Quality Control Specialist

4 weeks ago


West Liberty, West Virginia, United States State of West Virginia Full time
Job Title: Quality Control Reviewer

Join the State of West Virginia team as a Quality Control Reviewer and play a crucial role in ensuring the accuracy and integrity of government programs.

About the Role:

This position involves performing comprehensive and full-field investigative audits of selected ACA Medicaid units and other special program cases to determine compliance with federal and state regulations.

Responsibilities:
  • Conduct thorough audits to identify and address compliance issues
  • Review and analyze data to ensure accuracy and completeness
  • Collaborate with stakeholders to resolve issues and implement corrective actions
  • Develop and maintain knowledge of relevant laws, regulations, and policies
Requirements:
  • Graduation from an accredited four-year college or university
  • Two years of full-time or equivalent part-time paid employment in responsible eligibility or investigatory work involving credit, insurance, or government programs
  • Availability of a car for continuous use may be a requisite of employment
Preferred Qualifications:
  • Experience in dealing with the ACA Medicaid program
What We Offer:

The State of West Virginia offers a competitive salary and a comprehensive benefits package, including health insurance, retirement plans, and paid time off.

How to Apply:

To be considered for this exciting opportunity, please submit your application through our online portal. Make sure to include all required documentation, such as transcripts and certifications.



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