Compliance Auditor III en State of Colorado, CO
State of Colorado, CO · Denver, Estados Unidos De América · Hybrid
- Professional
- Oficina en Denver
About the Department
The Economic Assistance Quality Assurance (EAQA) unit is under the Public Assistance Quality Assurance (PAQA) division and exists to:
· Manage the Colorado Department of Human Services (CDHS) quality assurance functions for economic assistance programs that enhances payment accuracy and informs program administration including measuring eligibility and program accuracy and recommending strategies to improve program outcomes;
· Provide independent third party review for the Adult Financial (AF), Colorado Works (CW), and Low-income Energy Assistance (LEAP) programs including case file audits, data collection, reporting on findings, providing technical and compliance training to stakeholders, and assess and measure county adherence to State and Federal regulations; and
· Creates strong partnerships with State and County staff to provide additional services such as non-quality assurance case reviews and consulting, and recommendations for reduction or elimination of eligibility and payment errors.
Position Duties
This position has hybrid work arrangements - Two (2) days in office and Three (3) days remote
About this Position:
This position exists to review Adult Financial (AF) including Aid to the Needy Disabled (AND), Old Age Pension (OAP), Home Care Allowance (HCA), and burial assistance as well as Colorado Works (CW) and LEAP eligibility case files selected through a monthly statistically valid random sample for adherence to state regulations and procedures. These reviews often include technical issues that require the resolution of compliance problems and reconciliation of divergent viewpoints. Provide continuous data to the state and county agencies on frequency, magnitude and sources of non-compliance. Analyze program performance; directly advising state and/or county staff of areas of risk for eligibility and payment accuracy critically necessary to prevent errors and achieve program compliance.
Summary of Duties:
Case File Evaluation/Analysis and Reports:
Independently audits agency actions and investigates selected households by accessing local-level case files/documents and databases to determine correctness of eligibility and/or payment. Audits/investigates until the incumbent determines sufficient data has been obtained. Evaluates validity of gathered data through a self-initiated determination; arrives at an accurate conclusion by researching state regulations and policies and determines which state or Quality Assurance (QA) regulations apply to each case. This task includes reviewing data located in a variety of computer systems and imaged documents with varying degrees of gray scale, color, or highlighted text.
Apprises state and county agencies of the results of investigation and analysis, by compiling and submitting comprehensive written reports within state mandated processes and timeframes. Directs county agencies to terminate or modify benefits.
Develops and presents QA error trends to stakeholders that require immediate attention including the details of the errors and why these errors are a significant trend, in addition to facilitating discussion to prevent similar errors. This may require travel within the State of Colorado.
Program Support:
Prepares initial audit findings and presents results to the EAQA “team,” facilitates discussion, and provides justification for each audit finding. Negotiates audit results when rules are ambiguous and ensures consistency with prior errors. Updates audit finding as needed and tracks agreements for future reference. Reviews and assists with updates to the Review Questions Guide annually to reflect changes in program rules or federal mandates. Assists in the development of audit review tools, processes and procedures.
Other duties as assigned:
This position may be called upon to provide coverage of duties for another staff person, requested to attend and participate in assorted conferences (i.e. Colorado Welfare Fraud Council (CWFC) Conference, Social Services Technical and Business Staff (SSTABS) Conference, and requested to provide training to internal and external staff.
Minimum Qualifications
Important Note: Please review your application to ensure completion. For the most equitable applicant experience, CDHS' hiring teams consider only the contents of your application to determine meeting minimum qualifications and for the comparative analysis process. Experience is calculated on a full-time equivalency basis, therefore, it is important to accurately notate the hours you averaged per experience section entry. Volunteer work or related type of experience may be used to meet the qualifications, but must be clearly documented. It is paramount that in the experience portion of the application, the applicant describes the extent to which they possess the education, experience, competencies and background as they relate to the duties outlined in the job announcement.
Experience Only:
- Six (6) years of experience determining eligibility and payments in the Adult Financial and Colorado Works program in the State of Colorado including using CBMS in order to conduct accurate audits.
Education and Experience:
- A combination of related education and/or experience determining eligibility and payment in the Adult Financial and Colorado works program in the State of Colorado including using CBMS in order to conduct accurate audits equal to six (6) years.
Preferred Qualifications
The following supplemental experience, competencies and abilities are highly desirable for this position and may be considered in selecting the successful candidate:
- Two (2) or more years of Colorado Works/TANF specific knowledge;
- Four (4) or more years of Adult Financial Knowledge;
- Three (3) or more years working with CBMS in CW and AF programs;
- Detail oriented with the ability to scrutinize beyond the face of what is provided;
- Ability to interpret program regulations and apply logic to determine outcomes based on facts;
- Demonstrated analytical, verbal, and written communication skills; and
- Adaptable to change
- Standard Background
- Occasional travel, as needed, to facilities or other offices related to training and department requirements.
- Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application and provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination will disqualify the applicant from future State employment with CDHS.
APPEAL RIGHTS:
If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.
An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email ([email protected]), postmarked in US Mail or hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department’s action.
For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board; go to spb.colorado.gov; contact the State Personnel Board for assistance at (303) 866-3300; or refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules.
Other Qualifications
For additional recruiting questions, please contact [email protected]
Benefits Section
About Us:
If your goal is to build a career that makes a difference, consider joining the dedicated people of the Colorado Department of Human Services (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. In addition to a great location and rewarding and meaningful work, we offer:
Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan www.copera.org plus 401(k) and 457 plans
Employer supplemented Health Savings Account
Paid life insurance
Short- and long-term disability coverage
11 paid holidays per year plus vacation and sick leave
BenefitHub state employee discount program
Excellent work-life programs, such as flexible schedules, training and more
Remote work arrangements for eligible positions
*Some positions may qualify for the Public Service Loan Forgiveness Program. For more
information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.
Our Values:
We believe in a people-first approach: To serve the people of Colorado, we develop a culture and work environment that creates an energized, inspired, and healthy team capable of giving their best to Coloradans.
Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.
We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.
Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.
We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.
Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.
We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.
ADAA Accommodations: CDHS is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Nancy Schmelzer, at [email protected] or call 1-800-929-0791.
~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~
