DHHS Quality Control Specialist

Job Posting

JR DHHS Quality Control Specialist (Open)

Health & Human Services
- Agency 25

Statewide, NE

$20.011

09-28-2026

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 Quality Control (QC) Specialist role. The successful candidate should possess good oral and written communications skills.

• Conduct quality control reviews of Medicaid, Child Support public assistance programs to ensure compliance with federal and state regulations.
• Audit a statistically valid sample of cases by reviewing eligibility, payment accuracy, client responsibility, and agency actions.
• Perform field investigations, including in-home interviews, NFOCUS research, and third-party contacts to verify case information.
• Analyze and resolve conflicting or incomplete information and determine appropriate sources of verification.
• Evaluate agency determinations and identify over or under payments; classify and code errors according to federal reporting standards.
• Communicate error findings professionally to the agency; recommend corrective actions.
• Monitor error trends and identify systemic issues related to policy, procedures, or automation.
• Stay current on changes to federal and state regulations, policies, and waivers and apply them accurately to reviews.
• Present quality control results, data analysis, and recommendations to internal and external stakeholders.
• Mentor and support colleagues by sharing expertise, reviewing work, and assisting with training and development efforts.
• Manage workload independently, prioritize assignments, and meet established deadlines while maintaining accuracy.

Hiring Rate: $20.011 per hour – non-exempt

Work Schedule:

Monday – Friday; 8:00 AM – 5:00 PM

Dress Attire:
Business Casual

Location:

Statewide pending space availability

Driving is Required

Minimum Qualifications: Bachelor’s degree in business, human services, or a related field, plus two years of experience determining or reviewing public assistance eligibility; OR six years of relevant experience. Any equivalent combination of education and experience will be considered.

Preferred Qualifications: Must have Child Support Enforcement experience

• Strong working knowledge of program-policy and eligibility requirements (specifically in Child Support programs and applications)
• Prior experience in eligibility determination, case management, or quality assurance
• Ability to analyze complex cases, accurately interpret policy, and identify errors
• High attention to detail with strong organizational and time-management skills
• Effective written and verbal communication skills for documenting findings and collaborating with staff
• Experience using eligibility systems, data tracking tools, and QC or federal/state reporting processes
• Ability to work independently, maintain confidentiality, and apply policy objectively and consistently
• Adaptability to policy changes and evolving program requirements

Other: Valid driver's license or able to provide independent authorized transportation.

Knowledge of: researching and interpreting public assistance policies and regulations, public assistance eligibility processes, and related computer systems, along with a general knowledge of compliance, audit functions, and data research principles.

Ability to: learn and apply state and federal laws, regulations, and procedures…