Quality Assurance Analyst (Hybrid-Remote, New York)
Maximus - New York City, NY
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Job Introduction Maximus is currently hiring for Quality Assurance Analyst This position will provide direct support to our New York Independent Assessor Program (NYIAP).About the New York Independent Assessor Program: Maximus has partnered with the New York State Department of Health to establish the New York Independent Assessor Program (NYIAP) for New York State Medicaid consumers who want to receive personal care services or community-based long-term services and supports. NYIAP Nurse Assessors conduct conflict-free assessments of these individuals using the Community Health Assessment tool to determine whether they qualify for these services. Independent Practitioners-physicians, nurse practitioners, and physician assistants-conduct clinical appointments to determine if the individual is medically stable to receive services in the community. The information collected from the assessment and clinical appointment is used by local Departments of Social Services, Medicaid Managed Care Organizations, and Managed Long Term Care plans to develop the individual's plan of care and make determinations regarding the services the individual may receive. Education and Experience Requirements Primary Responsibilities:Participate in internal quality audits to ensure quality metric requirements of the project are metDevelop, maintain, and update tracking tools Analyze reports on operational performance and provides solutions to identified issuesAnalyze quality program data to identify trends, develop and, implement corrective action plans as appropriate Monitor program data for improvementsAssist in the production and update of staff resource materials including knowledge management systems, processes, and Organizes and performs ad hoc quality-focused studies to identify trends, develop recommendations to help guide quality improvement activitiesDevelop, review, and edit comprehensive quality reports Assist with compliance research, documentation, resolution, and reportingMeets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this positionPerforms other duties as may be assigned by Management Minimum Requirements: Bachelor's Degree required3+ years of related experience; work experience in health or human services field working with reports, data management, reviewing trends, analyzing dataStrong analytical and problem-solving skills Excellent written and oral communication skillsAbility to work independently and as a team memberAbility to perform comfortably in a fast-paced, deadline-oriented work environmentAbility to successfully develop, understand, evaluate and, execute many complex processes and tasks simultaneouslyDemonstrated ability to use logic and reasoning to identify solutions, conclusions, or approaches to problemsExcellent attention to detail; expert level at Microsoft Excel and working ability with other Microsoft programs (including formulas, tables, graphs)The ability to quickly learn and assimilate to new technologyDemonstrated ability to successfully prioritize work within broad policies and objectivesAdaptable and responsive to changing prioritiesAbility to embrace change and quickly adapt Preferred Requirements: Microsoft Teams and SharePoint PowerBI or other data analysis toolSmartsheets Home Office Requirements:Candidates must have their own cell phoneMaximus provides company-issued computer equipmentReliable high-speed internet serviceMinimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity Minimum 5 Mpbs upload speeds #maxNYMC 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 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 are 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. Posted Max USD $71,000.00/Yr. Posted Min USD $51,850.00/Yr.
Created: 2024-04-20