Senior Examination Quality Analyst

Description

SAIC is seeking a Sr. Examination Quality Analyst to analyze contract performance data related to examination quality and compliance, track results against Quality Assurance Surveillance Plan (QASP) thresholds, conduct root cause analysis, and implement corrective and improvement actions in support of the VA Medical Disability Exam (MDE) program. This essential program is dedicated to providing Veterans with timely, accurate, and thorough medical examinations, and plays a crucial role in enhancing the quality of life for our Nation's Veterans.

This position is fully remote and can be worked from anywhere in the United States.

Some travel will be required.

Key Responsibilities:

• Monitor and analyze program-wide quality and performance metrics, key performance indicators (KPIs), and compliance, identifying patterns, trends, systemic deficiencies, and areas requiring improvement.

• Track program performance against QASP-defined thresholds, including DBQ compliance, rework, and timeliness, ensuring metric definitions and calculation methods align with the contract, PWS, and QASP.

• Develop and maintain DBQ compliance criteria and standards aligned with the QASP and DBQ Compliance Handbook methodologies (weighted compliance checklist, sample selection and exclusions) and applicable VA policies and procedures and contract requirements.

• Analyze monthly and quarterly VA DBQ compliance results, rework data, STAR Rating Narrative findings, and Error Citation Report data, conducting in-depth trend and root cause analysis; validate Government scores, identify needed reconsideration requests, and prepare analytical content of responses to compliance findings.

• Review and validate quality findings from QC reviews completed by Operations staff, ensuring review criteria are applied consistently and accurately, including verification of diagnosis support, history, clinical findings, required tests, medical opinions, and examiner credentials.

• Develop and validate system requirements, including prompts for AI-assisted tools mapped to VA regulatory, policy, and procedural guidance and contract requirements; analyze data on system compliance and AI-assisted content adoption to continuously improve results.

• Conduct quality assurance and quality control activities including routine and random audits of completed DBQs and ancillary results, process audits, and internal special focus reviews to ensure accuracy, completeness, and compliance with VA standard and contract requirements.

• Track MDEO Handbook revisions and system updates and assess their effect on quality metrics, checklists, procedures, training, and system requirements.

• Develop corrective action and improvement plans. Conduct root-cause analysis, draft plans with measurable success criteria, track actions to closure, and verify effectiveness over subsequent reporting periods; collaborate with Program Quality, examiner network, operations, IT, and training partners to remediate recurring deficiencies.

• Develop policies, procedures, standard operating procedures (SOPs), and training materials, maintain document control.

• Collaborate with the Training team to ensure that training materials and educational content for examiners and operational staff are accurate, current, and reflective of VA requirements, VBA guidelines, and contract specifications.

• Collaborate with Medical Director and clinical leadership as needed to maintain the boundary between nonclinical program quality analysis and independent provider clinical judgment.

• Serve as a frequent point of contact across SAIC functions and, as directed, with VA customer counterparts, explaining analytical results and recommending solutions to technical issues associated with specific projects.

Qualifications

Required Qualifications

• Bachelor's degree 6 years of related experience; or Master’s degree with 4 years related experience; or additional experience may be considered in lieu of degree.

• Proficiency in data analysis and reporting tools (Microsoft Excel, Power BI, or similar)

• Strong written and verbal communication skills, with the ability to prepare clear, evidence-based analyses and responses to customer findings.

• Strong attention to detail, organizational skills, and analytical ability

• Ability to meet applicable background, suitability, training, and system access requirements.

• Must be able to obtain and maintain a Public Trust clearance.Preferred Qualifications

• Prior experience supporting federal government contracts, preferably VA or DoD healthcare programs.

• Experience in quality assurance, compliance review, auditing, or performance analytics, preferably in healthcare, federal healthcare operations.

• Prior experience as a senior level VA disability compensation claims processor (e.g. Rating Veterans Service Representative, Decision Review Officer or Rating

• Quality Review Specialist) or in a clinical field (e.g. nursing, etc.).

• Familiarity with VA quality review criteria, DBQ audit standards, and Veterans Benefits Administration (VBA) policies and procedures.

• Experience developing and delivering clinical training and education programs.

• Relevant professional certification or development (e.g., Certified Professional in Healthcare Quality, Lean Six Sigma, PMP); experience collaborating with licensed clinical personnel.

Target salary range: $80,001 - $120,000. The estimate displayed represents the typical salary range for this position based on experience and other factors.

REQNUMBER: 2619052

SAIC is a premier technology integrator, solving our nation's most complex modernization and systems engineering challenges across the defense, space, federal civilian, and intelligence markets. Our robust portfolio of offerings includes high-end solutions in systems engineering and integration; enterprise IT, including cloud services; cyber; software; advanced analytics and simulation; and training. We are a team of 23,000 strong driven by mission, united purpose, and inspired by opportunity. Headquartered in Reston, Virginia, SAIC has annual revenues of approximately $6.5 billion. For more information, visit saic.com. For information on the benefits SAIC offers, see Working at SAIC. EOE AA M/F/Vet/Disability