Clinical Quality Assurance Analyst - (Remote, US) - Maximus

Maximus is hiring a Clinical Quality Assurance Analyst to join our TEAM! In this role, you'll play a key part in ensuring quality by reviewing clinical assessments for accuracy, consistency, and compliance.

About the Program: The Indiana Level of Care Assessment and Referral (IN LCAR) program is a statewide initiative focused on evaluating and determining the appropriate level of care for individuals seeking long-term services and support. The program ensures that individuals receive assessments tailored to their needs, facilitates connections to the appropriate resources, and supports efficient transitions between care settings. As part of a collaborative team, professionals in this program play a critical role in improving access to services and promoting quality outcomes for the people of Indiana.

**Candidates may reside anywhere in the U.S. but must be available to support Eastern Standard Time (EST) work hours.

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.

- • Paid Time Off Package - Enjoy Unlimited Time Off (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:

- Collaborates with the Clinical Operation Manager to develop an effective quality monitoring program

- Provides QA training to the Clinical Assessors, Clinical Monitors, and the QA staff in order that quality actions are incorporated into their daily practice

- Collects data related to assessments and assessment outcomes

- Examines cases at random for completeness, accuracy and consistency

- Examines data for outliers and researches such cases

- Analyzes UAS recommended scores in relation to Nurse Assessor determinations

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

- Acts as an advisor to program staff on all QA and Compliance issues related to the IPP program

- Attends Fair Hearing cases and prepare case packets, as required

- Performs other duties as may be assigned by the Nurse Director.

Minimum Requirements

- Master's Degree from a Nurse Practitioner or Physician Assistant Program required.

- Licensed Nurse Practitioner or Physician Assistant required.

- Preferred Specialties for Nurse Practitioners: Internal Medicine, Adult Health, Community Health, Family Practice, Psychiatry.

- Two (2) or more years practicing experience as a Nurse Practitioner / Physician Assistant required.

- 2+ years previous work experience in Quality and Risk Management in a hospital 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 individuals.

- Bachelors degree in human services or related field

- Prior experience reviewing mental health or medical assessments

Preferred Requirements

- Minimum 2 years of experience conducting quality assurance reviews for mental health or medical assessments.

- Previous experience conducting assessments.

- Previous experience using AssessmentPro system.

Home Office Requirements

- Maximus provides company-issued computer equipment

- Reliable high-speed internet service

- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity

- Minimum 5 Mpbs upload speeds

- Private and secure workspace

#ClinicalServices #maxPriority

EEO Statement

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Minimum Salary

$

60,000.00

Maximum Salary

$

70,000.00