Note: The job is a remote job and is open to candidates in USA. Maximus is an employer supporting healthcare and public-sector programs, including Colorado Home and Community-Based Services. The Clinical QA Analyst will conduct quality reviews and audits of clinical assessments, analyze quality data and trends, provide feedback and training to clinical staff, and support compliance and program improvements.
Responsibilities
- 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
- 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
Skills
- If you're an LPN with a passion for quality, attention to detail, and improving healthcare outcomes through collaboration and continuous improvement
- Two (2) or more years related experience
- 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
- 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
- 2+ years previous work experience in Quality and Risk Management in a clinical setting conducting peer reviews preferred
- Demonstrates outstanding interpersonal and verbal communication skills
- Demonstrates strong proficiency in written communication, producing concise and impactful documentation
- Strong computer skills
Benefits
- Fully remote work environment
- Consistent weekday schedule
- Work/Life Balance Support - Flexibility tailored to your needs
- Bonuses based on performance
- Medical, Dental, Vision, and Prescription insurance plans
- Partially funded HSA
- Life insurance benefits
- Discounts on Auto, Home, Renter's, and Pet insurance
- 401K Retirement Savings plan and Company Matching
- Unlimited Time Off Package - UTO, Holidays, and extended sick leave
- Short and Long Term Disability coverage
- Employee Assistance Program (EAP) with resources for physical, emotional, and financial wellness
- Recognition Platform to acknowledge and appreciate outstanding employee contributions
- Tuition Reimbursement
- Employee perks and discounts
- Maximus Wellness Program and Resources
- Professional development opportunities, including training programs, workshops, and conferences
- Company-issued computer equipment
Company Overview
Company H1B Sponsorship