Compliance Auditor III

Quality Assurance Specialist

This position has hybrid work arrangements - Two (2) days in office and Three (3) days remote. Please note : These working arrangements are subject to change.

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 Low-income Energy Assistance (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.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights : 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. OR 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 : 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. Conditions of Employment : 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, postmarked in US Mail or hand delivered, or faxed 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.

The Colorado Department of Human Services (CDHS) offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information : www.colorado.gov / pacific / dhr / benefits. Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.