Group Health QA Supervisor jobs in United States
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Dane Street · 1 month ago

Group Health QA Supervisor

Dane Street is a fast-paced, Inc. 500 Company that processes over 200,000 insurance claims annually. They are seeking a QA Supervisor responsible for overseeing the review of Physician reports and managing QA staff to ensure accuracy and efficiency in the review process.

Auto InsuranceCommercial InsuranceEmployee BenefitsFinancial ServicesHealth InsuranceInsurance

Responsibilities

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
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

Qualification

RN LicensureMedical peer reviewHealthcare industry knowledgeComputer literacyCritical thinkingTyping skillsCommunication skillsTime management

Required

An Associate's Degree or Bachelor's Degree is preferred
RN Licensure Required
Medical peer review or healthcare industry knowledge required
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

Preferred

Business experience in a healthcare and/or insurance setting is preferred

Benefits

Medical, dental, and vision coverage for you and your family
Voluntary life insurance options for you, your spouse, and your children
Hospital indemnity
Critical illness
Accident indemnity
Pet insurance plans
Basic life insurance
Short-term disability
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

Company

Dane Street

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Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses.

Funding

Current Stage
Growth Stage

Leadership Team

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Josh Remillard
Chief Operating Officer
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Greg Powers
Chief Marketing Officer/SVP Sales
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Company data provided by crunchbase