Level of Care Review Quality Analyst (FFS)
Job no:
Work type: Full-Time (Salaried)
Location: Roanoke (City), Virginia
Categories: Health and Human Services
Title: Level of Care Review Quality Analyst (FFS)
State Role Title: Health Care Compliance Spec II
Hiring Range: $78,959 - $94,727
Pay Band: 5
Agency: Dept of Med Assistance Svcs
Location: Dept of Medical Asst Services
Agency Website: www.dmas.virginia.gov
Recruitment Type: General Public - G
Job Duties
Responsible for the face-to-face assessment of the Level of Care Review (LOCERI) process for our Fee-For-Service (FFS) members. This includes health assessment, data collection, data entry, and communications with providers.
The incumbent will be responsible for the completion of the LOCERI and entry into CRMS.
The incumbent will have frequent contact with health care providers, program administrators, and representatives from state and federal agencies, and other direct and indirect human service providers to confer on policy problems and request legal opinions.
The incumbent will participate in the Appeals Process defending their assessment-based decisions in the DMAS appeal process.
The incumbent will participate in ensuring quality of care initiatives for members residing in long term care facilities are met.
This position will apply rules, regulations, and laws in administration of waiver programs.
Must be a licensed LPN or RN in the Commonwealth of Virginia or have a bachelor's degree in a Health & Human Services field per Federal CMS requirements.
This is a field-based position that is remote and will require work travel regularly to the following areas of focus: Roanoke/Alleghany, Western/Charlottesville or Southwest city/counties of Lee, Norton, Wise, Dickenson, Buchanan, Scott, Russell, Washington, Bristol, Smyth, Grayson, Galax, Carrol, Tazewell, Bland, Wythe, Pulaski, Radford, Floyd, Patrick, Henry, Martinsville, Frankling, Montgomery, Giles, Craig, Salem, Roanoke, Roanoke City, Bedford, Bedford City, Botetourt, Alleghany, Covington, Bath, Rockbridge, Buena Vista, Lexington, Highland, Rockingham, Harrisonburg, Madison, Green, Orange, Louisa, Albermarle, Charlottesville, Fluvanna, Buckingham, Augusta, Staunton, Waynesboro, Nelson, Amherst, Lynchburg, Appomattox, Charlotte, Campbell, Halifax, Danville, or Pittsylvania.
The business needs for this position have limited office requirements to include but are not limited to attending meetings and training.
Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/
Minimum Qualifications
Competitive candidates will meet these minimum qualifications:
Must be a licensed LPN or RN in the Commonwealth of Virginia or have a bachelor's degree in a Health & Human Services field per Federal CMS requirements. (Please upload degree and/or LPN/RN license information into application).
Considerable demonstrated knowledge of Long-Term Services and Supports (LTSS) requirements.
Considerable experience of performing health-based assessments.
Considerable knowledge of the Level of Care Review Instrument (LOCERI) process.
Considerable knowledge and work-related experience with Microsoft Office.
Considerable work-related experience analyzing, interpreting, and applying federal, state laws and regulations.
Considerable work-related experience organizing and prioritizing work assignments and meeting deadlines.
Considerable experience communicating effectively in writing with internal and external stakeholders.
Considerable knowledge and work-related experience inclusive of Elderly or Disabled populations of various ages and medical diagnoses.
Considerable knowledge of CCC Plus Waiver and requirements.
Additional Considerations
There are no additional considerations for this position.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.
The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship, to include participation in STEM-OPT programs or similar programs. Selected candidates will have their work authorization completed using the E-Verify Program.
The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.
Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.
This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.
If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.
Applications and/or resumes should include relevant work history which indicates your qualifications for this position.
Contact Information
Name: DMAS Talent Acquisition
Phone: 804 - 225 - 4407
Email: askhcdtalentacq@dmas.virginia.gov
Advertised: 13 Nov 2026 Eastern Standard Time
Applications close: 01 Dec 2026 Eastern Standard Time
Whatsapp Facebook LinkedIn Email App
