Quality Assurance and Improvement Specialist

Job description

Status: Full Time, Non-Exempt Starting Wage: $26.32/hr. Position Open Until Filled: Please submit a Resume with the application *Monday - Friday 8:00am to 4:30pm* Dodge County offers a generous benefits package including: - Paid Time Off (PTO) – available for use after 30 days of employment - 10 observed paid holidays - Health, Dental, Vision Insurance - Health Savings Account (HSA) – with employer contributions - HRA - Life insurance, Long-term disability, Short-term disability and Flex spending - Participation in the Wisconsin Retirement System (WRS) – an exceptional pension plan with employer match (upon vesting) and lifetime retirement payment. ESSENTIAL FUNCTIONS: - Maintains knowledge of Federal and State rules, regulations and Administrative Codes that impact Medicaid; trains staff to recognize and correct errors and ensure program compliance and accuracy. - Performs Quality Assurance reviews on internal cases and contracted provider records for compliance with Federal and State statutes, Department policies and procedures, and Administrative Codes. Analyzes the results of reviews and works with Department staff on implementing corrective measures. Develops QA tools and repo...