Job Closed
This listing is no longer active.
MES offers our vendors a vast network of providers who perform Compensation and Pension (C&P) exams, Separation Health Assessments (SHAs), and Reserve Health Readiness Program (RHRP) evaluations for our Nation's Veterans. Our offices are outfitted with state-of-the-art equipment and highly skilled medical professionals. We pride ourselves on delivering quality services in a timely manner. 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.
Clinical Quality Assurance Coordinator
Location
United States
Posted
64 days ago
Salary
$30 - $31 / hour
Seniority
Mid Level
Job Description
Clinical Quality Assurance Coordinator
MES Solutions
Job DetailsJob Location: Norwood, MA 02062Position Type: Full TimeSalary Range: $30.00 - $31.25 HourlyTravel Percentage: NoneCraving a New Adventure? Flex Your Clinical Skills Right from Your Couch! Are you a Registered Nurse (RN) seeking a role that challenges you, helps you grow, and lets you work from the comfort of your own home? MES has the perfect opportunity for you! We’re looking for a Clinical Quality Assurance Coordinator to join our team! In this role, you’ll be responsible for ensuring that 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. Pick a Schedule That Works for You – Monday through Friday with rotating weekend shifts. You can start your day anytime between 7:00am-9:00am and end between 3:30pm-5:30pm EST with 1 late night per week from 12:00pm-8:30pm EST. Responsibilities 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. If you’re a motivated, energetic RN ready to take on an exciting new challenge, we want you on our team! At MES, we offer a dynamic environment where your skills will shine. QualificationsHigh school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience. Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, and/or disability. 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. 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. MES offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k. 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.
Related Guides
Related Categories
Related Job Pages
More QA Engineer Jobs
Associate Director, Clinical Quality Assurance
Vera Therapeutics, Inc.We are a clinical-stage biotechnology company developing treatments that transform patients’ lives.
• Serve as the Clinical Quality Assurance representative on assigned clinical study teams, providing proactive guidance to ensure clinical trial conduct aligns with GCP and regulatory expectations. • Provide oversight of clinical quality events, investigations, and CAPAs, ensuring appropriate root cause analysis, corrective actions, and identification of systemic quality trends. • Analyze quality signals across studies, vendors, and operational processes to identify emerging risks and recommend mitigation strategies. • Contribute to governance of the clinical audit program, including risk-based selection of audits and oversight of Audit CAPA follow-up. Execution of audits is performed by the audit function. • Serve as a quality interface with CROs and vendor quality representatives to ensure appropriate management and resolution of quality issues. • Support inspection readiness activities and provide first-line Clinical QA support during sponsor regulatory inspections, including preparation and follow-up actions. • Review and provide input on new or revised SOPs and controlled documents to ensure alignment with regulatory requirements and consistency across organizational procedures. • Provide input on training assignments and training matrices to ensure procedures are appropriately implemented across functional roles. • Participate in process improvement initiatives that support the development and strengthening of the Quality Management System, including the evaluation, assessment, and implementation of quality governance, processes, and systems.
Senior Specialist, Quality Prog Mgmt & Performance (RN) - Remote in AZ
Molina HealthcareMolina Healthcare is a Fortune 500 managed care company with a storied history that dates back to 1980 and the opening of a medical clinic by Dr. C. David Molina. As an employer, M
JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives, audits, data analysis and quality improvement surveys and state/federal quality compliance activities. Contributes to overarching strategy to provide safe, efficient and cost-effective member care. Essential Job Duties • Ensures individual and systemic quality of care investigations are performed timely, accurately, and in accordance with state-based requirements. • Adheres to structure and processes for tracking and trending reportable incidents, quality of care events, member service concerns, and mortalities. • Performs quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, and follow-up monitoring of placement settings. • Monitors and ensures that key quality activities that involve clinical decision-making are completed on time and accurately; presents results to key departmental leadership and other departments as needed. • Implements key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions (e.g., improving patient safety); preparation and review of potential quality of care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and any other federal and state required quality activities. • Adheres to written documentation and business practices (e.g., policies and procedures, desk-level procedures, manuals, and process flows) that explain business requirements and how the unit operationalizes those requirements. • Supports the creation and ongoing revision of policies and procedures reflective of state requirements for all quality management functions, including quality monitoring audits, credentialing and recredentialing, quality of care concerns, and peer review. • Demonstrates understanding of requirements of the quality management program and day-to-day work processes to support compliance with state contract, policies, and program requirements. • Evaluates project/program activities and results to identify opportunities for improvement. • Raises any gaps in processes that may require remediation to appropriate leadership; may be asked to focus on parts of a process where a clinician's perspective would be valuable to uncover process gaps or limitations. Required Qualifications • At least 3 years experience in health care, with a minimum of 1 year of experience in quality management and clinical quality investigations, preferably in a managed care setting, or equivalent experience • Registered Nurse. License must be active and unrestricted in state of practice. • Some states may require 1 year of behavioral health experience (depends on state/contractual requirements). • Quality auditing, peer review, and process improvement experience. • Knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). • Strong attention to detail, critical-thinking, and problem solving skills. • Ability to work cross-collaboratively in a highly matrixed organization. • Time-management skills and ability to multi-task. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Health Quality (CPHQ). • Medical record abstraction experience. • Managed care experience. • Ability to work across all levels of the organization, including working with executive audiences, vendors, providers, and the government as a customer. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Sr. QA Analyst - Deal Support
SamsaraSamsara Inc. is on a mission to increase the sustainability of the operations that power the global economy. The company pioneers the Connected Operations Cloud
Who we are Samsara (NYSE: IOT) is the pioneer of the Connected Operations™ Cloud, which is a platform that enables organizations that depend on physical operations to harness Internet of Things (IoT) data to develop actionable insights and improve their operations. At Samsara, we are helping improve the safety, efficiency and sustainability of the physical operations that power our global economy. Representing more than 40% of global GDP, these industries are the infrastructure of our planet, including agriculture, construction, field services, transportation, and manufacturing — and we are excited to help digitally transform their operations at scale. Working at Samsara means you’ll help define the future of physical operations and be on a team that’s shaping an exciting array of product solutions, including Video-Based Safety, Vehicle Telematics, Apps and Driver Workflows, and Equipment Monitoring. As part of a recently public company, you’ll have the autonomy and support to make an impact as we build for the long term. About the RoleSamsara is looking for an experienced Sr. Quality Analyst to play a pivotal role in ensuring operational excellence across our Deal Support (Deal Execution + Deal Strategy) organization. The Support Quality Manager will partner with leadership to build, implement, and maintain a quality program that supports the accuracy, efficiency, and consistency of our deal lifecycle processes. You will be responsible for providing feedback and business intelligence to drive continuous improvement and mitigate risk. The ideal candidate has expertise in quality assurance operations, a keen eye for detail, and experience analyzing data to identify opportunities that have a direct impact on business outcomes. This role will join a team in building mode, and a successful candidate will have a strong bias for action and help create a sustainable quality culture. This is a remote position open to candidates residing in Mexico. You should apply if: - You want to impact the industries that run our world: Your efforts will result in real-world impact—helping to keep the lights on, get food into grocery stores, reduce emissions, and most importantly, ensure workers return home safely. - You are the architect of your own career: If you put in the work, this role won’t be your last at Samsara. We set up our employees for success and have built a culture that encourages rapid career development and countless opportunities to experiment and master your craft. - You have an innate curiosity about how businesses work: You will learn the ins and outs of complex sales processes and go-to-market operations, and you'll be energized by finding ways to make them more efficient. - You want to be with the best: At Samsara, we win together, celebrate together and support each other. You will be surrounded by a high-caliber team that will encourage you to do your best. - You are a team player: At Samsara, we help each other out by sharing best practices and focusing on winning as a team. In this role, you will: - Process Auditing: Observe and audit deal-related interactions and workflows across various internal systems to assess performance, adherence to policy, and identify trends - Quality Assurance & Coaching: Utilize best practices and a standardized rubric to ensure the highest standards of accuracy and service are being delivered. Design and support a coaching framework that enables managers to deliver impactful feedback to their teams - Insight & Analysis: Leverage Excel, Google Sheets, and similar tools to analyze quality data, track metrics, and derive actionable insights. Deliver data-driven recommendations on service and process quality to Deal Support leadership - Program Support: Support the Deal Support Quality Program through targeted auditing, designing agile monitoring forms to collect qualitative insights, and leading investigative projects that identify opportunities to improve behaviors, processes, and tools - Collaboration: Work collaboratively with cross-functional partners in Sales, Sales Operations, and Systems teams to improve processes and achieve consistent outcomes for quality initiatives - Champion, role model, and embed Samsara’s cultural principles (Focus on Customer Success, Build for the Long Term, Adopt a Growth Mindset, Be Inclusive, Win as a Team) as we scale globally and across new offices Minimum requirements for the role: - 3-5 years of experience in a quality assurance, process improvement, or operations role, with at least 2 years directly focused on executing quality programs - Demonstrated experience in designing and using quality assurance rubrics or scorecards to perform audits and provide structured feedback - Strong analytical skills with proficiency in root cause analysis, identifying error trends, and using data to tell a story about process performance - Excellent written and verbal communication skills, with an ability to deliver constructive feedback and present findings clearly to stakeholders - A meticulous attention to detail and a passion for continuous process improvement - Ability to work independently in a dynamic and fast-paced environment - Experience leveraging AI tools to automate quality workflows or analyze large datasets An ideal candidate also has - Industry-standard quality or process improvement certifications (e.g., COPC, Six Sigma, ASQ) - Experience incorporating stakeholder feedback (like CSAT or internal surveys) into the quality improvement process - Experience facilitating calibration sessions with stakeholders to ensure scoring consistency and alignment - Experience with software used for quality assurance tracking and reporting - Familiarity with the sales deal lifecycle or a business operations environment is a strong plus - Experience with Salesforce is preferred, but not required Total Rewards At Samsara, we build for the people who keep the global economy moving. We want owners, not passengers, which is why our rewards are designed to fuel high-impact builders. Our compensation program delivers above-market total compensation through a combination of base salary, performance-based bonus/variable pay, and equity (for eligible roles) in a high-growth public company. We meaningfully differentiate pay for our top performers, who have the opportunity to earn above-market compensation that can outpace the broader market over time. Beyond compensation, we provide the foundations that enable long-term success: a flexible, employee-led remote model, a professional development stipend, comprehensive health and parental leave plans, and more. If you’re ready to build for the long term and own the outcome, your journey starts here. Flexible Working At Samsara, we embrace a flexible working model that caters to the diverse needs of our teams. Our offices are open for those who prefer to work in-person and we also support remote work where it aligns with our operational requirements. For certain positions, being close to one of our offices or within a specific geographic area is important to facilitate collaboration, access to resources, or alignment with our service regions. In these cases, the job description will clearly indicate any working location requirements. Our goal is to ensure that all members of our team can contribute effectively, whether they are working on-site, in a hybrid model, or fully remotely. All offers of employment are contingent upon an individual’s ability to secure and maintain the legal right to work at the company and in the specified work location, if applicable. Belonging at Samsara At Samsara, we welcome everyone regardless of their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability, age, and other characteristics protected by law. We depend on the unique approaches of our team members to help us solve complex problems and want to ensure that Samsara is a place where people from all backgrounds can make an impact. Accommodations Samsara is an inclusive work environment, and we are committed to ensuring equal opportunity in employment for qualified persons with disabilities. Please email accessibleinterviewing@samsara.com or click here if you require any reasonable accommodations throughout the recruiting process. Our Commitment to Authenticity We use Tofu, a fraud detection tool, to validate the authenticity of applications and protect against identity fraud. This ensures we are connecting with real people and allows us to prioritize genuine candidates. Please see Samsara’s Candidate Privacy Notice for more information. Fraudulent Employment Offers Samsara is aware of scams involving fake job interviews and offers. Please know we do not charge fees to applicants at any stage of the hiring process. Official communication about your application will only come from emails ending in @samsara.com, @us-greenhouse-mail.io or @mail3.guide.co. For more information regarding fraudulent employment offers, please visit our blog post here.
• Execute test cases (manual and automated) to validate new features, fixes, and product enhancements. • Document, track, and thoroughly communicate defects/bugs discovered during testing, using our established issue tracking system. • Assist in the creation and maintenance of clear, concise, and comprehensive test plans and test cases from functional requirements. • Perform various types of testing, including functional, integration, regression, and user acceptance testing (UAT). • Work closely with software developers, product managers, and other QA team members to understand product specifications and ensure quality throughout the software development lifecycle (SDLC). • Provide timely and accurate feedback on test results and product quality. • Participate in team meetings, sprint planning, and retrospective sessions.




