Third-Party Review Analyst

Third-Party Review Analyst

The Third-Party Review (TPR) Analyst will be a representative of Knowledge Services, responsible for completing and coaching TPRs for the Knowledge Service Local Office Eligibility Specialist (ES) Staff. The TPR Analyst will be accountable to the Knowledge Services DFR Program QA Manager in ensuring accurate and consistent TPRs. This position is a remote position requiring the ability to work independently and in a confidential setting.

Responsibilities

Responsibilities:

Review case processing of ES staff using State approved methodology and scorecards

Review and complete scorecards of DFR administered programs daily

Provide consultation to Knowledge Services DFR Program Management Team to solve TPR related issues, as well as identify potential client risk and recommended mitigation strategies

Work as a part of the Knowledge Services DFR team to provide case processing feedback as it relates to policies, procedures and processes for the Local Office Eligibility Specialist staff

Interface with Knowledge Services TPR Team Lead regarding day-to-day TPR operations and activities

Work with other TPR analysts and Knowledge Services Management team to assist with developing products and solutions to assist with continual quality improvement efforts

Interpret and apply State and Federal Policy when reviewing eligibility cases

Complete reporting as required

Complete phone coaching wit ES staff at pre-scheduled meeting times

Interpret and apply State and Federal Policy when coaching ES staff on case errors

Interview Observations will also be completed as a silent witness during scheduled interview times.

Participate with project management initiatives

Any additional responsibilities as assigned

Based upon need, travel may be required (1 – 2 times per year)

Qualifications

Qualifications:

3 or more years of Public Assistance (SNAP, TANF & Medicaid)

Bachelor’s Degree or equivalent experience

Proficiency in Word, Excel, PowerPoint

Knowledge of Federal and State of Indiana Social Services programs and systems (SNAP, TANF, and Medicaid, and IEDSS) required

Excellent written and verbal communication skills required

Previous coaching, training, or mentoring experience preferred

Team Player

Ability to research State and Federal Policy

Ability to interact with co-workers and management in a positive and cooperative manner.

Client facing and strong relationship building experience preferred

Strong time management experience

Ability to maintain a high degree of confidentiality

Willing to assist with various office projects

Customer service oriented

Ability to work remote and independently

Ability to multi-task

Personal organization skills

Physical Requirements:

Job frequently requires sitting, handling objects with hands.

Job occasionally requires standing, walking, reaching, talking, hearing, and lifting up to 25 pounds.

Vision requirements: Ability to see information in print and/or electronically.

Knowledge Services strives to offer an environment that provides our employees with the right balance between work and family.

Knowledge Services is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. Knowledge Services does not discriminate on the basis of disability, veteran status or any other basis protected under federal, state or local laws.

INDDFR

Regular Full-Time