Maximus is currently hiring for a Sr. Quality Assurance Coordinator! This position will provide direct support to our NYIAP program. This is a hybrid remote position, where the incumbent will work onsite at our office and will fulfill the remainder of the workweek from a home office.
About the NYIAP (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
Duties & Responsibilities:
- Monitor and evaluate call center calls and agent performance and provide feedback to Supervisors and Managers as a continuous method for process improvement.
- Review complaint calls, provide feedback to supervisor, and recommend individual and group training.
- Make recommendations on developing new procedures, and updates existing procedures when changes occur.
- Identifies trends and collaborate with the Training Staff for the purpose of achieving and maintaining Quality Assurance goals.
- Communicate Quality Assurance findings effectively with necessary project staff to support and further Quality Assurance goals.
- Remain up to date on all policies and procedures.
- Conduct operational staff observation sessions and provides feedback.
- Attend and participate in training courses.
Minimum Requirements:
- High school diploma or equivalency with 4 years of related experience or Associate degree with 2 years of related experience
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications or work and makes recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
Home Office Requirements:
- Maximus provides company-issued computer equipment.
- Reliable high-speed internet service
- Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity.
- Minimum 5 Mbps upload speeds.
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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
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 $25.00/Hr.
Posted Min
USD $20.00/Hr.