Clinical Quality Assurance Analyst (RN) - Remote

Description & Requirements

Maximus is seeking a dedicated Clinical Quality Assurance Analyst, RN to join our growing team-this is a 100% remote opportunity. In this role, you will play a key part in ensuring excellence across our clinical division contracts by conducting thorough quality assurance evaluations on sample cases using established QA tools and processes. Your expertise as a licensed RN will help drive accuracy, compliance, and high-quality outcomes that make a real impact on our clients and the individuals we serve.

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

- Current Registered Nurse (RN) license valid in the state of practice is required
- Preferred Specialties for Registered Nurse: Internal Medicine, Adult Health, Community Health, Family Practice, Psychiatry
- Two (2) or more years practicing experience as a Registered Nurse 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

- 1 - 2 years of experience in behavioral health

- Microsoft proficiency

- Exceptional analytical skills

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 Mpbs download speeds/50 Mpbs for shared internet connectivity

- Minimum 5 Mpbs upload speeds

- Private and secure workspace

#ClinicalServices #LI-Remote

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'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.

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 [email protected] .

Minimum Salary


$

60,000.00

Maximum Salary


$

70,000.00