Clinical Quality Assurance Coordinator
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Clinical Quality Assurance Coordinator reviewing medical peer-review reports for MES Solutions, a provider of independent medical examination and peer-review services. Ensuring evidence-based quality, regulatory compliance, and accurate documentation.
Responsibilities:
- Perform quality assurance reviews of peer review reports, correspondences, addendums, and supplemental reviews
- Ensure clear, concise, evidence-based rationales support recommendations and determinations
- Verify client instructions, specifications, and questions have been addressed
- Confirm clinical citations and references are current and from reputable medical journals or publications
- Ensure report content, format, and professional appearance meet company standards
- Verify appropriate board specialty review and accurate documentation
- Confirm peer reviewer attestation and absence of conflicts of interest
- Ensure provider credentials and signature are included in final reports
- Identify report inconsistencies and contact peer reviewers for clarification or correction
- Assist with customer complaints and quality assurance issues
- Ensure compliance with federal ERISA and state mandates
- Provide management with insight into consultant quality, availability, and compliance
- Promote effective and efficient use of company resources
- Participate in required educational and training activities
- Perform other assigned duties
Requirements:
- Active RN/LPN nursing license required
- Must be a graduate of an accredited nursing program or have related medical experience
- Bachelor's degree preferred
- Minimum of two years clinical or related field experience, or equivalent combination of education and experience
- Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values
- Ability to perform arithmetic calculations involving whole numbers and decimals, rates, and percentages
- Qualified typist with a minimum of 40 W.P.M.
- Ability to operate a computer, fax, copier, scanner, and telephone
- Knowledge of Microsoft Word, Outlook, Excel, and the Internet
- Excellent English usage, grammar, punctuation, and style
- Ability to follow instructions and respond accurately to management directions
- Demonstrated accuracy and thoroughness
- Exceptional communication skills
- Ability to work independently, prioritize work, and use time efficiently
- Ability to maintain confidentiality
Benefits:
- Medical insurance
- Vision insurance
- Dental insurance
- Paid time off
- 401(k)
- Fully remote work
- Monday through Friday schedule
Similar Jobs
Senior Quality Engineer
Senior Quality Engineer building automated testing for Just Eat Takeaway.com’s courier logistics systems. Improving reliability, scalability, and release quality across its global online delivery platform.
Clinical Quality Assurance Coordinator
Clinical QA Coordinator reviewing peer-review reports for MES, a medical examination and peer-review services provider. Ensuring evidence-based quality, regulatory compliance, and accurate clinical documentation.
Senior Quality Assurance Tester/Engineer
Senior QA Engineer testing hardware, software, and ServiceNow SAM Pro/HAM solutions. Supporting Accelera Solutions’ Department of the Air Force enterprise IT program.
Quality Assurance Lead
Quality Assurance Process Lead overseeing DHS QA, audits, compliance, and process improvement. Supporting Peraton’s national security and enterprise IT missions.
Tester
Business Analyst/Tester supporting federal health consulting projects at Index Analytics. Analyzing requirements and executing functional, regression, and user acceptance testing for government clients.
Software Quality Assurance Analyst
Software Quality Assurance Analyst validating LLM-powered conversational flows for Blip, Brazil’s conversational intelligence and messaging company. Testing APIs, integrations, generative models, and AI user experiences.
Global Career Starter Program – Quality, Supplier Quality Assurance
Graduate trainee developing supplier quality assurance and supply-risk processes at MAHLE, a global automotive technology company. Supporting digital tools, cross-functional projects and international assignments.
Junior QA Specialist
Junior QA Specialist manually testing modern applications for established companies and startups. Focusing on API, acceptance, and end-to-end testing within Scrum teams.
Training and Quality Assurance Specialist
Training and Quality Assurance Specialist evaluating customer interactions for an educational services company. Delivering training, coaching, gap analysis, and quality improvements across teams.
Quality Assurance Manager
Quality Assurance Manager reviewing defined contribution retirement-plan testing and compliance work. Providing feedback, training, and process improvements for a national 401(k) administration firm.
Clerical Quality Assurance Coordinator – Case Prepper
Remote Case Prepper coordinating client reports, records, invoicing, and physician communications. Supporting AllMed’s clinical decision-making and utilization management solutions.
QA Analyst
Analista de QA automatizando testes web, mobile e API para a empresa brasileira de pagamentos TruckPag. Planejamento de testes, gestão de falhas e melhoria contínua da qualidade.
Quality Assurance Engineer
Quality Assurance Engineer owning end-to-end quality for ThriveCart’s e-commerce platform. Building Playwright automation, monitoring production health, and using AI-augmented testing workflows.
Senior Salesforce QA Engineer
Senior Salesforce QA Engineer testing Salesforce solutions for federal health programs and citizen services. Leading functional, integration, automation, security, accessibility, and release testing.
Senior Quality Assurance Engineer
Senior QA Engineer ensuring quality of web and mobile software for Slate’s affordable, customizable vehicles. Developing automated tests, frameworks, and quality-centric engineering practices.
Senior Compliance and Quality Assurance Consultant
Senior Qualified Person consultant leading GxP quality assurance, regulatory, auditing, QMS, and CAPA projects. ProPharma provides consulting solutions to biotech, medical-device, and pharmaceutical organizations.
Senior Quality Assurance Engineer
Senior QA Engineer automating Playwright/Python testing for Revenera’s cloud-based software monetization and analytics products. Validating APIs, UIs, data pipelines, and end-to-end workflows.
Claim Quality Assurance Supervisor – Material Damage
Claims QA Supervisor leading material damage, total loss, and salvage teams for specialty auto insurer Aspire General. Driving quality, compliance, coaching, and claims process improvement.
QA Engineer – Ultimate team
QA Engineer testing JetBrains IntelliJ IDEA Ultimate tools for JVM frameworks. Balancing exploratory testing, regression coverage, and automated test development for enterprise developers.
Quality Assurance Engineer III
Quality Assurance Engineer III driving automated software testing for Avalon Healthcare Solutions’ diagnostic intelligence platform. Ensuring reliable healthcare products through QA strategy, testing, and mentoring.