Quality Review Analyst (Benefits Quality Review Analyst) (4911-12)
River City Correctional Center Quality Review Analyst (Benefits Quality Review Analyst) (4911-12)
Summary
A benefits quality-assurance role at Hamilton County Job & Family Services in Cincinnati: the analyst audits SNAP and Medicaid hearing files and documentation for federal, state, and local compliance, identifies gaps and trends, writes findings reports, and helps improve agency processes and training.
Highly Competitive and Comprehensive Benefits Package: Medical, HRA, Dental, Vision, Employer-Paid Life Insurance, Long-Term Disability, Tuition Reimbursement, Paid Parental Leave, Public Service Loan Forgiveness Eligibility, Commuter Stipend or Free On-Site Parking, Wellness Incentives, robust Employee Assistance Program, access to Free Medical and Rx through Marathon Health, plus expansive Behavioral and Mental Health Resources, and More!
- Bachelor’s degree in public administration, business administration, Social Work, Psychology, Special Education, Therapeutic Recreation, Sociology, Criminal Justice, Human Services (including a clinical practicum of at least one year), or a related field from an accredited college or university plus one (1) year of experience with a Department of Human Services (DHS) (or comparable department); OR
- One (1) year of experience as a Quality Review Specialist.
- Experience working with public assistance programs, including SNAP and Medicaid, and related eligibility and hearing processes.
- Experience performing quality assurance, compliance, or program review activities within a human services or public assistance environment.
- Quality Review and Hearing Compliance - Under direction of management, conducts quality assurance reviews related to hearing compliance and Economic Sustainability benefit programs, including SNAP and Medicaid; audits hearing files, documentation, timelines, processes, and outcomes to ensure compliance with applicable federal, state, and local requirements, agency policies, procedures, and established program standards; identifies gaps, inconsistencies, trends, and areas of noncompliance and recommends corrective actions or process improvements; analyzes program practices and existing operations to maintain and improve accuracy, efficiency, compliance, and quality of service; prepares written reports summarizing findings, trends, recommendations, and required follow-up; develops and implements methodologies for quality review and analysis.
- Technical Guidance & Compliance Support - Provides technical guidance and support related to hearing compliance and applicable Economic Sustainability program requirements; reviews and interprets established requirements, policies, procedures, and quality standards related to SNAP, Medicaid, and other assigned benefit programs; communicates identified deficiencies and recommended corrective actions; provides guidance or training regarding hearing compliance requirements, quality standards, and established procedures; tracks follow-up activities and compliance trends to support accurate, timely, and consistent application of program requirements.
- Process and Quality Improvement - Assists in the development and implementation of new or revised systems, procedures, programs, tools, and work processes based on quality review findings, regulatory changes, compliance trends, and identified operational needs; collaborates with management and appropriate staff to recommend improvements that enhance agency efficiency, effectiveness, compliance, accuracy, and quality of service.
- Attends meetings, conferences, and training related to assigned programs, quality assurance, hearing compliance, and other areas of responsibility.
- Performs other related duties as assigned.