Quality Control Specialist Reviewer

The Department of Transitional Assistance (DTA) is seeking an experienced quality control professional to fill the position of Quality Control Specialist Reviewer-Boston. The selected candidate will perform federal quality control reviews, and monitor and evaluate agency performance by reviewing work completed by Benefits Eligibility & Referral Social Worker (BERSW) staff, supervisors and managers.

Duties and Responsibilities (these duties are a general summary and not all inclusive)\:

·       Monitors and evaluates work performed by other staff using multiple standards of review, determines whether actions taken are consistent with both state and federal guidelines and reports inconsistencies within prescribed timeframes.

·       Reviews and analyzes a statistically valid sample of cases in all categories of public assistance to determine the accuracy of casework performed.

·       Determines the correctness of financial assistance payments made by local office personnel and assists in the computation and production of state and local office error rates.

·       Performs state and federal Local Office Quality Control reviews; collects data on agency cases for the Federal Government, using Federal definitions.

·       Conducts in-depth interviews with recipients throughout the state, both in the office and through home visits, with individuals who may be uncooperative or belligerent, in conjunction with research activities that are significantly different

from those conducted for eligibility determinations.

·       Evaluates local office operations to identify programmatic and operational deficiencies to facilitate effective corrective action.

·       Monitors and implements court decisions to ensure compliance and avoid potential court sanctions.

·       Conducts high-risk investigatory reviews to determine fraud.

·       Performs special review projects on various topics that may involve interaction with external government and private agencies.

·       Contacts collateral sources statewide to corroborate the accuracy of eligibility findings and benefit payments. Maintains collateral contacts with banks, the post office and other government agencies (Department of Children and Families, Social Security Administration, Department of Unemployment Assistance, etc.)

·       Applies federal quality control guidelines and state policy standards to determine the correctness of each case reviewed for each category of assistance a client receives.

Required Qualifications

·       Ability to determine the accuracy of eligibility findings and benefit payment decisions in randomly selected cases.

·       Capacity to integrate multiple program criteria and apply them in the quality control review process for casework actions.

·       Ability to work independently and in a team environment, plan and organize work, work accurately with names, numbers, codes and/or symbols and assemble items of information in accordance with established procedures.

·       Ability to analyze and determine the applicability of client data, draw conclusions, make appropriate recommendations, prepare general reports and maintain accurate records.

·       Ability to establish and maintain harmonious working relationships with others who may be under physical/emotional stress as well as the ability to maintain a calm manner and exercise sound judgment in stressful and/or emergency situations.

·       Proficient in gathering information through interviewing individuals and by examining records and documents and to exercise discretion in handling confidential information.

·       Demonstrated ability to communicate effectively, both orally and in writing, and develop ideas in logical sequence.

·       Knowledge of state and federal policies, procedures, laws, rules, systems and regulations governing both eligibility for assistance programs and the quality control criteria for review of eligibility findings and benefits payments.

·       Knowledge of the principles, practices and techniques of supervision.

Preferred Qualifications

·       In-depth knowledge of state and federal policies, procedures, laws, rules, systems and regulations governing eligibility for assistance programs.

·       Demonstrated ability to write clear, concise, accurate and informative reports.

·       Ability to work independently and plan and organize multiple work assignments simultaneously.

·       Ability to exercise discretion in handling confidential information is essential.

·       A valid Massachusetts state driver’s license and be able to travel statewide as assigned.

·       Given the population served, bilingual or multilingual fluency.

TO APPLY\:

Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.

About The Department of Transitional Assistance\:

The Department of Transitional Assistance (DTA) is the state agency responsible for administering public assistance programs to low-income residents of the Commonwealth. DTA is committed to providing a high level of service to all those in need. The mission of the Department is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long term economic self-sufficiency. DTA serves one out of every seven people in Massachusetts – including working families, children, elders, and people with disabilities. Our services include food and nutritional assistance, economic assistance, and employment supports.

Learn more about our services and programs visit\: www.mass.gov/dta

Pre-Hire Process\:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http\://www.mass.gov/hhs/cori and click on "Information for Job Applicants."

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

ADA Reasonable Accommodation\: If you require a reasonable accommodation with the application/interview process, please contact us at\: EOHHS Candidate ADA Requests

For questions, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 and select option #4.

The Department of Transitional Assistance (DTA) is seeking an experienced quality control professional to fill the position of Quality Control Specialist Reviewer-Boston. The selected candidate will perform federal quality control reviews, and monitor and evaluate agency performance by reviewing work completed by Benefits Eligibility & Referral Social Worker (BERSW) staff, supervisors and managers.

Duties and Responsibilities (these duties are a general summary and not all inclusive)\:

·       Monitors and evaluates work performed by other staff using multiple standards of review, determines whether actions taken are consistent with both state and federal guidelines and reports inconsistencies within prescribed timeframes.

·       Reviews and analyzes a statistically valid sample of cases in all categories of public assistance to determine the accuracy of casework performed.

·       Determines the correctness of financial assistance payments made by local office personnel and assists in the computation and production of state and local office error rates.

·       Performs state and federal Local Office Quality Control reviews; collects data on agency cases for the Federal Government, using Federal definitions.

·       Conducts in-depth interviews with recipients throughout the state, both in the office and through home visits, with individuals who may be uncooperative or belligerent, in conjunction with research activities that are significantly different

from those conducted for eligibility determinations.

·       Evaluates local office operations to identify programmatic and operational deficiencies to facilitate effective corrective action.

·       Monitors and implements court decisions to ensure compliance and avoid potential court sanctions.

·       Conducts high-risk investigatory reviews to determine fraud.

·       Performs special review projects on various topics that may involve interaction with external government and private agencies.

·       Contacts collateral sources statewide to corroborate the accuracy of eligibility findings and benefit payments. Maintains collateral contacts with banks, the post office and other government agencies (Department of Children and Families, Social Security Administration, Department of Unemployment Assistance, etc.)

·       Applies federal quality control guidelines and state policy standards to determine the correctness of each case reviewed for each category of assistance a client receives.

Required Qualifications

·       Ability to determine the accuracy of eligibility findings and benefit payment decisions in randomly selected cases.

·       Capacity to integrate multiple program criteria and apply them in the quality control review process for casework actions.

·       Ability to work independently and in a team environment, plan and organize work, work accurately with names, numbers, codes and/or symbols and assemble items of information in accordance with established procedures.

·       Ability to analyze and determine the applicability of client data, draw conclusions, make appropriate recommendations, prepare general reports and maintain accurate records.

·       Ability to establish and maintain harmonious working relationships with others who may be under physical/emotional stress as well as the ability to maintain a calm manner and exercise sound judgment in stressful and/or emergency situations.

·       Proficient in gathering information through interviewing individuals and by examining records and documents and to exercise discretion in handling confidential information.

·       Demonstrated ability to communicate effectively, both orally and in writing, and develop ideas in logical sequence.

·       Knowledge of state and federal policies, procedures, laws, rules, systems and regulations governing both eligibility for assistance programs and the quality control criteria for review of eligibility findings and benefits payments.

·       Knowledge of the principles, practices and techniques of supervision.

Preferred Qualifications

·       In-depth knowledge of state and federal policies, procedures, laws, rules, systems and regulations governing eligibility for assistance programs.

·       Demonstrated ability to write clear, concise, accurate and informative reports.

·       Ability to work independently and plan and organize multiple work assignments simultaneously.

·       Ability to exercise discretion in handling confidential information is essential.

·       A valid Massachusetts state driver’s license and be able to travel statewide as assigned.

·       Given the population served, bilingual or multilingual fluency.

TO APPLY\:

Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.

About The Department of Transitional Assistance\:

The Department of Transitional Assistance (DTA) is the state agency responsible for administering public assistance programs to low-income residents of the Commonwealth. DTA is committed to providing a high level of service to all those in need. The mission of the Department is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long term economic self-sufficiency. DTA serves one out of every seven people in Massachusetts – including working families, children, elders, and people with disabilities. Our services include food and nutritional assistance, economic assistance, and employment supports.

Learn more about our services and programs visit\: www.mass.gov/dta

Pre-Hire Process\:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http\://www.mass.gov/hhs/cori and click on "Information for Job Applicants."

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

ADA Reasonable Accommodation\: If you require a reasonable accommodation with the application/interview process, please contact us at\: EOHHS Candidate ADA Requests

For questions, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 and select option #4.

First consideration will be given to those applicants that apply within the first 14 days.

MINIMUM ENTRANCE REQUIREMENTS\:  

REQUIRED WORK EXPERIENCE\: At least five years of full-time, or equivalent part-time, professional experience in social work or social casework, claims adjudication, job placement, recruitment, employment counseling, vocational or rehabilitation counseling, credit investigation, educational counseling, legal advocacy, or legal counseling.  Based on assignment to second-level supervisory positions, at least one year of this experience must have been in a supervisory capacity.   

SUBSTITUTIONS\:  

- A Bachelor's or higher degree may be substituted for two years of the required non-supervisory experience on the basis of two years of education for one year of experience.   

- One year of education equals 30 semester hours.  Education toward a degree will be prorated on the basis of the proportion of the requirements actually completed.  

- No substitutions will be permitted for the required supervisory or managerial experience.

LICENSES\: Based on assignment, travel may be required. Those employees who elect to use a motor vehicle for travel must have a current and valid Massachusetts Motor Vehicle Operator's license or the equivalent from another state. 

Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

An Equal Opportunity / Affirmative Action Employer.  Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law.  Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements.  We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

First consideration will be given to those applicants that apply within the first 14 days.

MINIMUM ENTRANCE REQUIREMENTS\:  

REQUIRED WORK EXPERIENCE\: At least five years of full-time, or equivalent part-time, professional experience in social work or social casework, claims adjudication, job placement, recruitment, employment counseling, vocational or rehabilitation counseling, credit investigation, educational counseling, legal advocacy, or legal counseling.  Based on assignment to second-level supervisory positions, at least one year of this experience must have been in a supervisory capacity.   

SUBSTITUTIONS\:  

- A Bachelor's or higher degree may be substituted for two years of the required non-supervisory experience on the basis of two years of education for one year of experience.   

- One year of education equals 30 semester hours.  Education toward a degree will be prorated on the basis of the proportion of the requirements actually completed.  

- No substitutions will be permitted for the required supervisory or managerial experience.

LICENSES\: Based on assignment, travel may be required. Those employees who elect to use a motor vehicle for travel must have a current and valid Massachusetts Motor Vehicle Operator's license or the equivalent from another state. 

Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

An Equal Opportunity / Affirmative Action Employer.  Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law.  Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements.  We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

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