OEA Program Accuracy Specialist

Job Posting

JR OEA Program Accuracy Specialist (Evergreen) (Open)

Health & Human Services - Agency 25

Statewide, NE

$23.126 per hour – Non-Exempt

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.

• 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.

Monday – Friday; 8:00 AM – 5:00 PM

Business Casual

Occasional travel required

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.

• 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.

• 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.

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…