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State of Wisconsin - Health Services

Project Income Eligibility Quality Control Auditor - Milwaukee Enrollment Services

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$50,278 / year median in Wisconsin

+17% projected growth

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Job Description

Introduction The Department of Health Services (DHS),Division of Medicaid Services (DMS) is recruiting to fill multiple full-time project Income Eligibility Quality Control Auditor positions at the Milwaukee Enrollment Services (MilES). MilES serves residents of Milwaukee County to determine eligibility for Medicaid, BadgerCare Plus, FoodShare, and other income maintenance assistance programs. The duration of the project positions is anticipated to last no later than March 2030. Project positions are eligible for benefits including health insurance; however, the incumbent will not obtain permanent civil service status. Individuals appointed to project positions must be Wisconsin residents. This recruitment may be used to fill future project positions. This is a re-announcement, if you already applied you do not need to reapply. As an employee of the State of Wisconsin, you'll have access to an amazing benefits package, including: 3.5 weeks of vacation, 9 paid holidays and ample sick time; limitations may apply for leave time usage in the first six months. Top rated health plan options starting at $47/month for single plans and $117/month for family plans, after 2 months of state service. Exceptional pension plan with a 7.25% employer match in 2027 with lifetime retirement payment. Plus, a tax advantaged supplemental retirement savings plan which allows you to save money directly from your paycheck for retirement. Use this Total Rewards Calculator to see the total value of our competitive benefits package!
Several flex spending accounts:
medical, dependent care, commuter, parking and High-Deductible Health Savings. Well Wisconsin Wellness Program. A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being. Public Service Loan Forgiveness Program employer. Click here to see what working for the State of Wisconsin is all about! These positions will report to the office at 6055 N. 64 th Street, Milwaukee on a scheduled rotation. Currently the schedule is a 4-week rotation: 1 week in the office and 3 weeks working remotely. This schedule may vary based on operational needs. Position Summary As an Income Eligibility Quality Control Auditor, you will provide direct support to approximately 400 eligibility workers at MilES. You will also conduct Income Maintenance Quality Assurance reviews, case corrections and problem resolution for the over 200,000 Milwaukee County Income Maintenance cases. You will advise local staff, W-2 agency staff, and supervisors regarding IM program eligibility policy and systems initiatives. The goal of this support is to prevent incorrect eligibility decisions and benefit issuance, to ensure Wisconsin residents receive the benefits and services available to them in an equitable and timely manner, to contribute to the State and local agencies' error reduction efforts, and to prevent system misuse and fraudulent activities. These positions use eligibility determination systems, including the Client Assistance for Re-Employment and Economic Support (CARES) system and CARES Worker Web (CWW). Supporting clients and MilES through regular call center/phone work is also required. Salary Information Pay for this position is between $32.05 and $38.41 per hour (approximately between $66,600 and $79,800 per year) depending on qualifications, plus excellent benefits. Pay for current or former state employees will be set based on the rules that apply to compensation for the applicable transaction. These positions are classified as Human Services Program Coordinator-Senior and the pay schedule/range is 07/03. Job Details All applicants who may be appointed to this position will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled. Employees must have access to both a private workspace and secure high-speed internet for remote work option. Mileage reimbursement to the employee's headquarter location is not provided. Remote work flexibility will be discussed in more detail during the interview process. DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire. DHS is not an E-Verify employer nor a
STEM-OPT
eligible employer. Qualifications Minimally qualified applicants will have all of the following: Experience performing income maintenance program eligibility determination including the use of
CARES/CWW.
Experience with program analysis and evaluation (e.g., preparing reports related to research or data analysis, making recommendations for program improvements, etc.). Experience serving as the job expert in a team setting (e.g., providing technical assistance to others, problem resolution, serving on work groups, etc.). Experience auditing case reviews (e.g., reviewing determinations made by others, ensuring compliance with policy, etc.). Well-qualified candidates will also have one or more of the following: Experience working on policy development (e.g., researching existing policies, making recommendations for changes, drafting policy updates, etc.). Experience providing formal training to others. The letter of qualifications is limited to 2 page(s). For a guide on developing your resume and letter of qualifications and what should be included in these materials, click here. How To Apply Applying is easy! Click "Apply for Job" to start your application process. Sign into your account or create an account before applying for the job. Follow the steps outlined in the application process to submit your application.
Helpful Information:
Once your application is submitted, no changes are allowed. Click "" to allow changes to your application as needed before submitting by the deadline. You may want to save a copy of the job posting for referencing after the deadline. Submitted materials will be evaluated by a panel of job experts according to the qualifications above. Please monitor your email for communications related to this position. Current or former permanent, classified, state employees must complete the online application process to be considered. If viewing through an external site, please apply directly at Wisc.

Jobs. For technical assistance and general information, please see Frequently Asked Questions. For questions about the position, to request a copy of the full position description, or for other employment inquiries, please contact MilES Human Resources at
DHSBHRMILES
@DHS.Wisconsin.gov DHS is an Equal Opportunity and Affirmative Action employer. Veterans are encouraged to apply. For complete information on Veterans' hiring programs with the WI Department of Veteran's Affairs, click here. Deadline to Apply The deadline to apply is September 9, 2026 by 11:59 pm. Applicants are strongly encouraged to allow ample time to finalize their applications keeping in mind that technical assistance is only available Monday through Friday 7:45 am - 4:30 pm. Late or incomplete applications will not be accepted.