Himalayas logo
Dane StreetDS

Group Health QA Supervisor - RN

Dane Street is a national provider of Independent Medical Examinations (IMEs) and Peer Review services for the insurance and legal industries, focused on delivering credible, objective, and timely medical analyses.

Dane Street

Employee count: 51-200

United States only

The 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.

Requirements

EDUCATION/CREDENTIALS:

An Associate’s Degree or Bachelor’s Degree is preferred.

RN licensure required

JOB RELEVANT EXPERIENCE:

Medical peer review or healthcare industry knowledge required.

Business experience in a healthcare and/or insurance setting is preferred.

JOB RELATED SKILLS/COMPETENCIES:

Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential.

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Mid-level
Manager

Location requirements

Hiring timezones

United States +/- 0 hours

About Dane Street

Learn more about Dane Street and their company culture.

View company profile

Dane Street is a leading provider of independent medical examinations (IMEs) and peer review services, dedicated to serving clients across the insurance and legal sectors. Our customers, including insurance carriers, third-party administrators, managed care organizations, and legal professionals, face the challenge of making accurate and objective medical determinations in claims management. We understand that navigating the complexities of workers' compensation, auto/liability, disability, and group health claims requires credible, timely, and unbiased medical expertise. That's why we've built a national network of board-certified, active-practice physicians covering over 100 specialties. Our sole mission is to provide our clients with the critical insights they need to ensure fair and appropriate outcomes. We process over 200,000 referrals annually, a testament to the trust our clients place in our ability to deliver high-quality, defensible medical reviews.

At Dane Street, we are committed to simplifying the referral process and making it as seamless as possible for our clients. Our proprietary technology platform, AccessDS, is a web-architected, rules-based system that allows for easy case submission, tracking, and reporting. We recognize that our clients have unique needs, which is why our platform is highly configurable to accommodate specific workflows and requirements. This focus on technology-enabled flexibility, combined with our dedicated team of professionals, ensures we consistently meet the highest expectations for turnaround time, quality, and responsiveness. We pride ourselves on being more than just a vendor; we strive to be a trusted partner, functioning as a natural and valuable extension of our clients' internal teams. Our commitment is to 'finish the job' on every case, providing the objective analysis necessary for confident decision-making in the claims process.

Employee benefits

Learn about the employee benefits and perks provided at Dane Street.

View benefits

Pet Insurance

Voluntary pet insurance plans.

Basic Life Insurance

Company-paid basic life insurance.

Critical Illness

Voluntary critical illness insurance plan.

Long-Term Disability

Company-paid long-term disability coverage.

View Dane Street's employee benefits
Claim this profileDane Street logoDS

Dane Street

View company profile

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

94 remote jobs at Dane Street

Explore the variety of open remote roles at Dane Street, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Dane Street

Remote companies like Dane Street

Find your next opportunity by exploring profiles of companies that are similar to Dane Street. Compare culture, benefits, and job openings on Himalayas.

View all companies

Find your dream job

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan
Dane Street hiring Group Health QA Supervisor - RN • Remote (Work from Home) | Himalayas