Dane Street logo
Dane Street

Dane Street is a Boston, Massachusetts-based independent medical examination (IME) and peer-review organization that provides credible, objective exams and revi

Group Health Clinical QA Supervisor

QA EngineerQA EngineerRemoteMid LevelCompany Site

Location

United States

Posted

8 days ago

Salary

Not specified

Seniority

Mid Level

English

Job Description

The Clinical QA Supervisor is responsible for the oversight of the review of Physician reports and accompanying medical records to ensure that the report is complete, accurate, and consistent with medical evidence.

Oversight of QA staff 

  • Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team.
  • Supervise the assigned staff and manage the File Review Board to ensure a timely and accurate process of each file.  
  • Provide details of board reviews to managers to ensure efficiency and productivity of staff.
  • Assist in identifying & correcting staff performance including promotions, discipline, coaching and termination of staff. 
  • Assist in hiring qualified candidates for QA open positions.

Ensure that all QA staff adhere to and meet their specific job duties including but not limited to:

    • Following up with Physicians for outstanding reports
    • Reviewing received reports for accuracy
    • Delivering completed reports back to all applicable parties
    • Following all client-specific instructions
  • Actively participate in issue resolution by working with the required QA, physicians, account managers, and/or other related parties.
  • Ensure referrals meet the client-directed Turn Around Time (TAT).
  • Act as the liaison between the reviewer, team member and client regarding the process  or status of the file.
  • Other duties & special projects, as assigned and based on business needs.

Job Requirements

  • EDUCATION/CREDENTIALS:
  • An Associate’s Degree or Bachelor’s Degree is preferred.
  • RN licensure required
  • JOB RELEVANT EXPERIENCE:
  • Medical peer review or healthcare industry knowledge required.
  • Business experience in a healthcare and/or insurance setting is preferred.
  • JOB RELATED SKILLS/COMPETENCIES:
  • Present exceptional communication skills with a clear understanding of company business lines.  The ability to apply critical thinking, manage time efficiently and meet specific deadlines.  Computer literacy and typing skills are essential.

Benefits

  • Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.
  • ABOUT DANE STREET:
  • A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

Related Categories

Related Job Pages

More QA Engineer Jobs

QA Engineer8 days ago
Full TimeRemote

The Test Resources Associate is an operational role responsible for supporting international telecom testing programs by managing and coordinating testing resources. Telecommunications companies frequently require access to SIM cards, mobile data plans, and connectivity resources...

United States + 259 moreAll locations: United States, Afghanistan, Åland Islands, Albania, Algeria, American Samoa, Andorra, Angola, Anguilla, Antarctica, Antigua And Barbuda, Argentina, Armenia, Aruba, Australia, Austria, Azerbaijan, Bahamas, Bahrain, Bangladesh, Barbados, Belarus, Belgium, Belize, Benin, Bermuda, Bhutan, Bolivia, Plurinational State Of, Bosnia And Herzegovina, Botswana, Bouvet Island, Brazil, British Indian Ocean Territory, Brunei Darussalam, Bulgaria, Burkina Faso, Burundi, Cambodia, Cameroon, Canada, Cape Verde, Cayman Islands, Central African Republic, Chad, Chile, China, Christmas Island, Cocos (keeling) Islands, Colombia, Comoros, Congo, Congo, The Democratic Republic Of The, Cook Islands, Costa Rica, Côte D'ivoire, Croatia, Cuba, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, El Salvador, Equatorial Guinea, Eritrea, Estonia, Ethiopia, Falkland Islands (malvinas), Faroe Islands, Fiji, Finland, France, French Guiana, French Polynesia, French Southern Territories, Gabon, Gambia, Georgia, Germany, Ghana, Gibraltar, Greece, Greenland, Grenada, Guadeloupe, Guam, Guatemala, Guernsey, Guinea, Guinea-bissau, Guyana, Haiti, Heard Island And Mcdonald Islands, Holy See (vatican City State), Honduras, Hong Kong, Hungary, Iceland, India, Indonesia, Iran, Islamic Republic Of, Iraq, Ireland, Isle Of Man, Israel, Italy, Jamaica, Japan, Jersey, Jordan, Kazakhstan, Kenya, Kiribati, Korea, Democratic People's Republic Of, Korea, Republic Of, Kuwait, Kyrgyzstan, Lao People's Democratic Republic, Latvia, Lebanon, Lesotho, Liberia, Libyan Arab Jamahiriya, Liechtenstein, Lithuania, Luxembourg, Macao, Macedonia, The Former Yugoslav Republic Of, Madagascar, Malawi, Malaysia, Maldives, Mali, Malta, Marshall Islands, Martinique, Mauritania, Mauritius, Mayotte, Mexico, Micronesia, Federated States Of, Moldova, Republic Of, Monaco, Mongolia, Montenegro, Montserrat, Morocco, Mozambique, Myanmar, Namibia, Nauru, Nepal, Netherlands, New Caledonia, New Zealand, Nicaragua, Niger, Nigeria, Niue, Norfolk Island, Northern Mariana Islands, Norway, Oman, Pakistan, Palau, Palestinian Territory, Occupied, Panama, Papua New Guinea, Paraguay, Peru, Philippines, Pitcairn, Poland, Portugal, Puerto Rico, Qatar, Réunion, Romania, Russian Federation, Rwanda, Saint Barthélemy, Saint Helena, Ascension And Tristan Da Cunha, Saint Kitts And Nevis, Saint Lucia, Saint Martin (french Part), Saint Pierre And Miquelon, Saint Vincent And The Grenadines, Samoa, San Marino, Sao Tome And Principe, Saudi Arabia, Senegal, Serbia, Seychelles, Sierra Leone, Singapore, Slovakia, Slovenia, Solomon Islands, Somalia, South Africa, South Georgia And The South Sandwich Islands, Spain, Sri Lanka, Sudan, Suriname, Svalbard And Jan Mayen, Swaziland, Sweden, Switzerland, Syrian Arab Republic, Taiwan, Province Of China, Tajikistan, Tanzania, United Republic Of, Thailand, Timor-leste, Togo, Tokelau, Tonga, Trinidad And Tobago, Tunisia, Turkey, Turkmenistan, Turks And Caicos Islands, Tuvalu, Uganda, Ukraine, United Arab Emirates, United Kingdom, United States Minor Outlying Islands, Uruguay, Uzbekistan, Vanuatu, Venezuela, Bolivarian Republic Of, Viet Nam, Virgin Islands, British, Virgin Islands, U.s., Wallis And Futuna, Western Sahara, Yemen, Zambia, Zimbabwe
Accredited Labs logo

Calibration Certificate Reviewer

Accredited Labs

Delivering top-tier calibration services with a relentless focus on quality and speed.

QA Engineer8 days ago
Full TimeRemoteTeam 201-500Since 2023

The Calibration Certificate Reviewer is responsible for reviewing and verifying calibration certificates generated within the Accredited Labs network to ensure technical accuracy, completeness, and compliance with ISO/IEC 17025 and internal quality requirements. This role focuses...

United States
Cresta logo

QA Lead, AI Agent

Cresta

Real-Time Intelligence for Contact Centers

QA Engineer8 days ago
Full TimeRemoteTeam 51-200H1B Sponsor

At Cresta, shipping AI is only half the story. Ensuring that AI interacts with humans reliably, accurately, and empathetically at scale is where the real challenge lies. As the QA Lead, AI Agent , you will be the ultimate guardian of the customer experience for our AI Agent produ...

United States
Deltek logo

Senior Performance Test Engineer

Deltek

Deltek is committed to the protection and promotion of your privacy. In connection with your application for employment with us at Deltek, it is necessary for us to collect, store and use information about you (“Personal Data”) to administer and evaluate your application. We are the “controller” of the Personal Data you provide us and will process any such Personal Data in accordance with applicable law and the statements contained in this Employment Candidate Privacy Notice. Additionally, we have not sold and do not sell Personal Data you provide to us through the job application process.

QA Engineer8 days ago
Full TimeRemote

We are looking for a highly skilled Senior Performance Test Engineer with strong experience in API and UI performance testing , deep understanding of CI/CD integration , and hands-on exposure to AI-powered testing tools . The ideal candidate will be responsible for designing, exe...

API performance testingUI performance testingJMeterk6LoadRunnerLighthouseWebPageTestPlaywrightJenkinsGitHub ActionsAzure DevOpsDynatraceNew RelicGrafanaCI/CDmicroservicesJavaJavaScriptPython
United States