Clinical QA Analyst - Tallahassee, FL

Maximus; Tallahassee (FL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Work/Life Balance

Performance Bonus

Insurance Coverage

401K Matching

Unlimited Time Off

Wellness Program

Tuition Reimbursement

Employee Discounts

Professional Development

EAP

Job summary

Maximus is seeking a Clinical QA Analyst for the Florida PASRR program in Tallahassee. You will join a Quality and Risk Management team focused on ensuring clinical assessments meet contract requirements, quality standards, and regulatory expectations.

The role blends QA and compliance, offering exposure to both operational and clinical aspects of a large government healthcare program, with opportunities for professional growth within a collaborative environment.

Responsibilities

• Conduct quality reviews of clinical assessments and case documentation to ensure accuracy, consistency, and compliance.
• Analyze reports, monitor SLAs, and identify trends, risks, and opportunities for process improvement.
• Utilize internal quality tools and reporting systems to gather data, track performance metrics, and support contract reporting requirements.
• Provide feedback and guidance to clinical reviewers and coordinators to promote quality outcomes and adherence to established standards.
• Support compliance and quality initiatives that help ensure vulnerable individuals receive timely and appropriate services.

Job description

Make an Impact as a Clinical QA Analyst

Are you passionate about quality improvement, compliance, and ensuring individuals receive high-quality services? Join Maximus as a Clinical QA Analyst supporting the Florida PASRR program and play a key role in maintaining excellence across clinical operations.

As part of a collaborative and highly experienced Quality and Risk Management team, you'll help ensure clinical assessments and determinations meet contract requirements, quality standards, and regulatory expectations. While this position is based in our Tallahassee office, you'll work closely with a nationwide team of quality professionals who are committed to continuous improvement, integrity, and operational excellence.

In this role, you'll:

• Conduct quality reviews of clinical assessments and case documentation to ensure accuracy, consistency, and compliance.
• Analyze reports, monitor service level agreements (SLAs), and identify trends, risks, and opportunities for process improvement.
• Utilize internal quality tools and reporting systems to gather data, track performance metrics, and support contract reporting requirements.
• Provide feedback and guidance to clinical reviewers and coordinators to promote quality outcomes and adherence to established standards.
• Support compliance and quality initiatives that help ensure vulnerable individuals receive timely and appropriate services.

This role offers a unique opportunity to blend quality assurance and compliance responsibilities while gaining visibility into the operational and clinical aspects of a large government healthcare program. You'll enjoy a supportive team environment, meaningful work that impacts program outcomes, opportunities for professional growth, and the chance to develop expertise across multiple areas of quality and compliance.

If you're a detail-oriented professional who enjoys analyzing data, improving processes, and helping teams deliver exceptional results, we'd love to hear from you.

About Program:

Florida's Preadmission Screening and Resident Review (PASRR) program. Our team helps ensure individuals with serious mental illness, intellectual disabilities, and related conditions receive the right services in the most appropriate setting. Through comprehensive assessments, person-centered care planning, and collaboration with providers and state partners, we help improve outcomes while supporting community integration and quality of care. If you are committed to helping vulnerable populations and want to be part of an innovative, mission-driven team, we encourage you to apply.

Position is contingent upon contract award

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.