Quality Control Analyst I

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Functional Title: Quality Control Analyst I

Job Title: Quality Assurance Specialist I

Agency: Health & Human Services Comm

Department: Quality Control

Posting Number: 7189

Closing Date: 07/30/2025

Posting Audience: Internal and External

Occupational Category: Community and Social Services

Salary Group: TEXAS-B-17

Salary Range: $3,581.33 - $5,372.41

Pay Frequency: Monthly

Shift: Day

Additional Shift: Days (First)

Telework: Eligible for Telework

Travel: Up to 35%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location:

Job Location City: HOUSTON

Job Location Address: 10060 FUQUA

Other Locations: San Antonio; Amarillo; Austin; Dallas; Houston

MOS Codes: No direct military equivalent.

The Texas Health and Human Services Commission Access and Eligibility Services (AES) Eligibility Operations Quality Management department seeks a highly qualified candidate to fill the position of Quality Assurance Specialist I, within Quality Control SNAP unit. This position is available statewide.

AES provides an integrated and streamlined approach to connect individuals to services and supports to reduce institutionalization, allow individuals to remain in their communities, and promote economic and personal self-sufficiency. AES is built on its core values of family, inclusion, commitment, innovation, and excellence. AES strives to achieve its goals of delivering best in class customer service to clients and stakeholders; strengthening program oversight, integrity, and accuracy; seeking innovative ways to streamline and improve service delivery; creating and promoting a culture of excellence; and promoting departmental efficiencies and responsible stewardship of agency resources. Our staff are well organized; able to multi-task; possess the ability to continuously learn and improve; able to thrive in a challenging, fast-paced, and evolving environment; and have excellent communication skills, a positive attitude, strong work-ethic, and a desire to help others.

Performs routine social services review functions to assess the accuracy relating to program policies and procedures, specifically Supplemental Nutritional Assistance Program (SNAP), TANF, Medicaid, CHIP and MEPD. This includes data collection and analysis of field cases to ensure compliance with State policies and Federal regulations. Duties include analyzing case records, interviewing clients and collateral contacts, and verifying, documenting, and analyzing data. Reports findings to regional staff and participates in special projects as requested. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment.

Essential Job Functions:

Work involves administering program activities to ensure compliance with state and federal regulations. Ensures accuracy and timeliness of reviews processed by field staff according to federal and state standards. Attends work on a regular and predictable schedule. Contacts and interviews clients or their authorized representatives to verify information found in case records; to verify information discovered during the review process; and to obtain detailed information of the client's situation at a definite point in time. (50%)

Evaluates information obtained to determine correctness of benefits received by clients. Completes documentation of review findings. (20%)

Contacts financial institutions, governmental entities, medical care providers, corporations, educational facilities, and other sources to validate information. (15%)

Communicates final determination of case review to regional program staff. (15%)

Initial Selection Criteria:

Must have a minimum of 3 years' experience as a Texas Works Advisor. Required experience with Texas Works policy for SNAP, TANF, Medicaid, CHIP and MEPD programs Must have TIERS experience related to eligibility determinations. Must be able to travel a minimum of 35%. Application must be complete (no blank fields) with information sorted in chronological order (starting with most recent position).

Knowledge Skills Abilities:

Knowledge of financial and medical eligibility program policies, QC procedures, and relevant laws.

Skill in attention to detail and discerning accuracy of information provided by clients.

Skill in analytical judgement.

Ability to work independently.

Ability to travel as needed.

Ability to produce accurate work and meet deadlines.

Ability to conduct in-depth interviews with clients or their authorized representatives to obtain necessary facts and information of the client's situation at a given point in time.

Ability to relate to clients who may be hostile or non-cooperative and to elicit information by phrasing questions clearly and concisely at their level of understanding.

Ability to evaluate information from case records in relation to eligibility criteria.

Ability to evaluate information pertinent to determining validity of cases and appropriateness of benefits provided.

Ability to identify appropriate collateral sources of information.

Ability to communicate orally and in writing.

Ability to develop and maintain effective working relationships with others.

Licenses/Registrations: N/A

This position may be filled at any HHSC office where space is available. This position is telework eligible. Per HHS agency policy, individuals hired for this position that live within 50 miles of their Austin headquarters may be required to be in office one day a week. All applicants who meet initial selection criteria will be notified that they are scheduled for an initial assessment. All applicants will have 90 minutes to complete the assessment. For internal HHSC applicants, the assessment will be sent to the HHSC e-mail address in the Global Address List (GAL). For external applicants, the assessment will be sent to e-mail address provided on application. The applicant is responsible for notifying the hiring authority of an alternate e-mail address in the event that they will not have access to HHSC e-mail at the designated time/date of the scheduled assessment. Applicants who are unavailable for this portion of the interview will not advance in the selection process. Applicants may not have a history of substantiated fraudulent activity against HHSC or any programs it administers. Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the overpayment balance as a condition of employment.

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Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at .... If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Nearest Major Market: Houston