Quality Assurance Manager

Job Summary

A company is looking for a Quality Assurance Manager.

Key Responsibilities

• Oversees, plans, and monitors the quality assurance program
• Conducts audits to ensure timeliness, accuracy, and consistency in reconsideration decisions
• Identifies training opportunities based on audit findings to improve quality

Required Qualifications

• Associate's degree or 60 credit hours towards a Bachelor's degree in healthcare or related discipline
• Five years of medical dispute, Medicare appeals, or clinical experience in a healthcare setting
• Three years of management or supervisory experience
• Two years of training experience in relevant fields
• Experience in Medicare managed care appeals or utilization management activities is preferred