Clinical Quality Assurance Analyst Remote

Maximus; United States; Remote; USD 60,000 - 70,000; Full time

Job summary

A national healthcare solutions provider is seeking a Clinical Quality Assurance Analyst to support their clinical division. This role focuses on conducting quality assurance evaluations, analyzing data, and developing reports. Candidates should have a Master’s degree in a related field, strong analytical skills, and at least 2 years of experience in behavioral health. The position offers a salary range of $60,000 to $70,000 and allows for remote work.

Benefits

Unlimited Time Off Package

Competitive Compensation

Tuition Reimbursement

Employee Assistance Program

Qualifications

• Education and licensure requirements based on program contract.
• Minimum of 2 years of experience in behavioral health.
• 2+ years previous work experience in Quality and Risk Management preferred.

Responsibilities

• Supports and reviews clinical division contracts.
• Conducts quality assurance evaluations on sample cases.
• Develops reports that track and trend activities/outcomes.

Skills

Analytical skills

Detail-oriented

Communication skills

Technology proficiency

Education

Master’s Degree in Human Services, Social Work, Mental Health or related field

Qualified Mental Health Professional credentials

Tools

Microsoft Office Suite

Job description

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.

Overview

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.

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 individuals
• Master’s Degree in Human Services, Social Work, Mental Health or related field
• Minimum of 2 years of experience in behavioral health
• Proficient in Microsoft Office Suite
• Exceptional analytical skills
• Qualified Mental Health Professional credentials, such as Licensed Clinical Social Worker (LCSW) , Licensed Professional Counselor (LPC), or Licensed Marriage Family Therapist (LMFT)

Preferred Requirement

• 2 years previous work experience in Quality in a clinical setting conducting peer reviews preferred

Home Office Requirements

• Maximus provides company-issued computer equipment
• Reliable high-speed internet service
• Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity
• Minimum 5 Mbps upload speeds
• Private and secure workspace

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.

Salary

Minimum Salary

$60,000.00

Maximum Salary

$70,000.00

Compensation:

$60,000-$70,000 per year

Remote: Yes