
Quality Assurance Specialist Administrator III
State of Maryland • Maryland, United States
Role & seniority: Disability Claims Quality Assurance Specialist, Grade 18 (Maryland Disability Determination Services)
Stack/tools: Disability Case Processing System (DCPS); collaboration with Chief Medical/Psychiatric Consultants; SSA quality review processes
Top 3 responsibilities
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Review initial, reconsideration, and continuing disability claims to ensure accurate and prompt decisions under SSA standards
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Prepare detailed appraisal summaries of formal reviews and identify deficiencies
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Develop and conduct training; participate in DDS/SSA committees and special assignments; support SSA projects and policy updates
Must-have skills
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High school diploma or GED; six years of administrative staff or professional work
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One year of experience as a Disability Claims Technical Examiner (selective qualification)
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Ability to review claims, analyze quality issues, and coordinate with medical/psychological staff
Nice-to-haves
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Experience developing/training staff on DDS/SSA procedures; prior involvement in regional/national SSA projects or policy implementation
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Familiarity with SSA Disability Examiner training programs and agency-wide trainings
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Location & work type: Hunt Valley, MD; Division of Rehabilitation Services/Disability Determination Services; hybrid schedule possible (up to 3 telework days/week)
Full Description
Introduction
The Maryland State Department of Education is dedicated to supporting a world-class educational system that prepares all students for college and career success in the 21st century. With excellent stewardship from our divisions, we oversee State and federal programs that support the needs of a diverse population – students, teachers, principals, and other educators throughout Maryland.
GRADE
18
LOCATION OF POSITION
Division of Rehabilitation Services/Disability Determination Services
211 Schilling Circle, Suite 100
Hunt Valley, MD 21031
Hybrid schedule may be available (up to 3 telework days permitted each week)
POSITION DUTIES
This position is responsible for providing quality assurance functions as mandated by public law and federal regulations to ensure the Social Security quality standards are met and that Social Security and Supplementary Security Income disability determinations are made accurately and promptly for the citizens of Maryland. This position is an independent position that reviews the work of the unit and has the flexibility to review the work of other units. This position evaluates and monitors quality in all aspects of Social Security and Supplemental Income disability claims processing.
Job Duties Include
Reviews initial, reconsideration and continuing level disability claims at all stages of development to assure accurate and prompt decisions under SSA standards. Utilizes the Disability Case Processing System to document both formal and informal reviews. Prepares appraisal summaries on formal review, describing in detail-identified deficiencies. Handles special assignments for the division, agency or SSA components in response to agency needs. Represent DDS by participating in regional and national SSA projects. Serves on DDS or SSA committees or taskforces formed to study existing policies or implement new policies. Analyzes returned claims from SSA quality reviews in which substantive medical, vocational or procedural deficiencies have been cited, collaborating with Chief Medical/Psychiatric Consultants, Quality Coordinator and/or the Division Director to determine if a rebuttal is appropriate. Developing and conducting training to specifically address individual, section or agency needs, as determined by performance analysis, change in DDS/SSA procedures or policies, or their clarifications. Assist DDS Training Specialist in the preparation and presentation of the SSA Disability Examiner Basic Training Program for newly hired examiners. Assists in agency-wide training for DDS examiners, medical and psychiatric consultants as needed.
Minimum Qualifications
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: Six years of administrative staff or professional work.
Notes
Candidates may substitute 30 college credit hours from an accredited college or university for each year up to four years of the required experience. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and two years of experience in administrative staff or professional work for the required experience. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required experience.
Selective Qualifications
Applicants must meet the selective qualification(s) to be considered. Include clear and specific informationon your application regarding your qualifications.
One year of this experience must have been as a Disability Claims Technical Examiner
LIMITATIONS ON SELECTION
This recruitment is limited to current Maryland Disability Determination Services (DDS) employees.
SELECTION PROCESS
Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Successful candidates will be placed on the eligible (employment) list for at least one year.
Benefits
STATE OF MARYLAND BENEFITS
FURTHER INSTRUCTIONS
It is preferred that applicants complete the MD State Government online application for employment. The application must clearly demonstrate that the applicant meets the minimum qualifications for the position. If you are unable to apply online, paper applications can be obtained from the link below and be faxed to 410-554-9397 or mailed to MSDE Human Resources Branch, 200 W. Baltimore Street, Baltimore, MD 21201. If there is a supplemental questionnaire, this must be completed and sent in with your paper application, if you are unable to apply online.
All application materials must be received in our office by the closing date. Postmarks will not be accepted. Applications must be complete to be considered including all related job duties, even if those are also listed on an attached resume. Additional required materials may be uploaded with the online application, submitted to the fax number, or mailed to the Human Resources address listed above.
Inquiries can be made to 410-767-0012, TDD 410-333-3045. Appropriate accommodations can be made for individuals with disabilities.
If you have difficulty with your user account or have general questions about this online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850. TTY Users: Call via Maryland Relay.
Proof of eligibility to work is required in compliance with the Immigration Reform and Control Act. Any misrepresentation of academic or experience requirements for this position may result in non-selection or termination of employment.
As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. People with disabilities and bilingual candidates are encouraged to apply.
We thank our Veterans for their service to our country.