IME RESOURCES LLC

Role Description The Clinical Quality Assurance Coordinator Supervisor is responsible for overseeing the daily workflow of the Quality Assurance Department and providing leadership and direction to ensure operations run as efficiently and effectively as possible. This position requires a complete understanding of the duties outlined below. This is a 100% fully remote role with a schedule of: Monday - Friday 8-5pm ET or 9-6pm ET (set, available for occasional escalated issues evenings/weekends by phone). Essential Job Functions: - Coordinate and direct the QA department’s daily workflow to ensure all product lines are completed with the highest level of quality in the most effective and efficient manner possible. - Prioritize and manage the daily workload and ensure the appropriate and equitable distribution of work is maintained in order to achieve goals. - Monitor work product to ensure clear, concise, evidence-based rationales have been provided in support of all recommendations or determinations and that specific indicators and criteria in accordance with company policy and procedures have been achieved. - Ensure department compliance with all federal ERISA and state mandates is adhered to at all times. - Promote effective and efficient utilization of all clinical resources and make necessary recommendations for improvements to management as needed. - Ensure all client relationships are maintained and all client-specific requirements are met. - Assist promptly in resolution of any physician and/or customer complaints or quality assurance issues. - Delegate work as needed and provide backup to all departmental positions as required. - Provide insight and direction to management on consultant quality, availability, and compliance with all company policies and procedures. - Participate in the development and implementation of policies and procedures to promote and achieve the most efficient operation possible. - Participate in various educational and/or training activities as required. - Perform other duties as assigned. Essential Supervisory Responsibilities: - Carrying out all responsibilities in accordance with the company’s standards, policies, and all applicable employment laws. - Managing and monitoring workflow and providing support, training, and techniques to assist staff in achieving department daily/weekly/monthly goals and standards. - Encouraging positive morale, maintaining harmony among staff, and resolving grievances when necessary. - Overseeing the completion and approval of employee timecards and coordinating overtime needs with management and staff as needed. - Actively participating in the department’s staffing requirements including hiring, onboarding, and separating employees. - In conjunction with management, creating and implementing a plan to meet department’s goals and metrics based on workload and client needs. - Communicating change effectively and supporting those affected by change. - Supervising insubordinate staff when warranted and initiating coaching or corrective actions as required and/or directed by upper management. - Evaluating staff needs and performance, providing periodic feedback to staff and reporting any performance concerns and/or recommendations for growth opportunities to management. - Actively participating and successfully conducting annual performance evaluations. Qualifications - High school diploma or equivalent required. - A minimum of three years related experience; or equivalent combination of education and experience preferred. - Knowledge of the insurance industry, preferably claims management relative to workers' compensation, no-fault, liability, and disability is preferred. Previous supervisory experience preferred. - Must possess a working knowledge of medical legal aspects of medical records and health information principles and/or liability. - Must possess complete knowledge of general computer, fax, copier, scanner, and telephone. - Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Excel, and the Internet. - Must be a qualified typist with a minimum of 40 W.P.M. - Must demonstrate exceptional communication skills. - Analyzes problems involving multiple interrelated causes. - Gathers information and applies complex concepts or methods to generate an effective solution. - Ability to follow instructions and respond to upper management’s directions accurately. - Must demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements. - Must be able to work independently, prioritize work activities, and use time efficiently. - Must be able to take independent actions and calculated risks when needed. - Must use good judgment and include the appropriate people in the decision-making process. - Must be able to maintain confidentiality. - Must be able to demonstrate and promote a positive team-oriented environment. - Must be able to stay focused and concentrate under normal or heavy distractions. - Must be able to work well under pressure and/or stressful conditions. - Must possess the ability to manage and direct change, delays, or unexpected events appropriately. - Ability to follow all company policies and procedures in effect at the time of hire and as they may change or be added from time to time. Benefits - Competitive benefits (medical, vision, dental). - Paid time off. - 401k. Company Description MES Solutions is a premier provider of independent medical examination and peer review services to the insurance, corporate, legal, and government sectors. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES has been providing services nationally since 1978 in accordance with the industry's highest standards of operating excellence and regulatory compliance.

Role Description The Conditional Payment Specialist is responsible for working with Medicare and its contractors to obtain documentation, ensure timely follow-ups are made, and timely and accurate updates are provided to clients. This position ensures all services are completed with the highest quality and integrity and all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates. This is a remote full-time position with a standard work schedule Monday-Friday, 8am-5pm EST or 9am-6pm EST. It may be necessary to work overtime depending on business needs. Essential Job Functions - Investigate new referrals, clarify information received with the Conditional Payment Referral Coordinator and the nature of the assignment with the client or Account Executive. - Follow up with the applicable Medicare contractor to track the status of each claim. - Respond to internal and external emails and phone calls in a timely manner. - Triage conditional payment correspondence upon receipt. - Appropriate documentation of all system notes and e-mails. - Work with Team Manager to ensure client correspondence is logical and up to date. - Assist with addressing issues and solving problems as needed. - Assist other team members as needed and directed by management. - Regularly communicate with management and provide support as needed. - Abide by all rules of the company such as safety, confidentiality and organizational directives. - Perform Medicare Eligibility Inquiries and Verifications as needed. - Perform Medicare Advantage Plan and Medicaid services as needed. - Perform Treasury-related services as needed. - Perform other duties as assigned by management. Qualifications - Must be knowledgeable with business terminology, administration and management. - Must be able to adequately operate a computer, fax machine, copier, scanner, and telephone. - Must have strong knowledge of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. - Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals. Ability to compute rates and percentages. - Ability to demonstrate strong customer service skills. - Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. - Ability to follow instructions and respond to management’s directions accurately. - Must possess excellent skills in English usage, grammar, punctuation and style. - Must be able to work independently, prioritize work activities and use time efficiently. - Ability to concentrate and multitask in a fast-paced work environment. - Must be able to maintain confidentiality. - Must be able to demonstrate and promote a positive team-oriented environment. - Must be able to work well under pressure and/or stressful conditions. - Must possess the ability to manage change, delays, or unexpected events appropriately. - Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time. Benefits - Competitive benefits (medical, vision, dental) - Paid time off - 401k

Role Description We’re seeking a Utilization Review & Quality Assurance Specialist to join our fully remote team. This role offers a consistent 8:00am-4:30pm EST schedule, providing structure and work-life balance while you contribute to high‑quality clinical review operations. In this role, you’ll be at the center of ensuring excellence - leveraging strong knowledge of group health plans, clinical criteria sets, leadership, and change management to review clinical documentation, uphold regulatory and client standards, and drive quality across medical review processes. - Evaluate clinical information received, write and/or review various reports including, but not limited to: Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements. - Perform quality assurance reviews of peer review reports, correspondences, addendums or supplemental reviews to ensure they meet company standards for content, clarity, evidence-based rationale, formatting, and professional presentation. - Ensure all client instructions and specifications have been followed, all questions have been answered, and all recommendations or determinations are supported by clear, concise, and evidence-based rationales. - Verify that each review includes appropriate clinical citations when applicable, and ensure all references cited are current and obtained from reputable medical journals and publications. - Identify inconsistencies within reports and contact the reviewer to obtain clarifications, modifications, or corrections needed. - Assist in the resolution of customer complaints and quality assurance issues as appropriate. - Ensure all federal ERISA and applicable state mandates are adhered to. - Provide ongoing feedback and recommendations to management regarding consultant performance, quality trends, and compliance with internal and client specific requirements. - Participate in the development and implementation of policies and procedures to improve efficiency and quality across operations. - Develop and lead formal and informal training sessions - individually or in groups - that promote high-quality utilization review practices and reinforce company standards. - Develop and document new or improved operational processes to support continuous improvement. - Promote effective and efficient utilization of company resources across all responsibilities. - Participate in or lead various continuing education and training activities related to clinical knowledge, industry standards, and company processes. - Perform other duties as assigned. Qualifications - Must hold and maintain a Registered Nursing License. - Strong knowledge of group health/criteria sets/leadership/change management. - Must have strong understanding of medical terminology, anatomy and physiology, treatment protocols, medications and laboratory values. - Must be proficient in Microsoft Office Suite, Outlook, internet navigation and general office equipment. - Must have the ability to follow instructions and respond to upper managements’ directions accurately. - Ability to work independently, prioritize tasks, and manage time efficiently in a fast-paced environment. - Ability to demonstrate accuracy, thoroughness, and commitment to producing high quality work; actively monitor own performance and seek opportunities for improvement. - Ability to demonstrate flexibility and remain composed under pressure or in stressful conditions; adapts well to change and promotes a positive team environment. - Must be able to maintain confidentiality. - Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time. Benefits - Competitive benefits (medical, vision, dental). - Paid time off. - 401k. Company Description ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Role Description Exam Works is looking for a Medical Coding Specialist to join our team remotely! The Medical Coding Specialist (Internally called a Coding Specialist) is responsible for: - Creating and writing reports based on medical records and appropriate guideline criteria. - Utilizing the system database to determine usual and customary and/or state fee schedule allowances. - Analyzing provider billing for proper coding and billing guidelines across all provider types. - Ensuring reviews are completed with the highest quality and integrity. - Maintaining compliance with client contractual agreements, regulatory agency standards, and federal and state mandates. Schedule for this role is: Monday - Friday 8am-5pm EST Qualifications - High school diploma or equivalent required. - Minimum one year medical billing experience; or equivalent combination of education and experience required. - Must possess current coding certification in: - OASIS - RAC-CT - CCS - CPC - RHIT - RHIA - CPMA certification preferred. Requirements - Must have a full understanding of aspects of medical billing. - Must demonstrate understanding of the various types of medical billings and ability to identify which system database should be used. - Must be able to cross-reference different types of billings to ensure consistency in the review process. - Must possess knowledge of: - Standard fee schedule review - UC&R review - Drug and supply charges - Rarity - Utilization review - CPT guidelines - ICD 10 - Bundling/unbundling - Duplicate billing - CMS reimbursement guidelines - Must possess complete knowledge of general computer, fax, copier, scanner, and telephone. - Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. - Must have a full understanding of HIPAA regulations and compliance. - Must be a qualified typist with a minimum of 35 W.P.M. - Ability to follow instructions and respond to management’s directions accurately. - Ability to work independently, prioritize work activities, and use time efficiently. - Must be able to maintain confidentiality. - Must be able to demonstrate and promote a positive team-oriented environment. - Must be able to stay focused and concentrate under normal or heavy distractions. - Must be able to work well under pressure and/or stressful conditions. - Must possess the ability to manage change, delays, or unexpected events appropriately. - Ability to follow all company policies and procedures in effect at the time of hire and as they may change or be added from time to time. Benefits - Competitive benefits (medical, vision, dental) - Paid time off - 401k

Role Description We're looking for a Remote Client Coordinator to join our team! - Full-time position: Monday-Friday, 12:00pm-8:30pm EST - Competitive pay: $17 to $19 per hour - Location: Fully Remote! The Client Coordinator is responsible for servicing inquiries from clients, physicians, nurses, or any representative acting on behalf of a client. This position is responsible for: - Data preparation, data entry, data tracking, documentation, and filing. - Assigning cases to reviewers. - Contacting clients with questions or clarifications. - Emailing/calling reviewers for case submission follow-up. All duties are handled with a high degree of quality customer service and in compliance with all regulatory and company standards. Qualifications - High school diploma or equivalent required. - Minimum one year clerical experience; or equivalent combination of education and experience preferred. - Experience in a medical office or insurance industry preferred. Requirements - Must possess complete knowledge of general computer, fax, copier, scanner, and telephone. - Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. - Must have ability to be trained on and adhere to HIPAA regulations and compliance standards. - Must be a qualified typist with a minimum of 40 W.P.M. - Ability to follow instructions and respond to management’s directions accurately. - Must demonstrate accuracy, thoroughness, and responsibility for quality of work. - Must demonstrate exceptional communication skills. - Must be able to work independently, prioritize work activities, and use time efficiently. - Must be able to maintain confidentiality. - Must be able to demonstrate and promote a positive team-oriented environment. - Must be able to stay focused and concentrate under normal or heavy distractions. - Must be able to work well under pressure and/or stressful conditions. - Must possess the ability to manage change, delays, or unexpected events appropriately. - Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time. Benefits - Fast-paced team atmosphere. - Competitive benefits. - Paid time off. - 401k.

Role Description Prizm LLC (an ExamWorks company) is seeking an experienced sales professional in the claims industry to join the team as a Business Development Manager! This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average up to two times per month. It is highly preferred that this candidate be on the Central (CST) or Eastern (EST) time zone. - Identify opportunities, seek and engage new clients, develop new proposals and manage existing accounts. - Maintain consistent contact with clients and be aware of industry standards and client expectations. - Utilize time efficiently and travel as needed. - Work in conjunction with the President and others to achieve superior customer service and market knowledge. - Strive to meet and exceed the company’s revenue objectives. - Drive the development of sales with a focus on the medical legal market. - Maintain customer relationships and develop strategies for expanding the customer base. - Act as a liaison between clients and the company, promoting services and exchanging information. - Represent the company at industry functions, conferences, tradeshows, and seminars. - Inform clients of updates regarding policy changes, services, and physicians. - Assist in resolving client concerns and report quality issues in a timely manner. - Visit physicians as necessary and assist with physician recruiting efforts. - Evaluate overall sales efforts and report results to the President. - Continuously analyze the market and competition, adapting sales strategy as needed. - Provide updates as directed (weekly, monthly, or quarterly). - Attend all sales and marketing meetings as directed. - Assist with account collection activity when necessary. - Perform other duties as assigned by management. Qualifications - Bachelor degree (business, marketing, or sales preferred) or five years related experience in outside sales, or equivalent combination of education and experience. - Strong knowledge of the medical legal industry is preferred. - Valid State Driver’s License required. - Claims, workers compensation, bill review, or similar experience required. - Ability to assist with development and delivery of compelling presentations. - Ability to problem solve and develop alternative solutions for client issues. - Must maintain confidentiality. - Demonstrate team behavior and promote a positive team-oriented environment. - Ability to use good judgment and include appropriate people in decision-making. - Must divide work requirements between office time and travel. Benefits - Competitive benefits (medical, vision, dental). - Paid time off. - 401k. Company Description ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management, and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators, and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability, and workers' compensation insurance coverages.

Role Description Are you a Registered Nurse (RN) looking to move away from the bedside while still utilizing your clinical skills AT HOME? With Critical Care and ER experience? ExamWorks is looking for detail-oriented and motivated candidates for a *REMOTE* Clinical Quality Assurance Nurse Auditor to join the team! The standard schedule for this role is: Monday-Friday 8am-5pm PST. Pay range for this position is $34 to $35. The Clinical Quality Assurance Nurse Auditor is responsible for evaluating clinical information received from hospital records. This position ensures reports are completed with the highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards, and/or federal and state mandates. This position is required to handle quality assurance questions and provide overall support to the Quality Assurance Department. - Evaluates clinical information received, writes and/or reviews various reports including Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements. - Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews. - Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations. - Ensures that all client instructions and specifications have been followed and that all questions have been addressed. - Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications. - Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards. - In IME or Peer Review cases, ensures the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report. - Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists. - Ensures the provider credentials and signature are adhered to the final report. - Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed. - Contacts appropriate person to recover any missing documentation or verify charges. - Assists in resolution of customer complaints and quality assurance issues as needed. - Ensures all federal ERISA and/or state mandates are adhered to at all times. - Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications. - Promote effective and efficient utilization of company resources. - Participate in various continuing education requirements and or training activities. Qualifications - Bachelor degree in nursing or related field; or minimum five years related experience; or equivalent combination of education and experience. - Experience with medical terminology, critical care, medical specialties and treatment protocols required. Requirements - Must hold and maintain an unencumbered Registered Nursing license. - Must have experience in Emergency Room and Critical Care settings. - Must have strong knowledge of medical terminology, anatomy and physiology, treatment protocols, medications and laboratory values. - Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages. - Must be a qualified typist with a minimum of 40 W.P.M. - Must be able to operate a general computer, fax, copier, scanner, and telephone. - Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. - Must possess excellent skills in English usage, grammar, punctuation and style. - Ability to follow instructions and respond to upper management’s directions accurately. - Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met. - Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. - Must be able to work independently, prioritize work activities and use time efficiently. - Must be able to maintain confidentiality. - Must be able to demonstrate and promote a positive team-oriented environment. - Must be able to stay focused and concentrate with frequent interruptions. - Must be able to work well under pressure and/or stressful conditions. - Must possess the ability to manage change, delays, or unexpected events appropriately. - Demonstrates reliability and abides by the company attendance policy. - Must maintain a professional and clean appearance at all times consistent with company standards. Benefits - Competitive benefits (medical, vision, dental). - Paid time off. - 401k.

Role Description Are you looking to break free from the traditional medical office setting? If you're craving a fresh career path, this opportunity is tailor-made for you! ExamWorks is hiring a Quality Assurance Coordinator to join our remote team. In this role, you’ll be the final checkpoint for medical reports - ensuring accuracy in grammar, medical terminology, and content. Your keen eye for detail will help uphold the highest standards of quality and care. Why This Role Rocks: - 100% Remote - Enjoy the flexibility of working from home! - Impactful Work - You’ll play a key role in ensuring the quality and compliance of critical reports. - Schedule - Monday through Friday; 7:00am-3:30pm CT (training schedule 8:00am-4:30pm CT); occasional weekends Responsibilities may include: - Perform quality assurance review of reports, correspondences, addendums or supplemental reviews. - Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations. - Ensure that all client instructions and specifications have been followed and that all questions have been addressed. - Ensure each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications. - Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards. - Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report. - Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists. - Ensure the provider credentials and signature are adhered to the final report. - Identify any inconsistencies within the report and contact the Provider to obtain clarification, modification or correction as needed. - Assist in resolution of customer complaints and quality assurance issues as needed. - Ensure all federal ERISA and/or state mandates are adhered to at all times. - Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications. - Promote effective and efficient utilization of company resources. - Participate in various educational and or training activities as required. - Perform other duties as assigned. Qualifications - Medical Assistants, Certified Nursing Assistants and Medical Scribes encouraged to apply! - Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values. - Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages. - Must be a qualified typist with a minimum of 40 W.P.M preferred. - Must be able to operate a general computer, fax, copier, scanner, and telephone. - Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. - Must possess excellent skills in English usage, grammar, punctuation and style. - Ability to follow instructions and respond to upper managements’ directions accurately. - Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met. - Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. - Must be able to work independently, prioritize work activities and use time efficiently. - Must be able to maintain confidentiality. - Must be able to demonstrate and promote a positive team-oriented environment. Benefits - Competitive benefits (medical, vision, dental) - Paid time off - 401k

Role Description This role is designed for licensed nursing professionals. To be considered, you must hold an active RN, LPN, or LVN license. Are you a Nurse (LPN, LVN or RN) seeking a role that challenges you, helps you grow, and lets you work from the comfort of your own home? ExamWorks has the perfect opportunity for you! We’re looking for a Clinical Quality Assurance Coordinator to join our team! In this role, you’ll ensure Peer Review case reports meet the highest standards of quality, integrity, and compliance with client agreements, regulatory guidelines, and federal/state mandates. Responsibilities - Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews. - Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations. - Ensure that all client instructions and specifications have been followed and that all questions have been addressed. - Ensure each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications. - Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards. - Ensure the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case report. - Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists. - Ensure the provider credentials and signature are adhered to the final report. - Identify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed. - Assist in resolution of client complaints and quality assurance issues as needed. - Ensure all federal ERISA and state mandates are adhered to at all times. - Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications. - Promote effective and efficient utilization of company resources. - Participate in various educational and or training activities as required. - Perform other duties as assigned. Qualifications - High school diploma or equivalent required with a minimum of two years clinical or related field experience; or equivalent combination of education and experience. - Experience in peer review, clinical documentation review, or medical necessity assessments. - Familiarity with CMS guidelines, InterQual, Milliman/MCG, or payer policies. - Prior employment with insurance carriers, TPAs, or managed care organizations. - Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values. - Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages. - Must be a qualified typist with a minimum of 40 W.P.M. - Must be able to operate a general computer, fax, copier, scanner, and telephone. - Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. - Must possess excellent skills in English usage, grammar, punctuation and style. - Ability to follow instructions and respond to upper management’s directions accurately. - Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met. - Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. - Must be able to work independently, prioritize work activities and use time efficiently. - Must be able to maintain confidentiality. Benefits - 100% Remote - Enjoy the flexibility of working from home! - Impactful Work - You’ll play a key role in ensuring the quality and compliance of critical reports. - Schedule - Monday to Friday; 8:30am-5:00pm EST

Role Description ExamWorks is seeking a strategic, technologically skilled, and collaborative individual with experience in leading implementations and operational change initiatives to join the team as a Change & Adoption Lead. This will be a remote position with a Monday – Friday schedule. The Change & Adoption Lead is responsible for ensuring the successful adoption of new systems, processes, and ways of working across ExamWorks. While the initial focus will be on a current Salesforce transformation program, the role will expand to support broader organizational change as the company modernizes technology and operations. This role leads the internal change strategy across implementation, go-live, and stabilization—ensuring new capabilities translate into meaningful improvements in how teams work, collaborate, and deliver value. The Change & Adoption Lead partners closely with the Transformation Program Lead, technology leaders, implementation partners, and business stakeholders to drive sustainable operating change. The role will also help establish ExamWorks’ internal change capability by building foundational approaches to communications, training, and adoption measurement that support future initiatives across the organization. Essential Functions - Salesforce Transformation Adoption - Own the internal change and adoption strategy for the Salesforce transformation program, including both platform adoption and new ways of working. - Partner with Salesforce implementation partners and external change consultants while retaining internal ownership of change outcomes. - Define and execute the overall change roadmap, including readiness milestones, training strategies aligned to real workflows, and communications that reinforce priorities, roles, expectations, and accountability. - Coordinate closely with release, cutover, and stabilization planning to ensure teams are operationally and behaviorally ready. - Act as the voice of the field during rollout and stabilization, surfacing friction, confusion, and resistance early. - Track adoption, readiness, and operating effectiveness indicators and translate insights into targeted interventions that improve adoption and performance. - Partner with program leadership to address adoption risks before they impact delivery or operational performance. - Enterprise Change Capability - Establish and lead a change champion and leadership enablement network across the organization. - Support new ways of working across business, IT, delivery partners, brands, and field teams as the operating model evolves. - Reinforce clear ownership, decision rights, and accountability as new workflows and operating expectations are introduced. - Help embed new practices so adoption continues without heavy reliance on external vendors. - Contribute to the development of ExamWorks’ internal change capability, including approaches for training, communications, and adoption measurement that can support future initiatives. - Perform other duties as assigned by management. Qualifications - Bachelor’s degree in one of the following (or equivalent experience); business administration, operations, management, organizational development, Information Systems or related fields. - 8 - 12 years of experience leading enterprise change, adoption, or transformation initiatives. - Prosci Certified is a requirement. - Must have proven experience leading enterprise change and adoption initiatives for large scale, technology transformations (Salesforce or similar platform strongly preferred). - Must have strong understanding of organizational change management, operating model shifts, and behavioral adoption. - Must have experience supporting Salesforce or comparable platform transformations and complex, matrixed organizations. - Must have experience working across business, IT, and external implementation partners. - Ability to influence senior leaders and Frontline teams without direct authority. - Must have strong communication, facilitation, and stakeholder management skills. - Must be comfortable operating and ambiguity and across phase, involving implementations. - Must have excellent communication skills, including the ability to convey technical information clearly, listen actively, and seek clarification as needed. - Ability to manage multiple priorities, work independently, and meet deadlines under pressure. - Ability to adapt to change and guide team through shifting priorities and unexpected challenges. - Must have commitment to professionalism, confidentiality, and fostering a positive, collaborative environment. - Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time. Benefits - Competitive benefits (medical, vision, dental). - Paid time off. - 401k. Company Description ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.