Clinical QA Analyst - Tallahassee, FL

Maximus

5d•$65,000 - $70,000•Onsite

About The Position

Are you passionate about quality improvement, compliance, and ensuring individuals receive high-quality services? Join Maximus as a Clinical QA Analyst supporting the Florida PASRR program and play a key role in maintaining excellence across clinical operations. As part of a collaborative and highly experienced Quality and Risk Management team, you'll help ensure clinical assessments and determinations meet contract requirements, quality standards, and regulatory expectations. While this position is based in our Tallahassee office, you'll work closely with a nationwide team of quality professionals who are committed to continuous improvement, integrity, and operational excellence. This role offers a unique opportunity to blend quality assurance and compliance responsibilities while gaining visibility into the operational and clinical aspects of a large government healthcare program. You'll enjoy a supportive team environment, meaningful work that impacts program outcomes, opportunities for professional growth, and the chance to develop expertise across multiple areas of quality and compliance. If you're a detail-oriented professional who enjoys analyzing data, improving processes, and helping teams deliver exceptional results, we'd love to hear from you. Position is contingent upon contract award. About Program: Florida's Preadmission Screening and Resident Review (PASRR) program. Our team helps ensure individuals with serious mental illness, intellectual disabilities, and related conditions receive the right services in the most appropriate setting. Through comprehensive assessments, person-centered care planning, and collaboration with providers and state partners, we help improve outcomes while supporting community integration and quality of care. If you are committed to helping vulnerable populations and want to be part of an innovative, mission-driven team, we encourage you to apply.

Requirements

Two (2) or more years related experience
2+ years previous work experience in Quality and Risk Management in a clinical setting conducting peer reviews preferred.
Strong working ability with all forms of technology, ability to navigate multiple systems, intermediate knowledge of Microsoft Office programs, ability to learn and adapt to new technology quickly; exceptional analytical skills; detail and solution-oriented; ability to work independently as well as with a team; excellent verbal and written communication skills including the ability to communicate effectively with a diverse range of individuals.
Master’s degree in mental health, social work, closely related field OR must have an active, unrestricted RN license
Minimum of two (2) years post-graduate work experience in the mental health field
Minimum of two (2) years conducting assessments
Proficiency in Microsoft office Applications

Nice To Haves

Demonstrates outstanding interpersonal and verbal communication skills
Demonstrates strong proficiency in written communication, producing concise and impactful documentation
Strong computer skills
Knowledgeable about PASRR

Responsibilities

Conduct quality reviews of clinical assessments and case documentation to ensure accuracy, consistency, and compliance.
Analyze reports, monitor service level agreements (SLAs), and identify trends, risks, and opportunities for process improvement.
Utilize internal quality tools and reporting systems to gather data, track performance metrics, and support contract reporting requirements.
Provide feedback and guidance to clinical reviewers and coordinators to promote quality outcomes and adherence to established standards.
Support compliance and quality initiatives that help ensure vulnerable individuals receive timely and appropriate services.
Collects data related to assessments and assessment outcomes
Completes quality audits utilizing proprietary QA Tools
Reviews QA data and reports on trends and scores found through the quality audits
Analyzes recommended scores in relation to Clinical Assessor determinations
Develops / completes reports that track and trend activities / outcomes
May provide QA training to staff to incorporate quality measures into their daily practice
Performs other duties as may be assigned