; Waterbury (VT); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical premium

Dental plan

Holiday leave

FMLI

Pension plan

Tuition reimbursement

Flexible spending accounts

Life insurance

Wellness program

Public Service Loan Forgiveness

Job summary

State of Vermont seeks a DCF Quality Control Specialist to resolve data match information, review fraud referrals, and audit vendor documents to determine if there are grounds for payment recovery. The role includes secondary payroll approval, fraud investigations, and analysis of provider attendance with written reporting.

Strong data analysis, computer, and writing skills are required. Travel across Vermont for in-person investigations is expected, with a hybrid work arrangement and occasional

Qualifications

• Two (2) years or more of experience with enrollment or eligibility determination, case management, program compliance, or administration.
• OR
• Bachelor's degree in a human services field AND one (1) year or more of experience with enrollment or eligibility determination, case management, program compliance, or administration.

Responsibilities

• Resolve data match information and review fraud referrals.
• Audit vendor documents to determine grounds for payment recovery.
• Perform secondary payroll approval and conduct fraud investigations.
• Analyze provider attendance and prepare written reports on findings.
• Conduct in-person investigations and travel throughout Vermont.
• Collaborate with program integrity staff and train others when needed.

Education

Bachelor's degree in a human services field

Job description

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The Child Development Division (CDD)'s Child Care Financial Assistance Program seeks an individual with knowledge of program integrity practices as applied to public assistance programs. This position is responsible for resolving data match information, reviewing fraud referrals, and auditing vendor documents to determine if sufficient grounds exist for payment recovery. Duties include secondary payroll approval, fraud investigations, analysis of provider attendance and preparing written reports on findings. Previous experience in the methods and techniques of investigation and the ability to train others is preferred. This position requires conducting in-person investigations and travel throughout Vermont. Successful candidates will have strong data analysis, computer, and writing skills. Someone who is self-motivated and can work both independently and collaboratively with other program integrity staff would be a great fit for this position.

CDD is housed in the Waterbury State Office Complex (WSOC). This is a hybrid position allowing for some remote work. The Child Care Financial Assistance Program team and CDD also hold additional in-person meetings and team events in Waterbury. A successful candidate should have a reliable way to get to Waterbury as needed for these activities.

Who May Apply

This position, DCF Quality Control Specialist (Job Requisition #55563), is open to all State employees and external applicants.

AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Duties are performed in a variety of settings including district offices and clients` homes. Considerable travel may be required and incumbents may be required to use either a state-provided vehicle or a private means of transportation. Incumbents may encounter reluctance or resistance from clients or other individuals in providing necessary information. Incumbents must be able to work within tight time limits and under considerable stress while dealing with hostile/angry clients.

Minimum Qualifications

Two (2) years or more of experience with enrollment or eligibility determination, case management, program compliance, or administration.

OR

Bachelor's degree in a human services field AND one (1) year or more of experience with enrollment or eligibility determination, case management, program compliance, or administration.

Total Compensation

As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 12 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State’s employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.