The Evening QA Supervisor is responsible for the oversight of the review of Physician reports and accompanying medical records to ensure that the report is complete, accurate, and consistent with medical evidence. Oversight of QA staff - Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team. - Supervise the assigned staff and manage the File Review Board to ensure a timely and accurate process of each file. - Provide details of board reviews to managers to ensure efficiency and productivity of staff. - Assist in identifying & correcting staff performance including promotions, discipline, coaching and termination of staff. - Assist in hiring qualified candidates for QA open positions. Ensure that all QA staff adhere to and meet their specific job duties including but not limited to: - Following up with Physicians for outstanding reports - Reviewing received reports for accuracy - Delivering completed reports back to all applicable parties - Following all client-specific instructions - Actively participate in issue resolution by working with the required QA, physicians, account managers, and/or other related parties. - Ensure referrals meet the client-directed Turn Around Time (TAT). - Act as the liaison between the reviewer, team member and client regarding the process or status of the file. - Other duties & special projects, as assigned and based on business needs. **Schedule Requirements: This position is an evening shift role. Candidates must be available to work the required evening hours on a consistent basis.

Role Description As a Quality Management Specialist, you will partner with key members of leadership for the design and implementation of Quality Management procedures, ongoing improvement efforts, and other team projects with the aim of achieving organizational, accreditation, and regulatory requirements. - Review and analyze current processes related to the application and implementation of policies, procedures, and practices; provide leadership with recommendations for updates to comply with the current regulatory and accreditation requirements. - Identify gaps in efficient process workflow and suggest steps for quality process improvement. - Measure process performance using valid and accurate methods; analyze trends, variation, and process stability to determine if defined performance metrics are met and identify areas of risk. - Lead and support structured quality improvement initiatives (e.g. DMAIC or equivalent) to address root causes, reduce variation, and improve performance outcomes. - Manage and lead Quality Improvement Projects (QIPs) ensuring defined problem statements, root cause analysis, measurable objectives, implementation, and validation of sustained improvement outcomes. - Manage and ensure execution of CAPAs, including documented root cause analysis, defined success metrics, implementation tracking, and post-implementation validation. - Serve as liaison between clients and MRIoA’s quality management department as needed. Qualifications - Demonstrated experience applying structured quality improvement methodologies (e.g., Lean, Six Sigma, DMAIC) required. - Six Sigma Green Belt or equivalent certification preferred. - Exceptional customer service skills. - Exceptional analytical and critical thinking skills. - Excellent oral and written communication skills and interpersonal skills. - Exceptional orientation to detail. - Excellent organizational skills. - Ability to work under pressure and meet deadlines while managing multiple high priorities and supporting a flexible schedule. - Working knowledge of managed care and utilization review accreditation standards, including URAC and NCQA, and multi-state regulatory requirements. - Knowledge and understanding of the Company’s clients, products, departments, and workflows. - Personal computer literacy and competency in use of Microsoft Word, Microsoft Excel (intermediate skill), Power Point and PowerBI. - Ability to maintain a high level of objectivity and confidentiality. - Minimum of 5 years’ experience in a quality management role. - Experience in quality improvement activities within a healthcare, health insurance and/or managed care organization preferred. - Experience in supplying small group and individual training preferred. - Experience in research beneficial and preferred. Requirements - High School Diploma. - Preference for a bachelor’s degree or equivalent experience. Benefits - A competitive compensation package. - Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays. - Growth and training opportunities. - A team atmosphere with fun events and prizes scheduled throughout the year. Work Environment - Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. - This role is designed to be a remote position (work-from-home). Diversity Statement Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Drug-Free Workplace This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information. California Consumer Privacy Act (CCPA) Information (California Residents Only) - Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number. - Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

• Listen to recorded calls and assess the quality of interactions based on predetermined criteria, including adherence to scripts, professionalism, accuracy of information provided, and compliance with regulatory guidelines. • Design and conduct comprehensive training programs for new and existing staff to ensure they meet quality and performance standards. Create a culture of continuous improvement. • Deliver feedback to outreach groups regarding strengths and areas for improvement in their communication skills and adherence to company policies and procedures. • Maintain a consistent feedback loop with patient and network leaders and develop action plans to maintain a high standard of excellence. • Organize and facilitate call calibration sessions to ensure consistency and accuracy in all communications. • Facilitate discussions to establish consensus on quality standards and scoring criteria for evaluating calls; compile results and provide recommendations for adjustments. • Analyze data from quality monitoring activities, identify trends, patterns, and areas of improvement. • Maintain accurate records of evaluations and feedback and prepare comprehensive reports, summarizing evaluation results, performance metrics, and key insights. • Design and create comprehensive job aides and SOP’s based on trends and patterns identified during QA reviews. • Update training materials and job aids in alignment with organizational process changes that impact patient engagement.

• Work as a QA Analyst / QA Tester