Quality Control Analyst (Remote) 2025-1386 at Managed Care Advisors in Atlanta, Georgia

Job Description:

Position Title: Quality Control Analyst (Remote) 2025-1386

Location: Atlanta, GA, USA

Job Category: Operations

Job Type: Full Time

Description:

Quality Control Analyst

Remote Quality Control Analyst - Open to Nationwide Applicants

Are you passionate about ensuring quality and compliance in a dynamic environment? Join SGS as a Quality Control Analyst (QCA) and play a crucial role in supporting our Quality Management System (QMS) for a high-profile client.

The Quality Control Analyst (QCA) at SGS supports the Quality Management System (QMS) for a high-profile client. This role involves both clinical and non-clinical tasks to ensure compliance with QMS and client contracts. The QCA identifies requirements and creates processes to ensure consistent and reliable execution of work. They coordinate the creation of controlled documents such as Standard Operating Procedures and Work Instructions, perform audits to meet performance metrics, and address internal and client concerns. Additionally, the QCA tracks and mitigates risks, facilitates continual improvement by leading improvement projects, and supports contract managers and the analytics team in preparing quality assurance reports.

Duties and Responsibilities

Under the direction of the Lead Quality Control Analyst, and in coordination with the Contract Manager, provides day-to-day guidance and oversight to ensure quality control measures are implemented and performs regular quality assessments for the following:

• Ensures all vocational rehabilitation and/or nursing related services including scheduling, reports, appropriate case actions, cost effective services and billing charges etc.
• Collaborates with the Contract’s Trainer and the Federal Employees Compensation Act (FECA) program to include lessons learned from quality assurance findings or corrective actions into the training materials.
• Ensures all cases are assigned and serviced timely; ensures when case reassignment is required, FECA is notified of the request for reassignment to a new Contractor’s FN/RC, verification of destruction of PII has been received, and that FECA has approved the reassignment to a new Contractor’s FN/RC.
• Ensures access to client portal, and any equivalent thereof.
• Ensures compliance with Office of Workers’ Compensation Programs (OWCP) Records Management policies.
• Ensures compliance with Privacy Act of 1974 and all other requirements of the performance work statement (PWS).
• Ensures timely transmittal of all materials, and destruction of all materials when assignment ends.
• Other specific tasks that may be added.

Qualifications

• Bachelor's degree required in Healthcare, Nursing, Health Administration, or related field. (Master's Degree preferred)
• Current Licensed Practical Nurse or Registered Nurse, licensed in any US state, preferred
• Minimum of five (5) years of Quality Control knowledge, and experience providing and overseeing similar tasks identified in this posting.
• Familiarity with government contracting and requirements preferred.
• Demonstrated ability to ensure quality deliverables in accordance with the PWS, and to ensure that all required performance standards are met
• Experience with nursing and/or vocational rehabilitation case management in the FECA or other workers compensation arena preferred.
• A proven track record in meeting deliverable schedules and performance requirements for programs of a similar size and scope is required.
• Attention to detail, timetables, and commitment to completing tasks
• Proficiency in computer use, including Microsoft Office Word, PowerPoint, Excel, and Outlook, strong analytical skills in interpreting data, and the ability to multi-task effectively.
• Well organized, efficient, and able to work independently and within a team
• Reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home office
• Excellent Communication Skills via Phone, E-Mail, Text, Verbal, Documentation Skills, ability to create and complete comprehensive, accurate, and constructive written reports
• U.S. Citizenship
• Ability to pass a preliminary credit and background check
• Ability to obtain and maintain public trust federal security clearance(s)
• Ability to travel as required

For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets, their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. A comprehensive benefits package is offered including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

To be considered for this position, please submit a resume, and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com Privacy | Sedgwick Terms and Conditions | Sedgwick

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