QA Supervisor-Clinical, RN - Maximus Services, LLC

Under the direction of the Clinical QA Supervisor, the Clinical QA Supervisor has day-to-day oversight of Independent Review Organization (IRO) activities and workers compensation contracts. The Clinical QA Supervisor develops processes and culture of continuous efficiency and quality for the program. This team member will also work as mentor and facilitator of lean improvement efforts throughout the program.
As contracts are supported by our Physician Consortium, the Clinical QA Supervisor will work closely with the Program Manager in addition to other team members. This position will be responsible for developing a conceptual framework for quality measurement and improvement for the program. The Clinical QA Supervisor will coordinate the quality movement and activities of the Consortium which include but are not limited to development and maintaining positive relationships with members, corporate, human resources, and IRO requirements such as attestations and credentialing activities. The Clinical QA Supervisor is responsible for quality efficiencies of the program and staff, and meeting quality goals.

*Position is contingent based on award of contract*

Job Summary

Essential Duties and Responsibilities:
- Supervise assigned Quality Assurance staff, including the functions associated with quality assurance monitoring and monthly reporting of monitoring results.

- Identify and set monthly individual/team goals.

- Monitor the performance of Quality Assurance Staff, including providing continuous feedback, coaching and corrective actions, as necessary.

- Complete quarterly and annual performance reviews for Department staff.

- Manage the timecards, assignments and time off of Quality Assurance staff.

- Develop monthly Quality Assurance workflows.

- Ensure Quality Assurance staff effectively monitor and assess all areas of operations.

- Act as subject matter expert for the Quality Assurance team members.

- Provide ongoing training and support to Quality Assurance staff.

- Ensure Quality Assurance staff maintain updated knowledge of policy and procedure changes.

- Identify avenues to improve business process by analyzing quality evaluations and making recommendations to leadership.

- Raise issues of concern and/or problems to the attention of leadership.

- Prepare daily and weekly updates for QA Management based upon monthly sample and staff productivity

- Participate in internal audits of policies and procedures.

Minimum Requirements:

- Current Registered Nurse (RN) license valid in the state of practice is required
- RN Licensure; Graduate of an accredited nursing program.
- Minimum of 3 years of related experience in Quality Assurance in a health or social services field or 3+ years of experience with conducting UAS.- 3+ years leadership and/or RN experience

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

EEO Statement

EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

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.

Posted Max

USD $133,100.00/Yr.

Posted Min

USD $42,400.00/Yr.