Division of Benefits and Medical Eligibility (DBME)
Quality Management Administration (QMA)
Office of Program Evaluation
8620 North 22nd Avenue, Phoenix, AZ 85021

Salary: $23.3442 Hourly ($48,555.93 Annually) 

Grade: 20

Closing Date: 2/21/2025

Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES) we strengthen individuals, families, and communities for a better quality of life. DES is looking for individuals who are committed to service, community, and teamwork. To learn more about DES, please visit des.az.gov; or click on the link here to view 'Our DES' video. Come Join the DES Team!

The Department of Economic Security, Division of Benefits and Medical Eligibility is seeking an experienced and highly motivated individual to join our team as a Quality Control Reviewer with the Office of Program Evaluation. This position is responsible for primarily evaluating the effectiveness of benefit and eligibility programs by performing quality case reviews of eligibility determinations, auditing processes and reporting findings to management. At this level, employees serve as a resource for solving complex problems involving multiple programs or issues and coordination of benefits across multiple programs or reconciliation of benefits in programs involving both state and federal laws and regulations and serves as an advocate in an appeals process.

This position may offer the ability to work remotely, within Arizona, based upon the department’s business needs and continual meeting of expected performance measures.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Essential Duties and Responsibilities include but are not limited to:

• Performs quality control and/or quality assurance reviews of staff eligibility determinations to verify and ensure accuracy of benefit determinations based on the established Federal and State rules, regulations, policies, and procedures.
  
• Develops reports on audit findings. Completes and submits monthly reports related to the work activity of the Specialized Unit. Provides feedback to management on error trends.
  
• Reads, interprets, and applies state and federal laws, as well as internal policies and procedures.
  
• Applies legal research principles and techniques and completes research on relevant laws, regulations, and legal articles.
  
• Reviews program compliance with applicable Federal and State laws, rules, and regulations.
  
• Re-works cases to complete eligibility determinations, as necessary.

Knowledge of:

• Federal, State, and agency statutes, rules, and regulations governing eligibility and grant determination for multiple public assistance programs and related case administrative techniques.
  
• Policies, procedures, and programs of the department applicable to area of assignment; program services used to conduct quality control reviews; automated systems and software; and mathematical computation.
  
• Interviewing and assessment techniques; community resources; and customer service practices.

Skills in:

• Written and verbal communication to explain and interpret Federal and State laws, statutes, rules, regulations, and guidelines applicable to the area of assignment.

Ability to:

• Evaluate and make appropriate decisions (or determinations); and resolve program related issues.
  
• Access, maintain, review and interpret database information; and compile and present program information.
  
• Establish and maintain effective working relationships; and explain program benefits, requirements, procedures, and complex rules and programs so they can be understood by people of diverse socio-economic and cultural backgrounds.

The ideal candidate for this position will have:

• Three (3) years of experience performing benefits and eligibility reviews and determinations in the programs provided by the Family Assistance Administration (FAA).

• If this position requires driving or the use of a vehicle as an essential function of the job, then the following requirements apply: Driver’s License Requirements.
  
• Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agency’s ability to reasonably accommodate any restrictions.
  
• All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

The Arizona Department of Economic Security offers a comprehensive benefits package to include:

• Affordable medical, dental, life, and short-term disability insurance plans
  
• Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
  
• 10 paid holidays per year
  
• Vacation time accrued at 4.00 hours bi-weekly for the first 3 years
  
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
  
• Sick time accrued at 3.70 hours bi-weekly
  
• Deferred compensation plan
  
• Wellness plans
  
• Tuition Reimbursement
  
• Stipend Opportunities
  
• Infant at Work Program
  
• Rideshare and Public Transit Subsidy
  
• Career Advancement & Employee Development Opportunities
  
• Flexible schedules to create a work/life balance

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

State employees are required to participate in the Arizona State Retirement System (ASRS), the State sponsored retirement contribution plan and the Long-Term Disability (LTD) program after a 27-week waiting period. The ASRS defined benefit plan provides for life-long income upon retirement. You will also have the option to participate in a voluntary deferred compensation program to take advantage of tax-deferred retirement investments.

On, or shortly after, your first day of work you will be provided with additional information about the available insurance plans, enrollment instructions, submission deadlines and effective dates.

For questions about this career opportunity, please contact Steven Pollock at spollock@azdes.gov.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting spollock@azdes.gov. Requests should be made as early as possible to allow time to arrange the accommodation.