Quality Control Case Reviewer - New York City, NY : Job Details

Quality Control Case Reviewer

New York City, NY

Job Location : New York,NY, USA

Posted on : 2024-04-22T19:24:39Z

Job Description :

The Office of Quality Assurance & Fiscal Integrity (OQA & FI) ensures the integrity, efficiency and regulatory compliance of Agency operations, advising programs of potential risks and vulnerabilities. They also ensure FIA programs such as Food Stamps, Cash Assistance and Medicaid operate with a high level of accuracy and integrity, monitoring these programs to find potential threats to integrity, ensuring compliance and adherence to best practices and relevant policies, while staying abreast of legal and federal, state and city regulatory requirements.

OQA&FI is recruiting for (3) three Principal Administrative Associate II to function as a Quality Control Case Reviewers, who will:

* Be responsible for the EQAS QC audit on 16 cases each month randomly selected from a MIS run of active Cash Assistance and Non-Cash Assistance (NGA) SNAP cases. Conduct telephone interviews with SNAP participants using appropriate interview techniques in Order to obtain critical information. Complete a desk audit in order to secure documentation pertinent to quality control eligibility criteria. Compare Paperless Office System (POS) case record, Welfare Management System (WMS) and One Viewer information to the interview/desk audit information in order to determine if discrepancies exist.

* Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data and other pertinent data in order to obtain information on the current financial status and eligibility criteria of cases in receipt of SNAP benefits. Determine accuracy of benefits issued and compares to State Quality Control error findings or to the month under review in the EQAS audit.

* Secure collateral information to verify the accuracy of the information provided from the POS record, participant interview information and HRA One Viewer documentation. Initiate third-party contacts to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control errors or in the EQAS audit. Sources of verification include computer match systems, employers, landlords, schools and other local, State and Federal programs, replicating verification standards outlined in the SNAP Source Book manual. Evaluate collateral contact information to ensure that data collected is complete, accurate and appropriate to the case under review.

* Prepare manual budgets to replicate the actual amounts issued to the SNAP household for the month under review for State QC or EQAS cases. Perform re-calculation of SNAP budget based on the data obtained in order to determine the correctness of the payment amounts issued for the review month according to Federal QC Food and Nutrition Service (FNS) guidelines and methodology.

* Record the information and documentation obtained from the POS case record, One Viewer, interviews, computer matches and collateral sources onto the standardized QC workbook (W-907SS) in accordance with Federal/State QC standards.

* Prepare audit correspondence for Family Independence Administration CA/NGA center offices on standardized forms identifying payment errors and specifying the nature, error element, causal factor, timing and budget calculations. Provide detailed information for corrective action purposes on State QC and EQAS payment errors in order to recover, reduce and prevent SNAP eligibility and payment errors.

* Complete the Consumer Satisfaction Survey (CSS) on the SNAP EQAS sample population regarding voluntary responses related to courtesy and respect and overall satisfaction with services.

* Research Federal and State policies and regulations in order to evaluate if City procedures have been properly applied and in compliance with the New York State system.

Minimum Qualifications

1. A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty; or

2. An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described in 1 above; or

3. A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in 1 above;

4. Education and/or experience equivalent to 1 , 2 , or 3 above. However, all candidates must possess the one year of administrative or supervisory experience as described in 1 above. Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in 1 above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3 years.

Preferred Skills

* Proficiency with MS Word, Excel and Power Point.. - Working Knowledge of HRA/DSS systems including WMS, POS/SPOS, One Viewer and NYCWAY. - Knowledge of Federal and State auditing rules and regulations. - Experience in interviewing and/or processing cases for SNAP. - Excellent oral and written communication skills.

55a Program

This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.

Residency Requirement

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.

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