OEA Program Accuracy 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

Job Posting

JR2026-00029369 OEA Program Accuracy Specialist (Evergreen) (Open)

Hiring Agency

Health & Human Services - Agency 25

Location

Statewide, NE

Hiring Rate

$23.126 per hour – Non-Exempt

Job Description

The Department of Health and Human Services (DHHS), Office of Economic Assistance, is seeking a highly motivated individual with keen attention to detail to join our Team in the DHHS Worker Evaluation Program Accuracy Specialist role. The successful candidate should possess good oral and written communications skills.

Under limited supervision, a Program Accuracy Specialist is responsible for conducting full quality assurance reviews of case management activities; coordinating with management and staff to develop and implement various strategies and initiatives to achieve the highest possible accuracy rate; performing related work as assigned.

Examples of Work

• Review Medicaid program cases for accuracy and provide feedback and corrections to the field
• Provide information to field staff when an error is determined.
• Collaborate with Medicaid policy and provide guidance to the field.

Work Schedule

Monday – Friday; 8:00 AM – 5:00 PM

Dress Attire

Business Casual

Driving

Occasional travel required

Requirements / Qualifications

Minimum 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 OR 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.

Preferred Qualifications

• At least 3 years of experience as an Medicaid Social Services Worker OR at least 2 years of experience as an Medicaid Social Services Lead or Supervisor OR at least 3 years of combined experience as a Social Services Worker, Lead, or Supervisor.
• Experience in eligibility determination, case management, quality control, or program integrity.
• Proficiency with eligibility systems, data tracking tools, and federal/state reporting requirements.
• Experience identifying error trends and documenting findings clearly and objectively.

Job Specific Knowledge, Skills, & Abilities

• Strong knowledge of Medicaid program policies and eligibility requirements.
• High attention to detail with strong analytical and problem-solving skills.
• Strong written and verbal communication skills for collaboration and reporting.
• Ability to accurately review and analyze complex cases and apply policy consistently.
• Ability to work independently, manage deadlines, and maintain confidentiality.

Other Relative KSA's

Knowledge of: Federal and State program regulations, laws, and case processing; quality assurance and monitoring tools and methods; case management practices including assessment, analyzing critical information, plan development and implementation, adult training theories, principles and practices; statistical data and collection methods.

Skill in: Teaching others; monitoring and assessing work performance of others.

Ability to: Learn and apply agency policies and procedures; interpret, explain, and apply State and Federal laws and regulations; conduct data analysis, quality assurance reviews, and identify trends; communicate with others to receive and relay information; analyze situations and develop an appropriate course of action; effectively interrelate with a wide variety of individuals; formulate conclusions; coach others; develop, implement and present training programs; conduct root cause analysis and recommend appropriate actions.

Ability to accurately review and analyze complex cases and apply policy consistently.

Ability to work independently, manage deadlines, and maintain confidentiality.

Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.