Quality Assurance & Compliance Manager
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Quality Assurance & Compliance Manager for Nira Medical leading quality program and compliance initiatives across multi-site neurology practices. Ensuring billing accuracy and regulatory compliance with a focus on risk reduction and audit readiness.
Responsibilities:
- Help lead the design, implementation, and ongoing execution of the enterprise quality program.
- Ensure billing accuracy, regulatory compliance, and revenue integrity across all practice locations.
- Embed structured quality controls into operational workflows to proactively mitigate risk and strengthen audit readiness.
- Establish and maintain a best-in-class Revenue Integrity Quality Management Program across Nira’s multi-site neurology platform.
- Develop structured audit protocols and oversee compliance inspection frameworks.
- Enforce billing standards and manage corrective action processes.
- Advance continuous quality improvement initiatives and safeguard interface and claim integrity.
- Ensure RCM remains compliant with CMS regulations, MAC LCD/NCD policies, Commercial payer requirements, NCCI edit standards, and Internal billing governance protocols.
Requirements:
- 7+ years of progressive experience in healthcare revenue integrity, auditing, compliance, or quality management.
- Demonstrated experience designing and implementing structured QA/QC or revenue integrity programs in multi-site healthcare environments.
- Advanced knowledge of CMS billing regulations, MAC LCD/NCD policies, Commercial payer reimbursement structures, CPT/HCPCS coding standards, Modifier compliance logic, and FDA Indications & Medical Necessity requirements
- Experience in managing audit documentation, corrective action workflows, and compliance governance.
- Strong analytical capability with the ability to interpret complex billing data and regulatory guidance.
- Executive-level written and verbal communication skills.
- CPC, CPMA, RHIA, RHIT, or equivalent certification (preferred).
- Experience within neurology, infusion therapy, specialty pharmaceuticals, or other high-complexity service lines (preferred).
- Experience in MSO or multi-practice healthcare platforms (preferred).
Benefits:
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
- Bonuses
- Equipment allowances
- Wellness programs
Similar Jobs
Quality Assurance RN – LTC
Clinical Quality Assurance RN at Centene conducting audits and training staff in Long Term Care. Responsible for ensuring adherence to policies and regulatory standards while maintaining data integrity.
Senior Performance Testing Engineer
Senior Performance Testing Engineer at Centene implementing performance testing to enhance healthcare technology. Optimizing systems reliability and scalability with automated tools and best practices.
QA/QC Specialist
Residential QA&QC Specialist ensuring compliance of energy efficiency projects at CLEAResult. Conducting inspections and audits while coordinating with stakeholders and maintaining program integrity.
Senior QA Engineer
Senior Quality Assurance Engineer focusing on testing application development projects and QA activities,. Collaborating with developers and engineers to ensure high-quality products.
Software Tester – Test Automation Focus
Software Tester focusing on test automation for Dr. Klein's digital ecosystem. Involves collaboration in testing processes and improving software quality remotely.
Business Analyst, Tester, Virtual Trainer
Business Analyst and Trainer supporting IT investment projects focusing on ServiceNow and Proven Optics applications. Involves collaboration, testing, and training in a remote capacity for U.S. stakeholders.
Mid Level QA Automation, Brazil
SDET ensuring software quality, reliability, and performance in tech transformation at CI&T. Collaborating in a multicultural environment and enhancing automation capabilities.
Senior Manager, CQA
Senior Manager of Clinical Quality Assurance overseeing GCP compliance and managing QA operations for clinical studies at Arcus Biosciences.
QA Engineer – Javascript, Typescript
QA Engineer managing exploratory and automated tests for a cutting-edge e-commerce company's tech platform. Collaborating on software quality, developing test plans, and leveraging AI tools.
Marketing QA Specialist
Marketing QA Specialist at OnePay delivering targeted communications and ensuring quality in cross-channel marketing. Collaborating with Product Marketing, Product, and Engineering teams to drive customer engagement.
Senior Software Quality Engineer
Senior Software Quality Engineer developing and maintaining testing strategies in healthcare technology. Collaborating closely with development teams to ensure quality across software projects.
Quality Assurance Engineer
Quality Assurance Engineer at Anika Systems designing automated testing frameworks for federal clients. Focused on data validation, automation, and AI-driven workflows in cloud architectures.
Junior QA Engineer
Junior Manual QA Engineer for PlantIn, testing iOS and Android apps with a focus on quality assurance. Collaborating on mobile app projects while ensuring stability and performance.
QA Lead
QA Lead at Aphex overseeing end-to-end regression testing while collaborating with teams to ensure quality standards. Work on a platform revolutionizing construction project management.
Software Manual QA Specialist
QA Engineer ensuring seamless quality for Higharc's web-based CAD platform. Collaborating with Engineering and Product teams, applying homebuilding expertise to enhance user experience.
Medical Representative
Medical representative at Acino promoting products while building HCP relationships in Iraq. Focused on achieving sales targets and market share growth through effective communication and relationship management.
Software Quality Assurance Engineer – Manual Testing
Software Quality Assurance Engineer developing applications using C# and .NET framework at Gainwell. Collaborating with cross-functional teams to ensure application quality and reliability.
Senior QA Engineer – Full-Stack, Automation-Heavy
Full-stack QA Engineer focused on test automation and feature coverage for Altium's electronics system design platform. Involves writing automated tests and collaborating with AQA teams.
Quality Assurance Engineer
Quality Assurance Engineer ensuring app experience and software quality at Oze. Involved in testing, risk analysis, and technical strategy for small businesses.
QA Developer
QA Developer developing and maintaining Playwright-based test suites for Sync's secure cloud storage platform. Collaborating with developers to embed quality early in the development cycle.