Program Specialist - Program Integrity, Investigations Unit – San Francisco Human Services Agency (2913) (116911)
Job Description
Under general supervision, the Program Specialist at the Investigations Unit performs a variety of specialized technical duties such as investigating, reviewing, evaluating, and coordinating the activities of the Investigations Unit of the Human Services Agency.
ESSENTIAL DUTIES AND FUNCTIONS
According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job class and are not intended to be an inclusive list; may include additional duties as assigned.
1. Carries an Appeals caseload and facilitates the hearing process from the beginning until resolution; and takes major responsibilities for the mandated actions of the Appeals caseload.
2. Reviews, verifies, and analyzes case materials and other pertinent documents to identify Appeal issue(s); collaborates and works closely with appropriate HSA programs to review and determine whether the County's actions are accurate and correct and in accordance with pertinent regulations, rules, and policies; and timely arranges Aid Paid Pending for applicable cases.
3. Serves the claimant and/or Authorized Representative by acting as a conduit for information and makes suggestions to further their claim.
4. Interviews claimant and potential witnesses prior to hearing.
5. Negotiates conditional and unconditional withdrawals, as appropriate.
6. Writes the county’s Statement of Position (SOP) in a timely manner.
7. Prepares cases and represents the county's position and defends the county's actions in State hearings; conducts oral presentations, presents evidence, and examines and cross examines witnesses during the hearing.
8. Facilitates and monitors the County's compliance with negotiated withdrawals and decisions.
9. Submits monthly reports to the Appeals supervisor.
Qualifications
Experience: Three (3) years of experience in the Social Services field performing duties in the area of eligibility determination, case management, data management, employment services or training.
License and Certification:
Some positions require possession of, or ability to obtain, a valid California driver’s license.
Special Requirements:
Essential duties involve the following physical skill and work environment:
Ability to work in a typical office environment; most positions involve the physical activities of sitting, standing, and lifting 5-10 lbs., and the ability to travel to different sites and conduct home visits. May require hand-eye coordination and manual dexterity for data entry and extensive VDT exposure.
DESIRABLE QUALIFICATIONS:
The stated desirable qualification may be considered at the end of the selection process when candidates are referred for hiring.
Three (3) years of recent and verifiable experience directly working with the Medi-Cal program (eligibility case processing, quality assurance, troubleshooting, quality control, etc.).
VERIFICATION OF EXPERIENCE AND/OR EDUCATION:
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at https://sfdhr.org/how-verify-education-requirements
NOTE: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.
All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline. Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.
Resumes will not be accepted in lieu of a completed City and County of San Francisco application.
Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.”
SELECTION PROCEDURES:
Applications will be screened for relevant qualifying experience. Additional screening mechanisms may be implemented in order to determine candidates’ qualifications. Only those applicants who most closely meet the needs of the department will be invited to participate in the selection process. Applicants meeting the minimum qualifications are not guaranteed advancement to the interview.
Additional Information
HOW TO APPLY
Applications for City and County of San Francisco jobs are ONLY accepted through an online process. Visit https://careers.smartrecruiters.com/CityAndCountyOfSanFrancisco1/ and begin the application process.
• Select the “I’m Interested” button and follow instructions on the screen
Applicants may be contacted by email about this recruitment and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date. Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter. To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu, @smartalerts.info, and @smartrecruiters.com).
Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. FAILURE TO RECEIVE THIS EMAIL MEANS THAT THE ONLINE APPLICATION WAS NOT SUBMITTED OR RECEIVED.
EXAM ANALYST INFORMATION: If you have any questions regarding this recruitment or application process, please contact exam analyst Dorys Lorio, at 415-557-5733 or by email, dorys.lorio@sfgov.org.
CONDITION OF EMPLOYMENT: All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.