What are the responsibilities and job description for the Social Services Quality Assurance Analyst (HCA/ISD #7207) position at State of New Mexico?
Posting Details
This job posting may be used to fill multiple vacancies.
Interviews are anticipated to be conducted within two weeks of closing date.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees' continuous growth and wellness.
Why does the job exist?
The Social Services Quality Assurance (QA) Analyst will:
Review assistance cases and provide verification of performance appraisals with regard to Federal and State mandates;
Provide oversight of case management and determinations and act as the oversight link between public assistance filed offices and Federal Government mandates;
Monitor a representative sample of cases;
Conduct client interviews and investigations, document findings and provide justification of decisions.
How does it get done?
The Social Services QA Analyst is responsible for:
Having direct contact with Income Support Division (ISD) clientele via home visits;
Contacting collateral sources;
Traveling extensively;
Adhering to established deadlines;
Completing a monthly review of positive and negative cases that have been approved or denied and closed by the ISD County Offices;
Ensuring adherence and correct application of state and federal policies, standards and procedures;
Reporting detailed findings and allotment computations on the FNS 380 Work Sheet and FNS 245 in SNAP QCS;
Submitting completed monthly assignments to the Unit Supervisor, QC Operations Manager and the QC Staff Manager for final review with the understanding that cases may be returned during the final review process for correction or further development.
Who are the customers?
The Health Care Authority (HCA) Income Support Division (ISD) Staff and Clients.
Ideal Candidate
The Health Care Authority (HCA) Income Support Division (ISD) Staff and Clients.
Minimum Qualification
Associate Degree in Social Work, Education, Counseling, Psychology, Sociology, Criminal Justice, or Family Services from an accredited college/university and two (2) years of any combination of experience, including working with communities on health or social service-related matters, social work/case management experience, behavioral health, and/or health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience
Employment Requirements
Must possess and maintain a valid Driver's License.
Must obtain a Defensive Driving Certificate.
Working Conditions
Office setting with exposure to VDT. EXTENSIVE in-state travel. Conduct one-to-one interviews with individuals receiving public assistance to validate benefits issued.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Michelle Lucero, (505) 487-3642. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
This job posting may be used to fill multiple vacancies.
Interviews are anticipated to be conducted within two weeks of closing date.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees' continuous growth and wellness.
Why does the job exist?
The Social Services Quality Assurance (QA) Analyst will:
Review assistance cases and provide verification of performance appraisals with regard to Federal and State mandates;
Provide oversight of case management and determinations and act as the oversight link between public assistance filed offices and Federal Government mandates;
Monitor a representative sample of cases;
Conduct client interviews and investigations, document findings and provide justification of decisions.
How does it get done?
The Social Services QA Analyst is responsible for:
Having direct contact with Income Support Division (ISD) clientele via home visits;
Contacting collateral sources;
Traveling extensively;
Adhering to established deadlines;
Completing a monthly review of positive and negative cases that have been approved or denied and closed by the ISD County Offices;
Ensuring adherence and correct application of state and federal policies, standards and procedures;
Reporting detailed findings and allotment computations on the FNS 380 Work Sheet and FNS 245 in SNAP QCS;
Submitting completed monthly assignments to the Unit Supervisor, QC Operations Manager and the QC Staff Manager for final review with the understanding that cases may be returned during the final review process for correction or further development.
Who are the customers?
The Health Care Authority (HCA) Income Support Division (ISD) Staff and Clients.
Ideal Candidate
The Health Care Authority (HCA) Income Support Division (ISD) Staff and Clients.
Minimum Qualification
Associate Degree in Social Work, Education, Counseling, Psychology, Sociology, Criminal Justice, or Family Services from an accredited college/university and two (2) years of any combination of experience, including working with communities on health or social service-related matters, social work/case management experience, behavioral health, and/or health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience
Employment Requirements
Must possess and maintain a valid Driver's License.
Must obtain a Defensive Driving Certificate.
Working Conditions
Office setting with exposure to VDT. EXTENSIVE in-state travel. Conduct one-to-one interviews with individuals receiving public assistance to validate benefits issued.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Michelle Lucero, (505) 487-3642. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.