UC Quality Assurance AuditorAugusta , Maine , United States | Audit | Full-time Apply by: June 17, 2024 Apply with Linkedin ApplyDepartment of Labor - Bureau of Unemployment CompensationJob Class Code:0755Grade: 22 (Professional/Technical)Salary: $45,801 - $61,443Location: Statewide: Augusta, Bangor, Lewiston or Presque IsleOpening Date: June 3, 2024Closing Date: June 17, 2024Does the prospect of working within a diverse, self-motivated team excite you?Would you enjoy collaborating with colleagues committed to improving program performance and delivering quality services?Are you seeking a position where the work you perform makes a critical difference in the lives of others?If your answer is ‘yes’, then we want to talk to you about the possibility of joining our team!We currently have an opening for a Quality Assurance Auditor (QAA) in our Benefit Accuracy Measurement (BAM) unit. This posting is statewide in Maine with hybrid remote work possible, including at other agency locations. Per current state policy, only applicants who reside or plan to reside in Maine will be considered for this position. Occasional statewide and (some) nationwide travel may be required to meet with team members, colleagues, and other partners. The primary role of the Quality Assurance Auditor Measurement is auditing paid and denied UI benefit claims. Responsibilities include in-depth reviews of sampled claims for accuracy, outreach and interviews with employers, claimants, and other parties, summarizing findings and entering coding into a USDOL system application. BAM investigation findings serve as a tool in identifying erroneous benefit payments and identifying potential areas for system and business process improvements and training needs. As BAM program findings are used by USDOL and others, including the public, accuracy and confidence in BAM reviews are critical in the measurement of program performance.Responsibilities of this position also include quarterly audits of sampled nonmonetary determinations in a separate, federally mandated Benefit Timeliness & Quality (BTQ) review. Primary responsibilities include:
Conducts internal compliance audits to determine adherence to rules, policies, protocols, and procedures.
Evaluates and analyzes claim intake information to ensure proper handling of claims and compliance with mandates.
Writes case summary reports; documents and codes all case findings to make data available for federal review, labor program funding, and to establish compliance.
Conducts interviews with agency personnel, claimants, employers, and licensed professionals to gain understanding of processing activities, assess compliance with internal controls, and to develop recommendations for necessary improvements, process, or systems changes.
Evaluates audit information and identifies administrative, financial, or operational systems and procedural improvements to unit effectiveness.
Minimum qualifications:A Bachelors Degree in Business Administration, Public Administration, management, or related field and 3 years’ experience analyzing and evaluating claims processing, a demonstrated ability to identify measures, indicators of system performance, evaluate complex problems and review related information to develop and evaluate options, implement solutions, and improve or correct performance relative to integrated service delivery, or systems, programs, and practices. Comparable work experience may be substituted for education on a year-for-year basis.Contact information:Questions about this position should be directed [email protected] Instructions:Interested applicants need to apply online by selecting the "Apply for this opening" button along with uploading a cover letter, current resume, and copies of any transcripts or certifications you wish to have considered while evaluating your application. In order for us to properly determine if you meet the minimum qualifications for any posting, you must be sure your resume includes month and year for any experience listed along with the duties and responsibilities associated with each particular time period. Any experience that was not full-time employment should be identified as such. If you require a paper application, please download and print one here https://www.maine.gov/bhr/state-jobs/application-process or contact our office at 207-623-6700. Paper applications for this posting should be submitted along with cover letter and resume before the closing date to Security & Employment Service Center, 45 Commerce Drive, Augusta, ME 04330 or faxed to 207-287-2018. Be sure title of the job you are applying for is included. Applications cannot be accepted after the posting closing date. Benefits of working for the State of Maine:No matter where you work across Maine state government, you find employees who embody our state motto—"Dirigo" or "I lead"—as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including:
Work-Life Fit – Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($10,523.28-$12,380.40 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($350.40 annual value).
Retirement Plan – The State contributes the equivalent of 13.41% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS) for MSEA, or 18.21% for Confidential employees.
State employees are eligible for anextensive and highly competitive benefits package (https://www.maine.gov/bhr/state-jobs/compensation-benefits) , covering many aspects of wellness. Learn about additional wellness benefits for State employees from theOffice of Employee Health and Wellness (https://www.maine.gov/bhr/oeh/) .Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for part-time employment.There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role. As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics. If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.Thinking about applying?Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.