Quality Control Analyst NVRS (Strong Internal) (Remote) 2026-1483

Overview

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

As a Quality Control Analyst (QCA), you will work remotely from your home office Monday through Friday, 8:00 AM to 5:00 PM Eastern Time. In this role, you will support the operations Quality Management System (QMS) by helping ensure compliance with client contract requirements and established quality standards. You will identify requirements, develop and maintain processes, perform audits, address internal and client concerns and support consistent and reliable execution of work. Additionally, you will identify and mitigate risks, lead continuous improvement initiatives and collaborate with contract managers and the analytics team to prepare quality assurance reports and support operational excellence.

At Sedgwick Government Solutions, we are committed to delivering high-quality services and solutions that support our clients and the individuals they serve.

Responsibilities

• Provides input to SGS managers and teams regarding analysis, updates, and recommendations for modifications for procedures and processes to continually improve operations and protocols.
• Assist with the collection and summary of data in collaboration with SGS Quality Committees, identify opportunities for improvement, and present findings.
• Understands each contract's clinical quality assurance requirements and monitors compliance, in collaboration with the SGS analytics and management teams.
• Monitors and analyzes clinical outcomes to goals and contractual requirements, in collaboration with the SGS analytics and management team.
• Performs standard and ad hoc audits of program activities, as directed by quality committees.
• Provides feedback and coordination of improvement of quality tools, such as audit checklists and instructions.
• Assists in the identification of program deficits and coordinates team training and monitoring of corrective actions.
• Assists with performance improvement activities.
• Tracks client complaints and issues to resolution, in collaboration with the Client Success Managers.
• Identifies new areas that need quality monitoring, on a short-term or continuous basis.
• Assists in activities to prioritize improvement initiatives.
• Investigate and incorporate national best-practice interventions into SGS processes.
• Ensures that documentation produced and/or processed complies with federal regulations and contractual requirements.

Qualifications

• A Bachelor's degree or equivalent combination of education and experience is required.
• Two (2) years of auditing experience or an equivalent combination of education and experience is required. Knowledge of medical terminology is preferred.
• Two (2) years of experience with Quality Management including project management, quality improvement, corrective action, auditing, and/or staff education.
• Federal Employees Compensation Act (FECA) experience, preferred.
• Medicare/Medicaid rules and regulations experience, preferred.
• Familiarity with government contracting and requirements preferred.
• Demonstrated ability to ensure quality deliverables following 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 is 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, and Documentation Skills, ability to create and complete comprehensive, accurate, and constructive written reports
• Must successfully pass a preliminary credit and background check prior to hire
• Ability to obtain and maintain a Public Trust Federal Government Security Clearance
• Must be able 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. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($54,000-$58,000). 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 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 a 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 Government Solutions

Sedgwick Government Solutions is a trusted partner for federal agencies across the U.S., helping them confidently manage risk and claims. With decades of experience and deep regulatory expertise, we keep agencies compliant while improving their workforces' health and productivity. Backed by the most advanced technology, our tailored solutions help agencies navigate the complexities of federal risk and claims management. Sedgwick Government Solutions

PI287797843

Salary : $54,000 - $58,000