Quality Reviewer (210266)

Job Description:

The Quality Reviewer (K0238959) Conduct case reviews: Responsible for completing all case review assignments. Reviews the eligibility case based on established criteria, collect and compile quality data, enter into tracking system. Assist in identifying areas requiring improvement, developing, and recommending corrective actions and preparing reports to communicate outcomes of quality activity.  Provide input into training needs or interventions to meet quality standards.

Job Responsibilities may include but are not limited to the following:

Track and Monitor Performance and Outcomes: Assist in development of quality assurance outcomes and performance standards related to eligibility.  Assist in developing quality assurance outcome reports and tracking mechanisms.  Provides quality data based on case reads and analysis and enters into tracking system.

Qualifications: 

• Six months experience in processing Family Medical &/or Elderly Disabled Medical claims.

Education:

The minimum level of education and experience required to perform the job.

• High School, GED

Licensing & Certification: 

• Valid Driver’s License – Incumbent is required to have and maintain a valid driver’s license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.

Preferred Qualifications: 

Any additional skills, experiences, or qualifications that would be beneficial, but aren’t strictly necessary.

• Bachelor’s Degree
• Word, Excel, PowerPoint, Access
• Proofreading, editing, attention to detail
• Organizational skills
• Ability to write clear instructions
• Analytical skills
• Experience using the Kansas Eligibility and Enforcement System
• Experience in processing eligibility for medical programs

About the Position: 

• Who can apply: Anyone (External)
• Classified/Unclassified Service: Unclassified
• Full-Time/Part-Time: Full-Time
• Regular/Temporary: Regular
• Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
• Eligible to Receive Benefits: Yes
• Veterans’ Preference Eligible: Yes

Employment Benefits:

• Comprehensive medical, mental, dental, vision, and additional coverage
• Sick & Vacation leave
• Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
• Paid State Holidays (designated by the Governor annually)
• Fitness Centers in select locations
• Employee discounts with the STAR Program
• Retirement and deferred compensation programs

How to Apply:

Specific instructions for applying, which might include submitting a resume, cover letter, list of references, or completing an online application.

• Please include the Job ID number (210266) when emailing.

Job Application Process:  Only applications submitted within our State of Kansas Careers Portal will be considered.

• First Sign in or register as a New User at https://admin.ks.gov/offices/personnel-services/jobs
• Complete or update your contact information on the State of Kansas Careers Portal > My Contact Information page. *This information is included on all your job applications.
• Upload required documents listed for each specific job posting.
• Start your draft job application, upload other required documents, and Submit when it is complete.
  • Manage your draft and submitted applications on the Careers> My Job Applications page.
• Check your email and My Job Notifications for written communications from the Recruiter.
  • Email – sent to the Preferred email on the My Contact Information page
  • Notifications – view the Careers> My Job Notifications page

Contact Information:

[email protected]

Salary Range

$ $21.13 to $24.48