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Job Details:
Position Name : Quality Analyst (Remote) – Veterans Services
Location: Remote
Job ID : cb80fb87a698be63
Description : Job Introduction:
Quality Analysts (Medical) supporting the Veterans Evaluation Services (VES) administered by Maximus, make an impact everyday by reviewing Medical Disability Examination (“MDE”) reports and Disability Benefits Questionnaires (“DBQs”) generated by medical providers on Veterans evaluated on behalf of the Department of Veterans Affairs (the “VA”). The QA works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA. To prepare you for this role, the VES provides paid, comprehensive training which ensures all new employees provide the highest levels of knowledge and professionalism.
As a federal contractor, Maximus is subject to Executive Order 14042 and the Safe Workforce Task Force’s COVID-19 Workplace Safety Guidance for Federal Contractors and Subcontractors. In light of these requirements, all employees will eventually need to be fully vaccinated as a condition of employment and new hires/employees will be required to provide proof of vaccination.
Job Description Summary:
Exercise independent discretion and decision-making on behalf of the company with regard to medical provider interaction and relationships
Review MDE requests from the VA to ensure that all claims made by a Veteran to be evaluated are properly reflected on the appropriate DBQ(s)
Review MDE reports and DBQs submitted by medical providers for typographical and grammatical errors, and internal consistency and continuity, ensuring that each has been fully completed and meets the requirements of the VA, including, but not limited to, ensuring that all claims made by a Veteran have been addressed on the appropriate DBQ and that the medical provider has rendered a diagnosis or a statement explaining why a diagnosis is not warranted
Communicate with medical providers regarding their MDE reports and DBQs and, at the discretion and direction of the medical provider, facilitate any necessary corrections, prior to submission to the VA
Verify that any special requests or necessary second reviews have been completed, consistent with the VA’s preferences
Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report
Perform daily queue maintenance to ensure that every case assigned has any updated notes and any needed action has been taken
Communicate with the Medical Advisory Board on any case that needs additional review, may be outside the scope of the assigned medical provider’s training or expertise, or has presented a problem/issue with the assigned medical provider
Assist Provider Training team with ongoing training and development of medical providers by reporting all problematic medical provider trends/issues
Education and Experience Requirements:
Additional Duties and Responsibilities
Answer phone calls from medical providers
Attend meetings as directed
Communicate and assist other departments in a collaborative effort to expedite cases
Work effectively within a team dynamic
Adapt to new instructions, requests or procedures as provided
Maintain a high sense of urgency at all times
Ensure the confidentiality of Veterans’ records
Requirements
High School Diploma or GED equivalent required
Self-starter
Intermediate knowledge of pertinent medical terminology
Advanced verbal and interpersonal skills
Advanced written communication skills, to include excellent grammar
Advanced reading and comprehension abilities
Advanced analytical skills and detail-oriented
Advanced multi-tasking skills
Advanced organizational and prioritization skills, with strong ability to meet strict deadlines with minimal supervision
Proficient typing skills
Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research, and beginner knowledge of Microsoft Excel.
Home Office Requirements
Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
Preferred Windows or Mac (no Chromebook) that is no more than 5 years old
OS for Windows – Windows 10
OS for Mac – Big Sur (11.0.1+); Catalina (10.15)
Preferred memory – 4+ GB
A second monitor is highly recommended
Hardwired internet (ethernet) connection
Private work area and adequate power source
The training schedule will be 8am-5pm Central Time, Monday- Friday, for 3 months. It is preferred no time is missed during this training period.
About Veterans Evaluation Services – Now Part of Maximus
#Work from Home
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. With approximately 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. Launch your career with Maximus through one of our dynamic customer service centers.
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.
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