VOB QC Specialist

About the role

IEM is seeking a Full-Time Verification of Benefits and Quality Control Specialist (VOB QC Specialist) to review applications for quality, comprehensiveness, and eligibility while documenting and communicating with case managers as needed. The role requires maintaining a complete understanding of applicable program policies, procedures, and requirements, and providing support for day-to-day project management activities related to quality control.

Responsibilities

• Review records for duplication of benefits (DOB), fraud, waste, inconsistencies; investigate and collaborate with internal partners to resolve issues using analysis and customer service skills.
• Where problems arise, log support issues, communicate, resolve, and escalate according to defined standard operating procedures.
• Analyze and verify documentation provided for inconsistencies, accuracy, and various discrepancies with an understanding of program policy.
• Understand program needs, policy, departmental process flows, and standard operating procedures.
• Participate in updates and improvements to Verification of Benefits & Quality Control policies and processes.
• Follow up on identified compliance issues, initiate corrective actions based on policy guidelines, and implement program controls as necessary.
• Manage individual workload, productivity, and communications to enable accurate, efficient, and policy‑compliant processing.
• Contribute to team success with effective communication and sound decision making.
• Respond to questions and requests professionally and in a timely manner.
• Perform other remote duties as assigned.

Requirements

• Education: Associate’s degree or higher from an accredited university in Business, Business Administration, Finance or Accounting, Communications, Public Administration/Policy, or a relevant field.
• Experience: Three (3) or more years of experience providing high‑level review of documentation and strong analytical skills.
• Experience and Degree Substitution: An equivalent combination of experience and training that demonstrates the required knowledge, skills, and abilities may be considered in lieu of a degree.
• Ability to exercise impartial, unbiased professional care when reviewing case files, including the highest level of professional objectivity for gathering, evaluating, and communicating information.
• Ability to perform tasks within a fast‑paced environment with limited