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State of Nebraska

State government promoting agriculture

OEA Program Accuracy Specialist

Regulatory Compliance & EthicsConfirmed live in the last 24 hours
Full-timeNebraska, USA$23.13 /hr

About the Job

Requirements

  • Two years of 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 a closely related field, plus experience in eligibility determination or assessing needs for public assistance and/or social services programs.
  • Strong knowledge of Medicaid program policies and eligibility requirements.
  • High attention to detail and 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.
  • 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; and statistical data and collection methods.
  • Skill in teaching others and monitoring and assessing the 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 and quality assurance reviews and identify trends; communicate to receive and relay information; analyze situations and develop appropriate courses of action; interrelate with a wide variety of individuals; formulate conclusions; coach others; develop, implement, and present training programs; and conduct root cause analysis and recommend appropriate actions.

Responsibilities

  • Conduct full quality assurance reviews of case management activities.
  • Coordinate with management and staff to develop and implement strategies and initiatives to achieve the highest possible accuracy rate.
  • 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.
  • Perform related work as assigned.

Desired Qualifications

  • At least 3 years of experience as a Medicaid Social Services Worker, or at least 2 years of experience as a 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 and state reporting requirements.
  • Experience identifying error trends and documenting findings clearly and objectively.

About the Company

State of Nebraska

State government promoting agriculture

Nebraska is a U.S. state that provides government services to residents and supports the state’s economy, with a strong emphasis on agriculture. The state operates through agencies and programs that manage public education, infrastructure, health, safety, land use, and economic development, aiming to keep communities safe, informed, and prosperous. Its programs work by collecting taxes and fees, creating laws and regulations, and delivering services via state agencies, local governments, and partnerships with farmers, businesses, and non-profits. Nebraska differentiates itself from other states through its large agricultural sector and open land, which shape policies and programs around farming, water management, rural development, and access to markets. The goal is to sustain a stable, productive environment for residents and to support agricultural leadership and economic growth across the state.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Lincoln, NE
Founded
1867

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