Clinical QA Analyst (LPN) - Remote

Maximus; Colorado; Hybrid; USD 70,000 - 95,000; Full time

Benefits offered by this job

Work/Life Balance Support - Flexible

Bonuses based on performance

Comprehensive Insurance Coverage

401K Retirement Savings Plan

Unlimited Time Off

Wellness Program

Tuition Reimbursement

Employee Perks and Discounts

Professional Development Opportunities

Job summary

Maximus is seeking a Clinical QA Analyst to support the Colorado Home and Community-Based Services program. This role focuses on quality reviews of Nurse Assessors’ assessments and documentation, analysis of reports, and ensuring compliance to contractual and regulatory requirements, all in a fully remote environment.

You will work with a cross-functional team of nurses, social workers, and quality professionals to drive continuous improvement and program excellence across clinical operations in

Qualifications

• Bachelor's degree or equivalent required.
• Current LPN, RN, or higher nursing license in Colorado and/or eligible.
• Minimum two years post-graduate clinical/healthcare experience.
• Proficiency with Microsoft Office applications.

Responsibilities

• Collect data related to assessments and outcomes.
• Complete quality audits using QA tools.
• Review QA data and report on trends and scores.
• Analyze scores in relation to clinical determinations.
• Develop/complete reports tracking activities/outcomes.
• Provide QA training to staff as needed.

Skills

Analytical skills

Verbal communication

Written communication

Independent work

Microsoft Office

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Job description

Are you passionate about quality improvement, healthcare compliance, and ensuring individuals receive the services and support they need? Join Maximus as a Clinical QA Analyst supporting our Colorado Home and Community-Based Services program and play a critical role in maintaining high standards of quality across clinical operations.

As part of a collaborative team of nurses, social workers, and quality professionals located across the country, you'll help ensure Nurse Assessors are delivering accurate, consistent, and high-quality assessments that support service authorization decisions for vulnerable populations. While working independently in a fully remote environment, you'll be backed by a supportive, close-knit team dedicated to continuous improvement and excellence.

In this role, you'll:

• Conduct quality reviews of assessments and clinical documentation completed by Nurse Assessors.
• Analyze reports and quality metrics to identify trends, ensure compliance, and support operational excellence.
• Utilize quality assurance tools to evaluate performance and maintain program standards.
• Provide constructive feedback and guidance to clinical staff to promote consistency and quality outcomes.
• Gather and report data that helps drive program improvements and supports regulatory and contractual requirements.
• Help ensure individuals receive appropriate services and supports through accurate and compliant assessment processes.

This position offers the opportunity to make a meaningful impact behind the scenes by helping ensure the quality and integrity of services provided to Colorado residents. You'll enjoy a fully remote work environment, a consistent weekday schedule, a supportive team culture, and the chance to contribute to work that directly supports individuals in accessing the care and resources they need.

If you're an LPN with a passion for quality, attention to detail, and improving healthcare outcomes through collaboration and continuous improvement, we'd love to hear from you.

Why Maximus?

Make an Impact as a Clinical QA Analyst

Are you passionate about quality improvement, healthcare compliance, and ensuring individuals receive the services and support they need? Join Maximus as a Clinical QA Analyst supporting our Colorado Home and Community-Based Services program and play a critical role in maintaining high standards of quality across clinical operations.
As part of a collaborative team of nurses, social workers, and quality professionals located across the country, you'll help ensure Nurse Assessors are delivering accurate, consistent, and high-quality assessments that support service authorization decisions for vulnerable populations. While working independently in a fully remote environment, you'll be backed by a supportive, close-knit team dedicated to continuous improvement and excellence.
In this role, you'll:

• Conduct quality reviews of assessments and clinical documentation completed by Nurse Assessors.
• Analyze reports and quality metrics to identify trends, ensure compliance, and support operational excellence.
• Utilize quality assurance tools to evaluate performance and maintain program standards.
• Provide constructive feedback and guidance to clinical staff to promote consistency and quality outcomes.
• Gather and report data that helps drive program improvements and supports regulatory and contractual requirements.
• Help ensure individuals receive appropriate services and supports through accurate and compliant assessment processes.

This position offers the opportunity to make a meaningful impact behind the scenes by helping ensure the quality and integrity of services provided to Colorado residents. You'll enjoy a fully remote work environment, a consistent weekday schedule, a supportive team culture, and the chance to contribute to work that directly supports individuals in accessing the care and resources they need.
If you're an LPN with a passion for quality, attention to detail, and improving healthcare outcomes through collaboration and continuous improvement, we'd love to hear from you.

• 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.

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
• 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 individuals.

Minimum Requirements

• Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
• Bachelor's Degree or equivalent combination of education and experience required
• Current unrestricted LPN, RN, or higher nursing license and authorization to practice in Colorado.
• Minimum of two (2) years post-graduate work experience in clinical or healthcare field
• Proficiency in Microsoft office Applications
• Current unrestricted LPN, RN, or higher nursing license and authorization to practice in Colorado.
• Minimum of two (2) years post-graduate work experience in clinical or healthcare field
• Proficiency in Microsoft office Applications

Preferred Requirements

• Demonstrates outstanding interpersonal and verbal communication skills
• Demonstrates strong proficiency in written communication, producing concise and impactful documentation
• Strong computer skills

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

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

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' 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.

Accommodations

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at [e-mail].