Compliance Specialist

3 weeks ago

Washington, United States Department of Human Services Full time

**Job Synopsis**

This position is located in the Depa1tment of Human Service (DHS), Office of Program Review, Monitoring and Investigation (OPRMI), Quality Control Division (QCD). The Quality Control Division conducts state-level quality assurance reviews to determine payment accuracy and program outcomes for that Supplemental Nutrition Assistance Program (SNAP) and Medicaid program outcomes for the Supplemental Nutrition Assistance Program (SNAP) and Medicaid programs. The primary function of the QCD is to conduct investigations of a statistically reliable sample of SNAP cases and a random sample of Medicaid cases, report suspected fraud to the Fraud Investigations Division and gather enough statistical data to make eligibility and payment accuracy determinations for the sampled SNAP population and to gather enough data to determine if the Medicaid program is functioning as it was intended to function. Incumbent participates in performing a variety of investigative and analytical duties.

**About DHS**

It is the mission of DHS to empower every District resident to reach their full potential by providing meaningful connections to work opportunities, economic assistance, and supportive services. Our approach to preventing homelessness and supporting individuals and/or families experiencing homelessness is focused both on systems-level reforms and on the quality of the programs and supports within that system. These efforts include creating economic opportunity, making our neighborhoods safer, and providing more effective and efficient government services. This job announcement may be used to fill any future vacancies throughout the DC Government, Department of Human Services (DHS).

**Duties and Responsibilities**

Conducts the investigation/review of cases, which include contacting public and private agencies to obtain facts and signed statements, studies the background of the case, sequence of events and other case related information. Plans and coordinates the quality control program reviews. Establishes priorities for completing assignments and prepares and maintains schedules to ensure timely completion of assignments within supervisory established deadlines.

**Qualifications and Education**

**Specialized Experience**:Specialized experience is experience that equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position, and that is typically in or related to the position to be filled. To be creditable, one (1) year of specialized experience must have been equivalent to at least the next lower grade level in the normal line of progression.

**License and Certifications**

None.

**Working Conditions /Environment**

The work environment includes an office setting as well as an external field situation. The field setting can be extremely stressful, and knowledge of basic self-defense is recommended since travel includes visits to the recipient and others who may reside in high crime neighborhoods. The incumbent must be capable of recognizing dangerous situations and resourceful enough to avoid such situations.

**Other Significant Facts**

**Tour of Duty**: Monday - Friday; 8:30am - 5:00pm

**Pay Plan, Series and Grade**: CS-1801-11

**Promotional Potential**: None

**Collective Bargaining Unit**: This position is in a collective bargaining unit represented by AFSCME 2401 and union dues may be collected.

**Emergency Designation**: This position has been designated as Emergency. Employees occupying positions designated as Emergency are required to:

- Provide advice, recommendations, and/or specific functional support necessary for the continuity of operations during a declared emergency.
- Remain at their duty station, or alternate work location (approved by their supervisor), if activated, when a situation or condition occurs and results in early dismissal for nonessential/non-emergency employees.
- Report to their duty station, when activated, on time and as scheduled when a situation or condition occurs during non-work hours, and results in the late arrival or closing of District government offices for non-essential/non-emergency employees.
- Telework during a declared emergency, instead of remaining or reporting to his or her duty station, if directed by the agency head (or designee), supervisor or manager.

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