Medicaid Program Accuracy & Quality Specialist

Nebraska Department of Health and Human Services; Nebraska; On-site; USD 48,000 - 52,000; Full time

Job summary

Nebraska Department of Health and Human Services (DHHS) is seeking a Program Accuracy Specialist for the Office of Economic Assistance. The role focuses on QA reviews of case management, coordinating with leadership to improve accuracy rates, and providing guidance to field staff.

The position requires strong written and verbal communication, attention to detail, and ability to work with complex Medicaid policies.

Qualifications

• Two years experience in a health and/or human services field or public service organization with responsibility for determining eligibility, assessing public assistance needs, or case management using program rules and regulations.
• Alternatively, 24 semester hours of post high school education in behavioral sciences, social sciences, public/business administration, adult education or closely related field and experience in eligibility determination or assessing needs for public assistance and/or social services programs.

Responsibilities

• Conduct full quality assurance reviews of case management activities.
• Coordinate with management and staff to develop and implement strategies to achieve high accuracy rates.
• Review Medicaid program cases for accuracy and provide feedback and corrections to the field.

Skills

Attention to detail

Analytical thinking

Written communication

Verbal communication

Independent work

Education

Post-high school education in behavioral/social/public administration or closely related field

Job description

Nebraska Department of Health and Human Services (DHHS) is seeking a Program Accuracy Specialist for the Office of Economic Assistance. The role focuses on QA reviews of case management, coordinating with leadership to improve accuracy rates, and providing guidance to field staff.

The position requires strong written and verbal communication, attention to detail, and ability to work with complex Medicaid policies.