Senior Quality Assurance Manager

Job Summary

Overseeing and managing the quality assurance program, the full-time Senior Quality Assurance Manager will ensure timely and accurate decision-making processes while improving efficiency and workflow in a remote environment.

Key responsibilities

• Oversees and manages quality audits to ensure timely and accurate adjudication of cases
• Plans and implements processes to improve efficiency and control costs within the Quality Program
• Prepares and reviews statistical analyses to identify trends and improvement opportunities

Required qualifications

• Associate's degree or 60+ credit hours towards a Bachelor's degree in healthcare or related discipline
• Five years of clinical experience, including Medicare appeals decision-making
• Three years of management or supervisory experience
• Demonstrated experience in writing or making medical necessity decisions
• Experience managing complex workloads in a Medicare or healthcare environment