Quality Control Analyst - Veterans Evaluation Services
Description & Requirements
Maximus is currently hiring for Quality Control Analysts to join our Veterans Evaluation Services (VES) team.
This is a remote opportunity.
The Quality Control Analyst is responsible for reviewing Medical Disability Examination ("MDE") reports and Disability Benefits Questionnaires ("DBQs") generated by medical providers for veterans evaluated on behalf of the Department of Veterans Affairs (the "VA").
A Quality Control Analyst works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA.
Essential Duties and Responsibilities:
- Review MDE (Medical Disability Examination) requests for consistency with the DBQ.
- Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness.
- Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA.
- Verify that any special requests or necessary second reviews have been completed, consistent with the VA's preferences.
- Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report.
- Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken.
- Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider's training or expertise, or has presented a problem/issue with the assigned medical provider.
- Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA.
- Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.)
- Must be willing and able to work overtime as needed
Please note: With this position you have the option to have Maximus provide you with equipment to use, or you may use your own equipment.
Home Office Requirements Using Your Own Equipment
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Preferred Windows or Mac (no Chromebooks)
- OS for Windows - Windows 10 or newer
- OS for Mac - Big Sur (11.01.1+); Catalina (10.15), MacOS (up to 12.5) or newer
- Connectivity to the Internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- USB plug and play wired headset with a microphone and noise suppression
- Private work area and adequate power source
- A second monitor is highly recommended for most positions
- Must currently and permanently reside in the Continental US
Home Office Requirements Using Maximus Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Connectivity to the Internet via either Wi-Fi ...
- Rate: 21.64
- Location: Tupelo, US-MS
- Type: Permanent
- Industry: Finance
- Recruiter: Maximus
- Contact: Not Specified
- Email: to view click here
- Reference: 25800_MS_Tupelo
- Posted: 2024-10-17 08:53:33 -
- View all Jobs from Maximus
More Jobs from Maximus
- Sales Market Operations Lead Analyst
- Product Management Advisor - Express Scripts - Hybrid
- Medical Assistant Float - North West Region - Evernorth Care Group
- Home Infusion Nurse, 32 hours - Accredo - Houston, TX
- Actuarial Senior Analyst
- Staff Fulfillment Pharmacist - Accredo- Warrendale, PA
- Home Infusion Registered Nurse - Accredo - Minneapolis or St. Paul, MN
- Actuarial Lead Analyst - Medicare
- Onsite Health Educator - Health Coach - Evernorth - Tampa, FL
- Home Infusion Nurse, Per Diem - Accredo - Tucson, AZ
- Clinical Peer Reviewer (Licensed Psychologist w/BCBA) - Evernorth Health Services - Remote
- Client Account Lead Analyst - Hybrid
- Pharmacy Technician Associate Representative - Express Scripts - Onsite
- Float Pool RN Case Management Lead Analyst - Evernorth Health Services - Remote (Open)
- Pick/Packer,- CuraScriptSD
- Float Pool (RN) Case Management Lead Analyst - Evernorth Health Services - Remote
- Administrative Assistant Sr. Associate - Hybrid - Cigna Global Health Benefits
- Injectable Territory LA South
- CNA- Certified Nurse Aide
- Culinary Aide