Job Closed
This listing is no longer active.
National Experts in IME and Peer Review Services
Clinical Quality Assurance Coordinator (RN)
Location
United States
Posted
139 days ago
Salary
$27 - $29 / hour
No structured requirement data.
Job Description
Clinical Quality Assurance Coordinator (RN)
MES Solutions
Job DetailsJob Location: Norwood, MA 02062Position Type: Full TimeSalary Range: $27.00 - $29.00 HourlyTravel Percentage: NoneCalling All LPNs/LVNs! Are you an LPN/LVN looking for an exciting new opportunity? MES is on the hunt for a talented Clinical Quality Assurance Coordinator to join our growing team! In this role, you’ll dive into medical records, pulling out key details and crafting detailed narrative summaries. Your keen eye for detail will make you an invaluable part of our quality assurance process. Why You’ll Love This Role: -100% Remote – Work from where you're most comfortable - home! -Flexible Hours – Monday-Friday. Start your day between 7:00am and 12:00pm EST, and end between 3:30pm and 8:30pm EST. -Great Training – The first 4-6 weeks of training are designed to set you up for success, with a preferred training schedule of 12:00pm-8:30pm EST. At MES, we’re an employee-first company offering fantastic benefits and incredible growth opportunities. If you’re ready to take the next step in your career with a team that values your expertise, we want to hear from you! Essential duties and responsibilities to perform this job successfully include, but are not limited to the following: 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. 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. 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. 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 educational and or training activities as required. QualificationsMINIMUM REQUIRED QUALIFICATIONS Education and/or Experience High school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience preferred. Knowledge of the insurance industry, preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, or disability preferred. Certificates, Licenses, Registrations LPN/LVN/RN may be required based on business needs. ESSENTIAL COMPETENCIES QUALIFICATIONS Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values. Must be a qualified typist with a minimum of 40 W.P.M Must have a full understanding of HIPAA regulations and compliance. 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 demonstrate exceptional communication skills. 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 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. LANGUAGE/COMMUNICATION SKILLS Ability to read, analyze and interpret common correspondence, medical records, and legal contracts and documents. Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar. Ability to respond appropriately and professionally to all inquiries or complaints from customers, physicians, regulatory agencies, and/or members of the business community. Ability to effectively present information one-on-one or in small groups. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position generally consists of: Ability to work at a desk or similar office-type furnishings up to 8 hours a day or longer as required by business needs. Ability to operate a computer up to 4 hours at a time. Ability to travel to different floors of the office or other locations. Ability to move throughout the office. Occasionally lifting and/or carrying up to 10 lbs. Occasionally pushing/pulling up to 10 lbs. Occasionally subject to bending, squatting or twisting. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extended hours are occasionally required beyond the regular eight (8) hour work day. The noise level in the work environment is usually moderate. MES is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws. Equal Opportunity Employer - Minorities/Females/Disabled/Veterans
Related Guides
Related Categories
Related Job Pages
More QA Engineer Jobs
About Inizio Evoke In the journey of life, your career should make a difference. We believe everyone has a purpose at Evoke, and it's everyone's role to make health more human™. When you join Evoke, you become part of a dynamic global healthcare platform-adaptive, agile and innovative. Organized by global practice areas and specialty agencies, we provide access to a uniquely comprehensive offering to solve the most complex of challenges in today's healthcare market. About the role The AI QA Analyst is responsible for validating the quality, reliability, and trustworthiness of outcomes produced by an agentic AI platform operating across both ad-hoc and structured work modes. Unlike traditional QA roles focused solely on deterministic software behavior, this role is accountable for testing AI-generated outputs, multi-agent workflows, execution traceability, and lifecycle integrity across complex, evolving work states. This role ensures that our AI agents produce accurate, explainable, compliant, and reproducible results while adhering to platform invariants such as attribution, auditability, promotion paths, and lifecycle correctness. The AI QA Analyst will partner closely with Product and Business Analysis teams to embed quality signals directly into our execution model. Here's what you'll be doing: - Agentic AI Output Validation - Design and execute QA strategies to validate AI-generated artifacts, recommendations, and decisions produced by autonomous and semi-autonomous agents. - Evaluate outputs for accuracy, relevance, completeness, hallucination risk, and alignment with provided context modules and knowledge sources. - Validate that agent outputs are attributable, traceable, and reproducible within our execution and memory model. Multi-Agent Workflow & Lifecycle Testing - Test end-to-end agent workflows across the full lifecycle: Intent → Objective → Plan → Execution → Artifacts → Memory → Evolution - Validate correct behavior across both ad-hoc requests and structured deliverables, including seamless promotion between the two without loss of context or artifacts. - Ensure lifecycle state transitions, dependencies, and blocking logic behave deterministically and transparently. Platform & Execution Quality Assurance - Develop test cases for plan creation, phase execution, step execution, retries, halts, and re-runs across human and AI agents. - Validate execution logs, artifacts, decisions, and audit events for completeness and consistency. - Test failure modes, edge cases, and recovery scenarios in agent execution paths. Compliance, Governance & Explainability - Partner with Legal, Compliance, and Data teams to ensure QA coverage for regulated workflows, including healthcare-grade auditability and review readiness. - Validate that AI outputs meet governance requirements for explainability, source grounding, and decision rationale. - Ensure platform behavior aligns with responsible AI standards, including bias awareness and data usage constraints. Continuous Quality Improvement - Contribute to the design of automated testing frameworks for agentic systems, including regression testing of AI outputs over time. - Define and track quality metrics related to AI performance, output stability, and user trust signals. - Provide structured feedback loops to Product and Engineering teams to improve agent behavior, prompts, and orchestration logic. About you - Professional Experience - 4+ years of experience in Quality Assurance, Test Engineering, or Product Quality roles within complex software platforms. - Hands-on experience testing AI-enabled, data-driven, or workflow-oriented systems. - Proven ability to validate non-deterministic outputs where “correctness” is probabilistic rather than binary. Skills & Competencies - Strong understanding of QA methodologies across functional, integration, regression, and UAT testing. - Experience designing test cases for LLMs, generative AI systems, or intelligent automation. - Ability to reason about agent behavior, execution traces, and output quality across multi-step workflows. - Familiarity with Agile delivery environments and tools such as JIRA, Confluence, or similar. - Exceptional attention to detail and comfort working with complex system states and abstractions. Preferred Qualifications - Experience with agentic AI frameworks, orchestration systems, or multi-agent workflows. - Background in regulated industries such as healthcare, life sciences, or financial services. - Exposure to LLM evaluation techniques, prompt testing, or AI output benchmarking. - Familiarity with audit logging, compliance validation, or responsible AI practices. Success Metrics - Reduction in AI-related defects, regressions, and post-release quality issues. - Demonstrated improvement in consistency, trustworthiness, and explainability of agent outputs. - High confidence from Product, Compliance, and Engineering stakeholders in platform readiness. - Successful validation of complex agent workflows across structured and ad-hoc use cases. What This Role Offers - A front-row seat in shaping quality standards for agentic AI systems at enterprise scale. - Direct influence on how AI behavior is validated, trusted, and operationalized in real client work. - Collaboration with cross-functional leaders building a next-generation AI operating system. - The opportunity to help define what “quality” means when software reasons, plans, and executes autonomously. Benefits: Inizio Evoke provides an exciting and flexible work environment, great compensation packages and outstanding company paid benefits including medical, dental, 401(k), tuition reimbursement and flexible time off. The base salary range represents the low and high end of the salary range for this position. This range may differ based on your experience and skill set, geographic location, and cost of living considerations. We consider compensation more than just a base salary – that’s why we also offer an exceptional range of flexible benefits, personal support and tailored learning and development opportunities all designed to help you realize your full potential both in life and at work. Compensation $70,000—$105,000 USD Don't meet every job requirement? That's okay! Our company is dedicated to building a diverse, inclusive, and authentic workplace. If you're excited about this role, but your experience doesn't perfectly fit every qualification, we encourage you to apply anyway. You may be just the right person for this role or others.
🌍 Remote-friendly · Outcome-driven Want to shape a product used by millions - without being tied to office walls or fixed hours? At BlueThrone, we focus on outcomes, not time tracking. Work from wherever you’re most productive, manage your own schedule, and take time off when you need it. What matters is the quality you ship. About BlueThrone We don’t just build apps. We scale indie mobile products into global businesses. With 80M+ downloads, 20M+ MAU, and $14M ARR - all grown organically - we operate at scale while staying lean and focused. We move fast, think long-term, and take pride in shipping products people genuinely love. Our team is made up of builders: engineers, product thinkers, and growth experts who care deeply about craft, ownership, and real impact. The product & your role 💭 You’ll be working on a fast-growing social discovery mobile app designed to help people - mainly teenagers - connect, make friends, and build real social connections in a safe and engaging environment. The product is highly interactive and UI-driven, with real-time user interactions, social mechanics, and a strong focus on experience. It’s used daily by a young, active audience, which means quality, stability, and trust matter a lot - even small issues are felt immediately by users. The team is small, product-focused, and moves fast. There’s very little formal documentation, so QA is deeply involved in understanding how the product behaves, spotting gaps early, and shaping quality standards as the product evolves. This is a hands-on, high-impact QA role. You’ll own quality end-to-end and work closely with engineers, designers, and product partners to make sure every release feels smooth, intuitive, and reliable. We’re not looking for someone who just executes test cases. We want someone who thinks like a user, asks the right questions, and takes real ownership of product quality 🚀 What you’ll be doing - Owning product quality across mobile and web - Designing and running test scenarios that reflect real user behavior - Performing regression, smoke, and exploratory testing - Validating APIs and integrations to ensure smooth end-to-end flows - Identifying edge cases, documenting issues clearly, and following them through - Improving testing practices as the product and team scale - Collaborating closely across teams - QA here is part of the build process, not an afterthought What you'll need to succeed: - 5+ years of experience in QA, with a strong focus on mobile testing - At least 2 years of hands-on web testing experience - Hands-on experience testing complex, consumer-facing mobile apps - Experience working with data-heavy, feature-rich products - Familiarity with tools like Jira, Postman, Swagger (or similar) - A sharp eye for detail, paired with strong prioritization skills - An ownership mindset - you don’t wait to be told what to test - You ask great questions, raise flags early, and love clear communication - You care about the product, not just the test plan You’ll thrive here if you: - Enjoy ownership without heavy process or bureaucracy - Like working closely with teams but also value focused, independent work - Can zoom out to see the product as a whole, then zoom in on details - See QA as a strategic role, not a support function - Want to work on a product with real users, real scale, and real momentum - Care deeply about getting things right - and improving them over time The interview process 🪜 - Intro call with our People team (45 min) - Technical deep-dive with our QA Engineer (60 min) - Meeting with Tech Lead (45 min) - Final conversation with our CTO (45 min) 🚀 We move fast and flex around your availability. Most processes take 3-4 weeks. Equal opportunities for everyone 💖 We believe the best teams are diverse teams. We welcome applicants from all backgrounds and experiences. We consider all candidates regardless of age, ethnicity, religion, sex, sexual orientation, gender identity, family or parental status, national origin, veteran status, neurodiversity, or disability. If you need reasonable adjustments at any point in the application or interview process, please let us know.
• Test complete end-to-end user journeys within the mobile app • Validate newly developed features before and after release • Test regional configurations to ensure correct behavior across markets • Perform regression testing for every release cycle • Review and validate in-app content • Ensure content accuracy, clarity, and regional relevance • Identify UX gaps and suggest practical improvements • Document clear bug reports with screenshots, videos, and reproduction steps • Maintain structured test cases and QA checklists • Take ownership of mobile app quality across releases
• Ensuring each piece of your team’s planned development work is verifiable and independent by tracing acceptance criteria to QA Plans you’ll author. • Executing QA Plans and granting acceptance to development work before it enters our production environment. • Managing non-production testing environments with our Review App deployment system. • Creating detailed bug reports enabling engineers to quickly address problems without spending significant time troubleshooting outside of code. • Performing exploratory testing and using our software in ways your teammates have not anticipated. • Reduce customer-reported and internally identified defects by enhancing testing rigor. • Advocate for the end-user, providing constructive feedback to ensure software quality is never compromised.
