Quality Audit and Calibration Lead

Responsibilities

• Governance & Calibration of all audit types (approval, risk based, CAP, target) to ensure consistent standards, clinical policy alignment and a robust governance framework across benefits.
• Independent Audit (DWP) Review, Challenge & Escalation. Triage IA feedback, accept/challenge trends using evidence and policy, manage escalations, and maintain effective external relationships.
• Clinical Interface & Policy Implementation. Provide expert clinical advice to Operations/Clinical Excellence. Supporting implementation of clinical standards and policy. Identifying and escalating clinical risks. Contributing to quality related elements of appraisals.
• Training, Development & Assurance of Auditors. Design/deliver calibration sessions, induction and ongoing capability building. Providing sensitive but robust constructive feedback to drive consistency and reduce error rates.
• MI & Insight for Quality Improvement. Analyse audit outcomes and operational MI to identify themes, coachable trends and systemic risks. Producing actionable insights for assurance teams and clinical/operational leaders.
• Audit Delivery & QA Sampling (as required). Conduct audits and QA sampling to maintain calibration accuracy. Providing timely coaching/feedback to minimise workflow delays and customer impact.
• Maintain Clinical Approval & Professional Standards. Maintain clinical approval by completing the minimum number of assessments needed for continued accreditation, undertaken at intervals that support clinical consistency. Complying with CPD/revalidation. Consistently modelling best practice and continuous improvement.

• Heads of Clinical Delivery/Assurance/Audit
• Clinical Delivery Leads
• Clinical Support Coaches
• Operational Managers
• Clinical Content Developers
• Training and Development teams

• DWP Independent Audit
• DRG/other external forums as required
• other relevant stakeholders.

• Qualified health professional with current registration/license to practice and continuous professional development compliance.
• Competent Disability Analyst in relevant benefit type, maintained approval and consistent performance in key role responsibilities.
• Substantial experience in clinical audit (including governance/calibration) within disability assessment or a comparable setting.
• Proven experience in reviewing, interpreting and objectively challenging Independent Audit feedback referencing clinical policy and evidence.
• Qualified to perform CHDA case audits and able to instruct on writing reports that meet "A grade" requirements.
• Proven experience designing/delivering calibration, training and clinical development for auditors and healthcare professionals.
• Strong MI/analytics capability, with attention to detail, to identify trends and generate actionable insights.
• Experienced coach and mentor, providing sensitive but robust constructive feedback, driving quality improvement.
• Up to date knowledge of WCA/PIP/SB clinical policy with consistent CPD/revalidation and adherence to governing body codes of conduct.

• Experience clinically supporting a team of health professionals and/or leading clinical change initiatives.
• Advanced MS PowerPoint/Excel for insights and reporting.
• Cross benefit calibration and multi lot governance experience.

• Embraces Respect
• Partners Effectively
• Creates Innovative Solutions
• Focuses on the Customer
• Demonstrates Compassion
• Takes responsibility & acts with integrity
• A commitment to the principles and practices of diversity, equity, and inclusion

• Manages own professional competence and accountability, in accordance with the appropriate governing body/code of conduct and practice standards.
• Acts with integrity and accountability in all areas of work.
• Performance and quality focused.
• Ability to prioritise projects and tasks effectively
• Flexible and adaptable to understand and respond proactively to changing customer, client and operational needs
• Effective collaborator across multiple stakeholders (clinical and non clinical) with varying needs, building credibility and trust to drive a performance culture
• Confident and effective communicator, verbally and in writing with ability to adapt communication to constructively interact varying audience needs.
• Drives solution focused innovation to support continuous improvement.
• Data-driven decision making with a commitment to best practice
• Demonstrates people-centric leadership - inspiring engagement and supporting growth/development of colleagues' capability and confidence.
• Executes work with agility, attention to detail, and follow through to completion.
• Embraces innovation and technology

• MAXIMUS is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal wellbeing and are working to ensure that no job applicant…