Clinical QA Supervisor

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

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Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Healthcare Insurance • Compliance • Government

Dane Street is a national leader in Independent Medical Exams and Reviews, providing objective, compliant, and timely Independent Medical Examinations, Peer Reviews, and other medical reports. With a large network of over 16,000 physicians, the company offers its services across 25,000 locations and 100 specialties, including Workers' Compensation, Auto, Liability, and Disability claims. Dane Street supports Insurance Carriers, Third Party Administrators, Managed Care Organizations, and Federal/State entities with expert medical analyses, helping them make accurate determinations. The company is recognized for its quality, fast turnaround times, and efficient processes, earning accolades like the NCQA Accreditation in Utilization Management and the Great Place to Work certification.

📋 Description

• 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

🎯 Requirements

• 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.

🏖️ Benefits

• 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