Clinical Quality Assurance Analyst (Remote)

Description & Requirements

Maximus is seeking a Clinical Quality Assurance Analyst to join our team.

This role involves supporting and reviewing clinical division contracts by conducting quality assurance evaluations on sample cases using established QA tools and processes.

Why Maximus?

- Work/Life Balance Support - Flexibility tailored to your needs!

- • Competitive Compensation -Bonuses based on performance included!

- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.

Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.

- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.

- • Unlimited Time Off Package - Enjoy UTO, Holidays, and

extended sick leave, along with Short and Long Term Disability coverage.

- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).

- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.

- • Tuition Reimbursement - Invest in your ongoing education and development.

- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.

- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.

- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.

- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.

Essential Duties and Responsibilities:

- Collects data related to assessments and assessment outcomes

- Completes quality audits utilizing proprietary QA Tools

- Reviews QA data and reports on trends and scores found through the quality audits

- Analyzes recommended scores in relation to Clinical Assessor determinations

- Develops / completes reports that track and trend activities / outcomes

- May provide QA training to staff to incorporate quality measures into their daily practice

- Performs other duties as may be assigned

Minimum Requirements

- Education and licensure requirements are based on program contract requirements and are outlined in job posting

-Two (2) or more years related experience

- 2+ years previous work experience in Quality and Risk Management in a clinical setting conducting peer reviews preferred.

- Strong working ability with all forms of technology, ability to navigate multiple systems, intermediate knowledge of Microsoft Office programs, ability to learn and adapt to new technology quickly; exceptional analytical skills; detail and solution-oriented; ability to work independently as well as with a team; excellent verbal and written communication skills including the ability to communicate effectively with a diverse range of individu...