Clinical QA Supervisor

🕒 Junho 6

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔧 Engenheiro de QA (Qualidade de Software)

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Dane Street

SiteLinkedInTodas as Vagas

51 - 200 funcionários

⚕️ Seguro de Saúde

📋 Conformidade

🏛️ Governo

Healthcare Insurance • Compliance • Government

A Dane Street é líder nacional em Exames e Revisões Médicas Independentes, fornecendo Exames Médicos Independentes (IMEs), Revisões por Pares e outros laudos médicos de forma objetiva, em conformidade e dentro dos prazos. Com uma ampla rede de mais de 16. 000 médicos, a empresa oferece serviços em 25. 000 localidades e 100 especialidades, incluindo sinistros de compensação trabalhista (Workers’ Compensation), automóvel, responsabilidade civil (Liability) e incapacidade (Disability). A Dane Street atende seguradoras, Third-Party Administrators (TPAs), organizações de Managed Care e órgãos federais/estaduais com análises médicas especializadas, ajudando-os a tomar decisões precisas. A empresa é reconhecida pela qualidade, prazos de entrega ágeis e processos eficientes, tendo conquistado credenciais como a Acreditação da NCQA em Utilization Management e a certificação Great Place to Work.

Descrição

• Oversight of the review of Physician reports and accompanying medical records to ensure completeness, accuracy, and consistency with medical evidence • Ensure appropriate QA staff are assigned to each file and supervise staff • Manage the File Review Board ensuring timely and accurate file processing • Assist in identifying & correcting staff performance including promotions, discipline, coaching, and termination • Ensure all QA staff adhere to and meet job duties • Actively participate in issue resolution with QA, physicians, account managers, and other related parties • Act as the liaison regarding the process or status of the file • Other duties & special projects as assigned

🎯 Requisitos

• An Associate’s Degree or Bachelor’s Degree is preferred • RN licensure required • Medical peer review or healthcare industry knowledge required • Business experience in a healthcare and/or insurance setting is preferred • Exceptional communication skills with a clear understanding of company business lines • Ability to apply critical thinking, manage time efficiently and meet specific deadlines • Computer literacy and typing skills are essential.

🏖️ Benefícios

• medical, dental, and vision coverage for you and your family • voluntary life insurance options for you, your spouse, and your children • other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans • basic life insurance, short-term disability, and long-term disability coverage at no cost • generous paid time off policy • 401k plan with a company match • Apple equipment and a media stipend for remote workspace