Position Overview

The Division of Rehabilitation Services is seeking to hire a Quality Assurance Manager with extensive knowledge of the Code of Federal Regulation and how it relates to Disability Determinations for the Social Security Administration. The individual needs to be ambitious, a critical thinker, well organized, detail oriented, and have the ability to communicate effectively, both orally and in writing, to serve as the Supervisor of the Quality Assurance Unit within the Bureau of Disability Determination Services. The supervisor will oversee the day-to-day activities of the Quality Assurance Unit. The Bureau of Disability Determination Services is responsible for disability determinations for Illinois Citizens and is 100% federally funded.

Essential Functions

• Serves as Quality Assurance Manager for the Bureau of Disability Determination Services.
• Serves as full-line supervisor.
• Directs, reviews, and participates in training of disability claims analysts engaged in analytical review of medical and technical aspects of case processing under provisions of the Social Security Act.
• Develops and prepares analytical reports for administration and makes recommendations for corrective action.
• Reviews and evaluates sample review returns from Federal Quality Review (QR) to determine potential rebuttals, policy changes, trends or error trends in terms of accuracy of the determinations, underdevelopment of claim evidence, vocational analyses, established onset dates, and re-exam dates.
• Recommends, plans, and formulates operating policy within the DDS.
• Confers with various Social Security Administration components as well as other DDSs regarding technical and medical issues providing feedback to administration for coordination of any procedural or policy changes.
• Serves as the liaison between Regional Office, Office of Quality Review and the Bureau of Disability Determination Services regarding medical and technical issues.
• Performs other duties as assigned or required which are reasonably within the scope of duties enumerated above.

Minimum Qualifications

• Requires knowledge, skill, and mental development equivalent to completion of four (4) years college preferably with courses in a social or human services field.
• Requires prior experience equivalent to three (3) years progressively responsible administrative experience adjudicating benefits for government and/or private entities.

Preferred Qualifications

• Four (4) years of professional experience adjudicating disability claims such as Title II/Title XVI Social Security Disability claims.
• Three (3) years of professional experience conducting case reviews on complex cases and working with rules, policies, and procedures of federal agencies such as the Social Security Administration (SSA).
• Three (3) years of professional supervisory experience assigning work, providing guidance and feedback to subordinates, training and developing staff, and preparing and signing performance evaluations.
• Three (3) years of professional experience working with service objectives, activities, and operational systems for the Social Security Disability program.
• Two (2) years of professional experience developing, reviewing and analyzing statistical information including recommending corrective action and developing administrative reports.
• Two (2) years of professional experience directing, reviewing and participating in disability claims trainings providing evaluations and suggestions to meet training needs for professional, clerical and medical staff.

Conditions of Employment

• This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.) requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings.
• Requires ability to travel.
• Requires ability to pass a federal employment background check. Individuals selected for positions with the Illinois Disability Determination Service (DDS) must go through a complete federal background investigation suitability determination by the Social Security Administration. Those individuals meeting the state requirements for employment must first complete the federal background investigation prior to their start date. This is necessary to determine whether an employee can be issued credentials in order to have access to the Social Security Disability data, records and systems. Further details will be provided during the pre-employment background check process.
• All conditions of employment listed are incorporated and related to any of the job duties as listed in the job description.