Psychology Quality Assurance Manager

Overview
C2 ALASKA, LLC
Telework
THIS POSITION IS CONTINGENT UPON BID AWARD
Psychological Quality Assurance Manager shall train and report on the work progress of qualified personnel referred to as Psychological Consultants (PC) who will provide Quality Assurance of medical reviews and assessments on disability cases in the specialties of Psychology and Psychiatry for the Social Security Administration (SSA).
Responsibilities

• Facilitate, conduct and participate in mentoring or training activities with other PCs
• Provide insight and guidance to PCs for ongoing training and offer consultative support for initial training and orientation.
• Keep current on SSA policy and medical research for successful reviews of medical assessments.
• Review all medical and non-medical evidence of record; including any prior file information.
• Review PC interpretation of all medical evidence, ensuring all current SSA disability policies and procedures are followed, to include mental health.
• Request additional evidence, only when the evidence in the file is insufficient to assess in accordance with current SSA disability policies and procedures.
• Ensure composition of medical assessments (or opinions) are in a professional manner, in a formal tone (third person), free of jokes, personal anecdotes, emotion, biases, prejudices or colloquial expressions.
• Review and assess written independent narrative conveys individualized review in a clear and concise manner.
• Ensure independent case reviews are completed within time frames established by the COR.
• Consult with staff and others (e.g., other PCs, medical providers, or Medical Advisors) as needed for the review of the case.
• Ensure findings are recorded in the agency electronic processing systems as specified by SSA case review policies and procedures.
• Attend required meetings, briefings, and workgroups necessary to perform independent case reviews (e.g., policy updates, procedural changes) or to discuss administrative issues related to the contract.
• Respond to all communications including, instant message or email.
• Ensure satisfactory written assessments are accomplished by PCs, free of spelling and grammatical errors that can be used by others in the disability program.
• Ensure required corrections are made to medical assessments when returned from the Office of Quality Review (OQR).
• Report suspected fraud identified in the course of the medical assessment
• Participate in presentations, as needed;
• Provide consultation and expertise on policy development issues including written and/or oral summarizations;
• Participate in workgroups, visits, and meetings as requested by SSA to discuss issues related to the disability process; e.g., new medical technologies, revision of medical listings, and other policy issues (this does not include meetings, briefings, or workgroups necessary for independent case reviews); and
• Other Duties as assigned

Qualifications

• Doctor of Philosophy (Ph.D.) or (Psy.D.) degree in clinical or counseling psychology from an APA-accredited psychology program.
• Completion of an APA-approved clinical psychology internship
• Possess and maintain a Valid unrestricted license to practice medicine within one of the 50 states, the District of Columbia, Puerto Rico, or the U.S. Virgin Islands
• Minimum three (3) year experience practicing psychology within the last seven (7) years

Knowledge, Skills and Abilities

• Experience working in the disability policy community, either from a medical or legal perspective.
• Experience serving as a Psychological Expert with the SSA DDS
• Experience with SSA Title 2 and Title 16 programs
• Ability to organize and effectively administer training covering complex and technical content to professionals.
• Knowledge of and ability to work in DCPS/NCPS, Disability Case Processing System, IMAGEN, eView/DMA
• Knowledge of and ability to complete SSA DDS initial (IN), reconsideration (RECON), pediatric, administrative law judge (ALJ), and continuing disability review (CDR) cases
• Ability to read, write, and speak English well enough to effectively communicate with all parties and other health care providers.
• Shall be computer literate.
• Knowledge of the required education, training, experience, and documented current competence in the required specialty position description.
• Possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.
• Ability to write in a clear, concise, grammatically correct manner.
• Knowledge and excellent computer skills including the use of computer software applications for drafting documents, data management, and tracking. This includes competency with Microsoft Office (Word, Excel, Teams, Outlook, PowerPoint).

Physical Demands (The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)

• While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee may use repeated motions that include the arms, wrists, hands and/or fingers. The employee is occasionally required to walk, stand, climb, balance, stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.

Teleworking Permitted?
Yes
Estimated Salary/Wage
USD $170,000.00/Yr. Up to USD $195,000.00/Yr.