Description & Requirements
Maximus is currently hiring for a Coordinator - Quality Assurance. This position applies the practices and procedures developed for the C-YES Quality Assurance Department to help maintain an effective quality assurance program and training to the Family Support Coordinators and other C-YES staff.
Maximus has partnered with the New York State Department of Health to establish the Children and Youth Evaluation Service (CYES) program to determine whether a child or youth is eligible for home and community-based services (HCBS) covered by Medicaid. CYES makes eligibility determinations primarily for children and youth aged 0-21 years who have been identified as being Medically Fragile (MDF) or having a Serious Emotional Disturbance (SED). CYES Nurse Evaluators conduct conflict-free evaluations of these children and youth to assess their needs for HCBS and develop person-centered plans of care. CYES Family Support Coordinators provide coordination and referral services and assist HCBS-eligible children or youth to apply for Medicaid.
**This is a full time, remote position that can be located in the state of either New York or New Jersey.
Essential Duties and Responsibilities:
- Responsible for evaluating staff members on the quality of work performed as measured against project standards, contractual requirements, and performance measures.
- Assist with the development, design, and recommend strategies or activities intended to improve performance.
- Assist with the development, analysis and distribution of project reports and performance indicators.
- Regularly assess the knowledge needs of the staff related to processes and policies regarding the client/contract operations and develop plans to meet those requirements.
- Conduct monitoring activities for quality assurance purposes.
- Assist with monitoring performance and meeting contractual requirements.
- Remain up-to-date on policies and procedures for all operations, assists in developing new procedures, and updates existing procedures when changes occur.
- Assist in the production and update of staff resource materials including quick reference guide, matrices, charts, and workflows.
- Assist with staff training, as necessary.
- Perform other duties as may be assigned by corporate management.
-Examine cases at random for completeness, accuracy and consistency
-Examine data for outliers and research such cases
-Develop / complete reports that track and trend activities / outcomes
-Quality-check consumer Notices and mailings
-Compare consumer Notices prior to mailing against information in MaxEB
-Ensure Notices contain language regarding Fair Hearings when applicable
-Ensure reports are accurate and all standards are being met
-Collect data related to assessments and assessment outcomes
-Develop and teach training modules for C-YES educational activities including Orientation and ongoing C-YES In-Services
-Provide QA training to C-YES staff in order that quality actions are incorporated into their daily practice
-Perform Call Monitoring for select C-YES staff
-Support the established project goals and objectives, and monitor for achievement of those goals
-Collaborate with the Quality Assurance Supervisor to support an effective quality monitoring program
-Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
-Perform other duties as assigned by the Quality Assurance Supervisor
Minimum Requirements
Minimum Requirements:
- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
-High School Diploma or the equivalent
-1 year working experience in a quality assurance or related position in the health or human services field
-Strong analytical skills
-Detail and solution oriented
-Ability to work with technology in the workplace including proficiency with Microsoft Office products
-Excellent organizational, interpersonal, written, and verbal communication skills
-Ability to perform comfortably in a fast-paced, deadline-oriented work environment
-Ability to successfully execute many complex tasks simultaneously
-Strong ability to work independently
-Ability to provide effective training in group or 1:1 settings Preferred Qualifications:
-Bachelor of Social Work or Bachelor's in a related field with related work experience in quality assurance or related field
-1 year previous work experience in Quality and Risk Management Home Office Requirements:
-Reliable high-speed internet service
-Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
-Minimum 5 Mpbs upload speeds
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.
