Title: DDS QA Auditor - #ARSD0848

State Role Title: Prog Admin Specialist II

Hiring Range: Starting Minimum salary $88,478

Pay Band: NV 5

Agency: Dept for Aging & Rehab Svcs

Location: Aging & Rehab Svcs

Agency Website: https://www.dars.virginia.gov

Recruitment Type: General Public - G

DDS is hiring a QA Auditor!

We're looking for a detail-oriented professional to analyze federal QA data, review SSA-cited claim errors, write rebuttals, and manage our internal rebuttal process.

Why Join Us?
✅ Purpose-driven work
✅ Inclusive, supportive teams
✅ Great state benefits

Job Duties:

Disability Determination Services’ objective is to provide accurate, timely, efficient and cost- effective evaluations of medical and vocational evidence related to claims filed by citizens of the Commonwealth of Virginia for benefits under Title II, Title XVI, and Title XIX of the Social Security Act. These evaluations result in the adjudication or “determination” of claims at the initial claims stage, at the continuing disability review stage, and at other appellate points in the disability process.

DDS is seeking an DDS QA Auditor to analyze federal quality assurance data, review claims with errors cited by the SSA federal review component, write rebuttals to dispute errors cited, and manage the agency’s internal rebuttal process.

Other duties and/or special projects as assigned.
Completes duties and/or projects as needed or directed by supervisor.

Minimum Qualifications:

“Telework is limited in accordance with the Commonwealth’s telework policy; however, this position may be based at any of our statewide office locations, including Henrico, Norfolk, Fairfax, or Roanoke.”

The ideal candidate will have:

Knowledge/Experience:

• Extensive knowledge of the Social Security and Medicaid disability programs. 
• Extensive knowledge of medical body systems, including major disease processes, treatment regimens, clinical signs, symptoms, laboratory findings, medical terminology, and degree of effect of medically determinable impairments on the mental and physical function of adults and children.

Abilities/Skills:

• Considerable experience in adjudication of disability claims under the Social Security Act, as amended.
• Ability to accurately interpret and apply complex policy and procedures.
• Ability to effectively communicate both verbally and in writing, to include articulating and explaining program policy and procedures to others. 
• Ability to analyze information, reach logical conclusions, and make feasible recommendations for the consistent and efficient operation of a statewide program. 
• Ability to review the work of others. 
• Ability to manage assigned work within established timeframes. 
• Ability to effectively utilize position related computer applications.

Additional Considerations

N/A

Special Instructions:

• Must pass HSPD-12 federal credentialing.

• This has been designated a sensitive position under Va. Code § 2.2-1201.1. 
• The Social Security Administration (SSA) will conduct an extensive fingerprint-based criminal history check and credentialing process on all final candidates.
• All job offers will be contingent upon the applicant successfully passing the required SSA background process.

Reasonable accommodations are available to persons with disabilities during the application and/or interview processes per the Americans with Disabilities Act. Contact recruitment@dars.virginia.gov for assistance.

Minorities, Individuals with disabilities, Veterans, AmeriCorps, Peace Corps, and other National Service Alumni are encouraged to apply.

To Apply:

Equal Opportunity Employer State applications will only be accepted as submitted online by 11:55 p.m. on the closing date through the Commonwealth of Virginia’s New Recruitment Management System. Mailed, emailed, faxed, or hand delivered applications and/or résumés will not be accepted. PageUp will provide you with a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Contact Information:

Name: Human Resources

Email: Recruitment@dars.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.