Talent.com
Clinical Quality Assurance Analyst (Remote)

Clinical Quality Assurance Analyst (Remote)

MAXIMUSMinneapolis, MN, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.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.

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 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 applicantaccommodations@maximus.com .

    Minimum Salary

    60,000.00

    Maximum Salary

    70,000.00

    serp_jobs.job_alerts.create_a_job

    Quality Assurance Analyst • Minneapolis, MN, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Oregon Licensed Clinical Research Analyst

    Oregon Licensed Clinical Research Analyst

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Research Budgeting Analyst - Clinical Trials.Key Responsibilities Prepare and maintain budget templates for sponsored clinical trials Conduct comparative revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Health Insurance Product Analyst

    Health Insurance Product Analyst

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Product Management Lead Analyst to support the development and implementation of product strategies for Individual and Family Plans. Key Responsibilities Evaluate and re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Mortgage Quality Analyst

    Mortgage Quality Analyst

    VirtualVocationsMinneapolis, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Mortgage Quality / Process Improvement Analyst.Key Responsibilities Conducts performance analysis to enhance risk mitigation processes Measures and compares processes, p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Senior Product Analyst

    Senior Product Analyst

    SurescriptsMinneapolis, MN, United States
    serp_jobs.job_card.full_time
    We deliver insights at critical points of care for better decisions - from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between provid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Behavioral Health Investigations Analyst

    Behavioral Health Investigations Analyst

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Behavioral Health FWAE Investigations Analyst - Remote.Key Responsibilities Investigate and review claims for trends related to Fraud, Waste, Abuse, and Errors Interpr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Montana Licensed Clinical Research Analyst

    Montana Licensed Clinical Research Analyst

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Research Budgeting Analyst - Clinical Trials.Key Responsibilities Prepare and maintain budget templates for sponsored clinical trials Conduct itemized cost an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Quality Assurance Analyst

    Quality Assurance Analyst

    CAISt Paul, MN, United States
    serp_jobs.job_card.full_time
    CAI is a global technology services firm with over 8,500 associates worldwide and a yearly revenue of $1 billion+.We have over 40 years of excellence in uniting talent and technology to power the p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Quality Assurance Unit Professional (Research Pro 3 - Quality Assurance)

    Quality Assurance Unit Professional (Research Pro 3 - Quality Assurance)

    University of MinnesotaMinneapolis, MN, United States
    serp_jobs.job_card.full_time +1
    Add to Favorite Jobs Email this Job.Job Description for Quality Assurance Unit Professional.Reporting Structure : This is a non-management position within Experimental Surgical Services, which is pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Clinical Informaticist Analyst

    Clinical Informaticist Analyst

    ClinDCast LLCMinneapolis, MN, United States
    serp_jobs.job_card.full_time
    Job Title : Clinical Informaticist.Job Summary : The Clinical Informaticist will bridge the gap between clinical and technical teams by interpreting clinical guidelines from CMS and Health Plans, and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Clinical Services Business Analyst III - Platform Migration

    Clinical Services Business Analyst III - Platform Migration

    MedicaMinnetonka, Minnesota, United States
    serp_jobs.job_card.full_time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    LOS Clinical Review Coordinator - Remote

    LOS Clinical Review Coordinator - Remote

    UnitedHealth GroupMinneapolis, MN, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    California Licensed Clinical Research Analyst

    California Licensed Clinical Research Analyst

    VirtualVocationsMinneapolis, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Research Budgeting Analyst - Clinical Trials.Key Responsibilities Prepare and maintain budget templates for sponsored clinical trials Conduct itemized cost an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Sr. Reimbursement Analyst PVH

    Sr. Reimbursement Analyst PVH

    Medtronic PlcMinneapolis, MN, US
    serp_jobs.job_card.full_time
    At Medtronic, you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Sr Application Analyst - Remote

    Sr Application Analyst - Remote

    Fairview Health ServicesMinneapolis, MN, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Epic Professional Billing Sr Application Analyst.Apply specific applications and technology expertise to the specification and design development process. Lead the creation of system and operating d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Associate Quality Analyst

    Associate Quality Analyst

    OptumEden Prairie, MN, United States
    serp_jobs.job_card.full_time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Senior Pharmaceutical CDMO Quality Analyst

    Senior Pharmaceutical CDMO Quality Analyst

    PadagisNew Hope, MN, United States
    serp_jobs.job_card.full_time
    Our Contract Development and Manufacturing Organization (CDMO) requires a seasoned Managing Quality Professional with more than 10 years of experience in pharmaceutical manufacturing, specializing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Quality Assurance Lead

    Quality Assurance Lead

    METASt Paul, MN, United States
    serp_jobs.job_card.full_time
    Meta), formerly known as Facebook Inc.When Facebook launched in 2004, it changed the way people connect.Apps and services like Messenger, Instagram, and WhatsApp further empowered billions around t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Wisconsin Quality Assurance Analyst

    Wisconsin Quality Assurance Analyst

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Quality Assurance Analyst II.Key Responsibilities Lead data quality efforts on the Data Quality Team Provide technical consultation at the provider level and maintain ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Business Analyst QA Tester

    Business Analyst QA Tester

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Business Analyst / Quality Assurance Tester to support healthcare development efforts.Key Responsibilities Conduct discovery and requirements-gathering sessions with clie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Quality Assurance Analyst

    Quality Assurance Analyst

    Damco SolutionsSt Paul, MN, United States
    serp_jobs.job_card.full_time
    The Minnesota Department of Information Technology Services (MNIT), partnering with the Minnesota Department of Labor and Industry (DLI), resources to perform Developer duties and Quality Assurance...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours