Quality Control Analyst; Opbi

Quality Control Analyst (Opbi)

This is an internal agency opportunity only current department employees are eligible to apply. The Florida Department of Children and Families (DCF) is the state of Florida's social services agency. The agency oversees services for child safety, fostering, adoption, domestic violence, adult protective services, refugees, homelessness, mental health, substance abuse, childcare providers, human trafficking and public assistance. The agency's mission is to work in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency.

Within DCF, the Economic Self Sufficiency (ESS) Program helps to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals and families on the road to economic recovery. Under the ESS Program, the Office of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud or misuse regarding the SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants.

This is a full-time position working 40 hours per week. Business hours are 8:00 am - 5:00 pm EST, Monday - Friday. The incumbent is a member of the DCF D-SNAP Disaster Response team and, in that capacity, may be required on short notice to perform duties and travel in support of disaster relief. During such events, incumbent may be required to work more than 8 hours per day.

Minimum requirements:

Must be a current Florida DCF Economic Self Sufficiency employee. Must have a valid Florida driver's license. Must have a minimum of two years' (24 months) documented work experience determining Food Assistance eligibility or oversight/monitoring. Willingness for overnight travel. Preference will be given to candidates with the following:
Experience as an Economic Self Sufficiency Specialist II.

The quality control analyst must demonstrate organizational skills and the ability to work independently. To carry out the responsibilities of this position, the incumbent must maintain a detailed working knowledge of SNAP (Food Assistance) policies administered by the ESS Program and federal policies and regulations governing Quality Control. Quality control reviews involve monitoring and examination of agency case records, agency computerized eligibility systems, various related database systems, as well as client field visits and collateral contacts.

Results are forwarded to the responsible federal agencies for use in national averages, analysis, sanctioning processes, and determination of state error rates. After completion of appropriate forms and reports, results are provided to ESS headquarters and regional staff for utilization in corrective action, training and policy development, as well as providing trend analysis for long term planning.

This is a professional position charged with timely and accurate completion of federally mandated analysis reviews of eligibility decisions made by Economic Self-sufficiency Services staff. The incumbent is responsible for providing data to be used as technical assistance in aiding the agency to reduce the amount of misspent funds for Medicaid and Food Assistance. Reviews all agency material on file germane to the assistance unit under review, including the computerized eligibility determination system and related cross-matched data systems available;

coding and completing the appropriate forms to reflect what is discovered. Initiates inquiries concerning questions of citizenship and alien status, residence, living arrangements, household composition, income, assets, etc. as they relate to the quality control review process. Schedules and conducts field investigations, including face-to-face interviews with recipients and collateral contacts, to establish and verify various elements of eligibility to determine the accuracy of the benefit amount issued by the state.

Completes required forms and writes a narrative report on the finding of the review, detailing the nature and cause of any discrepancies discovered. Reports are provided to headquarters program staff, district office staff and for federal re-review. Maintains knowledge of state policy and procedure changes and how those changes are interpreted under federal guidelines. Maintains knowledge of changes in federal quality control policy and procedures and their effect upon the review process.

Provides clarifying information regarding any review questioned in the federal re-review process or in the state rebuttal process. Prepares for and participates in individual conferences with the unit supervisor and scheduled staff meetings. Attends training as needed to maintain expertise in area of assignment. Performs other related duties as assigned.