Quality Audit and Calibration Lead Job Springfield area,Missouri USA,Business

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.

Key Internal Stakeholders & Relationships

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

Key External Stakeholders & Relationships

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

Qualifications & Experience Essential Qualifications & Experience

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.

Desirable Qualifications & Experience

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.

Maximus Competencies

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

Individual Competencies

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

EEO Statement

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…