Dane Street · 1 month ago
Clinical Quality Assurance Supervisor
United States
Full-time
Remote
Lead/StaffDane Street is a fast-paced, Inc. 500 Company that processes over 200,000 insurance claims annually. They are seeking a Clinical Quality Assurance Supervisor responsible for overseeing the review of Physician reports and ensuring accuracy and consistency in medical evidence, while also managing QA staff and processes.
Property & Casualty InsuranceHuman ResourcesFinanceHealth InsuranceAuto InsuranceCommercial InsuranceEmployee BenefitsFinancial ServicesInsurance
No H1B
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
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
Qualification
Required
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
An Associate's Degree or Bachelor's Degree is 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
Other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans
Basic life insurance, short-term disability, and long-term disability coverage at no cost
Generous paid time off policy
401k plan with a company match
Apple equipment and a media stipend are provided for remote workspace
Company
Dane Street
Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses.
Founded in 2008
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
Quad-C Management
2026-03-31Private Equity
Leadership Team
Josh Remillard
Chief Operating Officer
Greg Powers
Chief Marketing Officer/SVP Sales
Recent News
Venture Capital Firms
2026-04-02
EIN Presswire
2025-07-23
Company data provided by crunchbase