Program Specialist III CQI Records Reviewer

Overview

Abacus Corporation is a family-owned leader in workforce and talent solutions with over 80 years of experience. We specialize in connecting skilled professionals with direct hire opportunities across industries like industrial, security, healthcare, finance and professional services.

Known for our supportive culture and long-standing client partnerships, Abacus offers more than just a job—we provide a path to lasting career growth with trusted employers nationwide.

Benefit Program Specialist III

Location:

Virginia Beach

We are seeking a highly skilled and detail-oriented Benefit Program Specialist III to support quality assurance, compliance, and program improvement efforts across TANF, SNAP, and/or Medicaid programs. This role is ideal for someone with deep eligibility experience who enjoys problem-solving, coaching others, and ensuring program integrity.

• Quality Assurance & Case Review:
  Conduct on-site case reviews for Benefit Programs staff to measure, evaluate, and ensure quality performance and compliance with state and federal regulations.
• Quality Assurance & Case Review:
  Review cases for accuracy, identify significant errors or trends, and determine whether issues stem from the section, unit, or individual staff.
• Quality Assurance & Case Review:
  Document findings and compare results with established program guidelines.
• Quality Assurance & Case Review:
  Conduct entrance and exit conferences for scheduled case reviews.
• Training, Support & Technical Assistance:
  Provide consultation and technical assistance on program policies, regulations, and procedures.
• Training, Support & Technical Assistance:
  Deliver refresher training based on case review findings.
• Training, Support & Technical Assistance:
  Assist with planning and administering policy tests related to Benefit Program areas.
• Training, Support & Technical Assistance:
  Support recruitment and selection of new Benefit Program Specialist team members.
• Program Evaluation & Audit Support:
  Serve as a team member for SNAP Management Evaluation (ME) Reviews, Regional Reviews, and Audits.
• Program Evaluation & Audit Support:
  Conduct research and investigate problematic areas to prepare for state and regional reviews.
• Program Evaluation & Audit Support:
  Collaborate with external partners to address error-prone program areas and support corrective action plans.
• Policy & System Expertise:
  Serve as a resource on eligibility requirements, policy interpretation, and VaCMS troubleshooting.
• Policy & System Expertise:
  Resolve discrepancies internally before escalating to regional or state-level staff.
• Policy & System Expertise:
  Monitor program operations and staff performance to ensure quality standards are met.
• Policy & System Expertise:
  Act as a lead worker, providing guidance and support to team members.

• A combination of education beyond high school and/or experience equivalent to seven (7) years in roles requiring knowledge of eligibility programs (e.g., Eligibility Worker).
• Equivalent combinations of training and experience that demonstrate the required knowledge, skills, and abilities will be considered.

• Strong understanding of TANF, SNAP, and Medicaid eligibility policies.
• Experience conducting case reviews or audits.
• Excellent analytical, communication, and problem-solving abilities.
• Ability to work collaboratively across teams and with external partners.
• Proficiency with VaCMS or similar eligibility systems