Job DetailsJob Location: Southfield, MI 48076Position Type: Full TimeSalary Range: $25.00 - $28.00 HourlyCraving a New Adventure? Flex Your Clinical Skills Right from Your Couch! 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. 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 - 8:30am-5:00pm EST Responsibilities may include: 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 managements’ 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. 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. Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Equal Opportunity Employer - Minorities/Females/Disabled/Veterans ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Job DetailsJob Location: Southfield, MI 48076Position Type: Full TimeSalary Range: $25.00 - $28.00 HourlyCraving a New Adventure? Flex Your Clinical Skills Right from Your Couch! 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. 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 - 8:30am-5:00pm EST Responsibilities may include: 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 managements’ 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. 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. Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Equal Opportunity Employer - Minorities/Females/Disabled/Veterans ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

WORK AT THE HEART OF THE CHANGE Emprende una Carrera que te inspire, súmate a nuestra área de Accenture Technology y sé parte del cambio! “En Accenture vivimos el futuro hoy, porque no solo aplicamos tecnología, la creamos. Aquí construimos el futuro”. Combinemos tu ingenio con las últimas tecnologías y sé parte del impacto positivo que puedes generar. Te invitamos a abrir las puertas del mundo digital donde podrás desarrollar tu talento para crecer, aprender y certificarte en las tecnologías más avanzadas, proporcionar innovación continua, ágil y participar de nuevos negocios. Cada día, en todo el mundo, nuestros equipos innovan para crear un cambio significativo. Sé parte de Accenture! Nos encontramos en búsqueda de un Java Technical Lead para incorporarse a nuestro equipo! Algunas de tus responsabilidades clave serán: - Definir y ejecutar la estrategia de calidad del proyecto. - Líderar y coordinar al equipo QA, promoviendo buenas prácticas, feedback continuo y desarrollo profesional. - Participar activamente en el análisis de requerimientos, definición de criterios de aceptación y planificación de pruebas. - Gestionar y dar seguimiento a defectos, riesgos y métricas de calidad. - Actuar como referente de QA frente al cliente, asegurando una comunicación clara y efectiva. - Impulsar iniciativas de mejora continua e innovación en los procesos de QA. Job Qualifications Skills Necesarios para este role: - Al menos 6 años en QA y 2 a 3 años en roles de liderazgo técnico. (excluyente) - Experiencia liderando técnicamente equipos - Buena comunicación Tecnologías deseables: GenAI aplicada a QA (deseable). ¿Por qué elegir Accenture? Un lugar de trabajo único, descubre algunos de los beneficios que tenemos para ti: 💪 Desarrollo de carrera 💯 Jornadas Flex 📚 +40 mil capacitaciones y cursos disponibles (online y presencial) 📒Bibliotecas, libros y podcasts 🗣️Programa de idiomas ⭐ ¡Certificaciones gratuitas mediante nuestros partners! +900 certificados en Chile 🤖GenAI Academy, con programas exclusivos para Accenture. ⭐⭐Reconocidos por Great Place To Work Chile 2024 en el puesto #8 entre las mejores compañías para trabajar de más de 1.000 colaboradores. ¡Sí, estamos en el Top 10 de Chile! 🎉 ¡Experiencia de onboarding global! +6.000 personas recibidas en el Metaverso a nivel LATAM 🏆 Bonos y aguinaldos 👩‍⚕️ Seguro complementario de salud (sin deducible ni copago) 🎂 Día de cumpleaños libre 👨‍👩Licencias de Paternidad & Maternidad Extendida 🌎 Red global de conocimiento 🌈Elegida la compañía más diversa e inclusiva del mundo, según el Índice de Diversidad e Inclusión de Refinitiv ♻️Sostenibilidad, un motor de cambio, conoce nuestro compromiso Sobre nosotros: · 733K colaboradores a nivel global. · 9K clientes en 120 países · + de 1.900 Talentos en Chile. · Proyectos en diversas industrias About Accenture Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.Visit us at www.accenture.com Declaración de igualdad de oportunidades en el empleo Creemos que nadie debe ser discriminado por sus diferencias. Todas las decisiones de empleo se tomarán sin importar la edad, raza, credo, color, religión, sexo, origen nacional, ascendencia, discapacidad, condición de veterano militar, orientación sexual, identidad o expresión de género, información genética, estado civil, ciudadanía ni ningún otro criterio protegido por la legislación aplicable. Nuestra rica diversidad nos hace más innovadores, competitivos y creativos, lo que nos permite servir mejor a nuestros clientes y comunidades.

• Design, write, and maintain test plans, test cases, and regression suites for Documo’s product suite (cloud fax, IDP, eSign, API integrations) • Leverage AI-powered tools (e.g. Claude Code, Playwright, etc.) to accelerate test generation, identify coverage gaps, and reduce manual effort • Use large language models to assist with edge case discovery, test data synthesis, and exploratory testing scenarios • Execute manual, automated, and exploratory testing across web, API, and backend systems • Partner with Development and Product to review requirements, identify quality risks early, review & improve merge requests for test completeness and accuracy, and shift testing left in the SDLC • Build and maintain CI/CD-integrated test automation pipelines using tools like Selenium, Playwright, or Cypress • Validate HIPAA compliance requirements and data security standards throughout the testing lifecycle • Track, document, and triage defects in Jira; communicate clearly on severity and impact • Analyze test results and use AI-assisted analytics to identify patterns, flaky tests, and systemic issues • Continuously evaluate and adopt new AI-powered QA tooling to improve efficiency and coverage • Contribute to a quality culture by mentoring teammates and advocating for testability in design