Group Health Quality Analyst 1 – Weekend

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

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

• Communicate with customers, reviewers, physicians, office staff, and management to ensure completed reports are delivered by customer-requested due dates • Complete and ensure the overall completeness and clinical accuracy of physician reports • Provide regular report status updates to clients • Evaluate reports against client and jurisdictional standards • Ensure clinical rationale supports physician determinations • Clarify ambiguous report questions with clients • Distribute final reports according to client-specific requirements • Coordinate clarification and addendum requests • Participate in client phone calls or meetings when reports are in question • Follow up on missing referral information • Work with physicians to answer client questions and support clinical rationale • Follow up with physicians or office staff to ensure on-time report delivery • Provide verbal or written feedback and clarification requests to physicians • Obtain physician approval, confirmation, and signature for final reports • Review reports for data accuracy, spelling, grammar, and punctuation • Ensure state reporting requirements and client-specific formats are met • Follow client special handling instructions for report completion and delivery • Provide oversight to team members when needed • Improve processes to enhance turnaround time, peer-to-peer success rates, and client satisfaction • Provide final approval for case release to clients • Coordinate quality issue reports and new reviewer reports with the VP of Clinical Operations • Perform other duties and special projects as assigned

🎯 Requirements

• LPN or RN license required • Associate’s or Bachelor’s Degree preferred • Business experience in a healthcare and/or insurance setting preferred • Exceptional communication skills • Clear understanding of company business lines • Ability to apply critical thinking • Ability to manage time efficiently and meet specific deadlines • Computer literacy and typing skills • Supply and support own internet services • Maintain an uninterrupted internet connection for work from home • Ability to perform required lifting, bending, traveling, and extended sitting/computer work

🏖️ Benefits

• Medical, dental, and vision coverage for employees and families • Voluntary life insurance for employees, spouses, and children • Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans • Basic life insurance at no cost • Short-term disability coverage at no cost • Long-term disability coverage at no cost • Generous paid time off • 401(k) plan with company match • Apple equipment for remote workspace • Media stipend for remote workspace • Remote work arrangement