clinical quality manager

Ecorgy Solutions Private Limited

Role Overview:As our Clinical Quality Manager, you will play a pivotal role in enhancing clinical processes and maintaining regulatory compliance. You will spearhead quality improvement initiatives and ensure adherence to established clinical standards. The role demands a meticulous approach and a commitment to clinical excellence.Responsibilities:<ul><li>Evaluate clinical procedures and documentation to identify areas for improvement, ensuring adherence to industry standards.</li><li>Conduct compliance audits and assessments to provide continuous improvement feedback and maintain industry compliance.</li><li>Prepare and engage in client audits, including regular mock audits, ensuring preparedness and compliance.</li><li>Stay updated on industry regulations, clinical guidelines, and best practices to ensure compliance and innovation.</li><li>Communicate quality-related issues and recommendations to stakeholders efficiently.</li><li>Engage in quality-focused training and educational programs for continuous professional development.</li></ul>Qualifications:<ul><li>BAMS/ BHMS/ BDS/ Pharm D</li><li>0-5 years of clinical or healthcare setting experience.</li><li>Profound knowledge of medical terminology and clinical processes.</li><li>Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).</li><li>Excellent English communication, written and verbal.</li><li>Willing to work in night shifts (10:30PM to 7:30AM)</li></ul>Benefits of Joining:Joining Ecorgy Solutions offers exposure to a dynamic healthcare environment, providing opportunities for professional growth and development in the field. We value your commitment to excellence and offer a supportive work culture.Benefits Include: EPF, ESI or Group Mediclaim policy after 6 months of joining and Gratuity; Rewards &amp; growth based upon performance; professional development opportunities; training and mentorship programs.Job Type: Full-timePay: &#8377;25,000.00 - &#8377;35,000.00 per monthApplication Question(s):<ul><li>How many years of experience do you have?</li><li>Are you okay to work in night shifts (10:30PM to 7:30AM) on regular basis?</li><li>Are you located in Trivandrum or at commutable distance?</li><li>We must fill this vacancy urgently. Are you available immediately for joining?</li></ul>Work Location: In person

Clinical Quality Manager - Doctors (Trivandrum)

GULF MEDICAL AND DIABETES CENTER

Quality accreditation manager for a Hospital with the below requirements<ul><li>Bachelor of Science in Nursing.</li><li>Masters in quality management.</li><li>Certified Professional in Healthcare Quality (CPHQ) or any Healthcare Quality Professional Certification.</li><li>Minimum of 10 years at senior management level in clinical or administrative nursing</li><li>At least 5 years of experience in Quality and Patient Safety Management.</li><li>Previous experience with healthcare accreditation as per NHRA standards.</li><li>Strong knowledge of Research and Evidence-based Practice.</li></ul>Job Type: Full-timePay: From BD500.000 per month

Quality in Healthcare

Atrium Health

<div>Department:
38940 High Point Medical Center - Quality Assurance 
Status:
Full time 
Benefits Eligible:
Yes 
Hours Per Week:
40 
Schedule Details/Additional Information:
Monday - Friday 8am-5pm
Pay Range
$37.50 - $56.25 
Position Highlights:<ul><li> 
Location: High Point, North Carolina</li><li>
Full Time</li></ul>
What We Offer:<ul><li>
Day 1 Health Coverage: Choose from either copay or HSA-eligible health insurance options with coverage starting on your first day of work.</li><li>
Generous PTO: Accrual starts at up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.</li><li>
Parental Benefits: Six weeks paid birthing-mother maternity leave &amp; four weeks paid parental leave for non-birthing parents.</li><li>
Retirement: Up to 7% employer-paid retirement contributions</li><li>
Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor's degree and up to $5,000 per year towards a graduate degree.</li></ul>
What You'll Need:
<ul><li>Graduation from an accredited School of Nursing with a Bachelor's degree in Healthcare of a Business related field; or, ten years nursing experience in an academic medical center and three years of clinical quality review related work experience required
</li><li>Current license to practice as a Registered Nurse (RN) in the State of applicable state.
</li></ul>What You'll Do:<ul><li>
Facilitates compliance with evolving quality measures including, TJC Oryx Reporting of Core Measures, Leapfrog, CMSs National Hospital Quality Measures, and National Quality Forum quality measurement and reporting requirements, and other benchmarking reporting requirements.
</li><li>Develops both measurement and improvement strategies for assigned performance measures and programs.
</li><li>Oversees clinical review in area of responsibility to ensure complete and accurate data collection and data entry for assigned performance measures and programs/projects within established timeframes.
</li><li>Works with Quality Department leadership to investigate quality concerns or issues arising from external payer reviews, external clinical benchmarking efforts (NSQIP, UHC, Leapfrog, TJC, etc.), or tracking of surveillance of major outcome measures (e.g., mortality, readmission, and reoperation rates).
</li><li>Provides concise clinical quality review findings, develop recommendations for corrective actions and/or improvement opportunities to leadership as warranted, and track the impact of implemented changes.
</li><li>Works with assigned team and quality leaders across the medical center to strengthen clinical documentation and coding to ensure that all DRG related and CPT related coding accurately reflects the patient's complexity and clinical course. Monitors review process for all hospital acquired conditions and publicly reported conditions to ensure accuracy of information provided to regulatory reporting agencies.
</li><li>Works with Quality Assessment Director and Performance Excellence division leaders to manage specified quality and safety related projects as determined by leadership, including developing project timelines, agendas, reports, and presentations to various audiences as appropriate.
</li><li>Establishes effective and collaborative working relationships with members of the hospital community, clinical departments, administrative departments, and quality and safety staff across Wake Forest Baptist Health.
</li><li>Keeps current with data abstraction specifications, emerging trends in hospital quality and reporting initiatives, and integrates key concepts into work.
</li><li>Performs other duties as assigned.
</li></ul>Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:
Compensation<ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul>
Benefits and more<ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul> 
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Under supervision, works to strengthen Wake Forest Baptist Health's system-wide quality outcomes reporting and improvement activities. Works with leadership to comply with an increasing number of external reporting mandates and improvement initiatives including data collection, data entry, and analysis of quality data. In addition, responsible for data display and interpretation, and the reporting of this data to a wide range of clinical and administrative leaders. Extensive, daily interaction with Directors and staff in the Performance Excellence division is a key component of this role. Participates in a variety of programs and improvement activities across multiple academic and operational departments.</div>

Clinical Quality Compliance Consultant

Takeda Pharmaceuticals

<div>By clicking the &ldquo;Apply&rdquo; button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda&rsquo;s Privacy Notice and Terms of Use. I further attest that all information I submit in my employment application is true to the best of my knowledge.<h2 class="jobSectionHeader">
Job Description</h2>
Objectives<ul><li>
Leads the global Clinical Programs Quality organization, establishing a strategic leadership and oversight of the Takeda&rsquo;s clinical development programs and ensuring risk-based quality interventions and audits are performed for timely mitigations.</li><li>
Provide quality oversight of R&amp;D's strategic suppliers and service providers, ensuring outsourced activities are carried out with high quality and compliance.</li><li>
Promotes inspection readiness for clinical trials and strategic supplier activities, ensuring preparations, management of and response to clinical pre-approval inspections are resourced, prioritized, and expeditiously reported.</li><li>
Serves as a senior strategic Quality Partner to relevant R&amp;D stakeholders and strategic suppliers.</li><li>
Reports to the Head of CPMQ and is a key member of the CPMQ Leadership Team, contributing to the design, implementation and advancement of the CPMQ strategy, model and operations.</li></ul>
Accountabilities<ul><li>
Develop, implement, and refine a proactive quality oversight model for Takeda's clinical development programs and strategic suppliers, ensuring compliance with Takeda standards and applicable regulatory requirements.</li><li>
Leads the Clinical Programs Quality function in the development, implementation and refinement of a proactive quality oversight model for Takeda&rsquo;s clinical development programs across the TAUs and Business Units, ensuring compliance with Takeda standards and applicable regulatory requirements.</li><li>
Ensures a robust and risk-based audit strategy and framework for the clinical development programs including program- or study-level audits and investigator site audits, is developed and implemented in a timely manner, communicating any critical compliance risks to Management, and ensuring that corrective and preventive actions are implemented.</li><li>
Actively participates in Takeda R&amp;D&rsquo;s clinical trial delivery oversight and operating model improvements and enhancements, championing clear accountabilities, continual improvement and mitigations for past risks.</li><li>
Ensures the identification, investigation and timely mitigation of quality issues and risks at the development programs and studies. Escalates these issues and issues to senior management.</li><li>
Establish effective mechanisms to monitor compliance, issue, and risk management of development programs and strategic suppliers, ensuring timely mitigations.</li><li>
Analyzes information gathered in the oversight of the development programs to inform R&amp;D Quality and other stakeholders of any actionable insights and to promote a state of compliance. Ensures knowledge management and lessons learned are shared and applied across development programs.</li><li>
Supports R&amp;D to be inspection ready with a culture of sustainable compliance. Represents Takeda as a clinical quality subject matter expert during health authority inspections of the sponsor. Provides strategic direction to assure that responses are timely and appropriate to maintain Takeda&rsquo;s good standing with regulatory agencies. Ensure that all clinical inspection commitments are fulfilled on time.</li><li>
Serve as a strategic thought partner to the Head of CPMQ with regard to complex problems affecting development activities, with an eye to current and future initiatives, strategies, and budgets.</li><li>
Ensures any quality or compliance risks and opportunities are communicated to the GPTs and relevant sub-teams, so that the teams are well-informed to make decisions on quality and compliance priorities. Contributes to the Clinical &amp; Safety Quality Council.</li><li>
Lead and participate in governance/quality councils relevant to clinical and supplier activities, contributing to continual improvements and successes.</li><li>
Establishes Quality Agreements with strategic suppliers and and governance meetings e.g., Quality Management Working Group, etc.</li><li>
Ensures robust talent development and succession planning measures are in place to promote organizational growth/elevate capabilities.</li></ul>
Education, Behavioral Competencies and Skills<ul><li>
Scientific or allied health/medical degree (BSc). Masters/PhD preferred.</li></ul><ul><li>
Minimum of 12 years of increasing responsibility and relevant experience in the global pharmaceutical industry, preferably with at least 5 years of Quality/Compliance experience.</li><li>
Advanced knowledge of clinical research (GCP), pharmacovigilance (GVP) and medical throughout R&amp;D and commercialization, and relevant regulations.</li><li>
Preferably with experience in strategic roles involving quality systems and clinical portfolio oversight, large-scale audit programs, regulatory inspection management, investigation and remediation activities on a global level and successful management of business transformation/change management initiatives e.g., quality system integration, outsourcing strategy, etc.</li><li>
Fluency in written and spoken English, additional language skills a plus.</li></ul>
#GMSGQ #ZR1 #LI-MA1
Takeda Compensation and Benefits Summary
We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices.
For Location:
USA - MA - Cambridge - Kendall Square - 500
U.S. Base Salary Range:
$208,200.00 - $327,140.00 
The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location.
U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation.
EEO Statement
Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.<h2 class="jobSectionHeader">
Locations</h2>
USA - MA - Cambridge - Kendall Square - 500<h2 class="jobSectionHeader">
Worker Type</h2>
Employee<h2 class="jobSectionHeader">
Worker Sub-Type</h2>
Regular<h2 class="jobSectionHeader">
Time Type</h2>
Full time
Job Exempt
Yes
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.</div>

Senior Director and Head of Clinical Program Quality

Katalyst Healthcares & Life Sciences

<div><div>Job Description:
<ul><li>Provides quality oversight to the clinical trial delivery quality systems, promoting operational and compliance excellence, quality risk management and knowledge management.
</li><li>Maintains a state of control by implementing effective monitoring and control systems that ensures the quality systems supporting the clinical trial delivery is robust and aligned with applicable regulations.
</li><li>Partners with the different functions that contribute to the clinical trial delivery in identifying systemic quality and compliance risks, conducting robust investigations and developing adequate corrective and preventive actions (CAPAs), managing changes and facilitating continual improvement that is aligned to the company's values and strategic priorities.
</li><li>Reports to and acts as a strategic thought partner to the Head of GCP Quality Compliance in developing and implementing GCP Compliance strategies, in managing the operational activities of and building capabilities within the GCP Compliance function and in ensuring alignment with the CPMQ vision.
</li></ul>Responsibilities:
<ul><li>Leads the clinical trial delivery system inspection readiness program, including the development and implementation of a strategic plan. Engages with relevant functions and stakeholders to ensure inspection readiness, driving accountability and transparency. Functions include, but not limited to, Global Development Office, Data Science Institute, Global Regulatory Affairs, Procurement, Legal, etc.
</li><li>Provides insights to emerging regulations and requirements, operational and compliance metrics and storyboards, identifies quality and compliance inspection risks, and proactively pro-videos strategic and tactical directions in the mitigation.
</li><li>Hosts GCP inspections and provides strategic direction to relevant functions and Subject Matter Experts (SME).
</li><li>Ensures a robust communication plan is in place, that enables knowledge sharing of insights and risks. Communicates the progress of inspections daily, summarizing succinctly the inspection activities and potential observations and mitigation activities. Effectively and timely escalates to management.
</li><li>Leads and manages the inspection response activities, ensuring the responses are adequate, reviewed and approved internally by the relevant stakeholders, at the right levels and submitted on time. Reviews and provides input to response to ensure the impact is thoroughly assessed, appropriate root cause is identified, and specific, measurable, achievable, relevant and time-bound CAPAs are developed.
</li><li>Oversees the completion and closure of inspection CAPAs, ensuring that no inspection CAPAs are late. Mitigates and escalates any risks. Ensures appropriate effectiveness checks are developed for relevant inspection CAPAs. Provides input to the effectiveness check plans, and reviews and approves outcome.
</li><li>Acts as Subject Matter Expert (SME) on the Clinical Quality Compliance activities including deviation management, quality investigation, corrective and preventive actions (CAPA) management and oversight and change control. Represent Clinical Quality Compliance in these topics in inspections.
</li><li>Support and provide relevant guidance to other other non-GCP specific inspections (e.g., GVP, GMP, etc).
</li><li>Leads complex quality investigations impacting the clinical trial delivery systems. Provide Quali-ty Leadership for other quality investigations ensuring the right stakeholders are engaged in impact assessment, root cause analysis and CAPA development.
</li><li>Develop lessons learned from on regulatory inspections, and quality investigations. Promotes knowledge management.
</li><li>Leads cross-functional continual improvements projects that enable a compliant quality system in the clinical trial delivery quality systems.
</li><li>Review and approve controlled procedures related to clinical trial delivery quality systems to ensure regulatory and past inspection commitments are considered.
</li><li>Escalates issues of potentially critical non-compliance and/or lack of urgency in remediation to senior management. Analyses results, quality issues and investigation to identify actionable trends and to promote a state of compliance.
</li><li>Develops and monitors relevant metrics and Key Performance/Quality Indicators (KPI/KQI). Mitigates, communicates, and escalates any risks flagged by the metrics and KPIs/KQIs, ensuring actions are commensurate to the risk and timely. Drives the development and executes the strategy to understand the health of the clinical trial delivery quality system (i.e. risk register, KPIs).
</li><li>Contributes to any relevant quality and compliance governance in the organization, including the and the Clinical &amp; Safety Quality Council, communicating any quality or compliance risks and opportunities, continual improvements and successes.
</li></ul>Requirements:
<ul><li>BSc in a scientific or allied health/medical field (or equivalent degree).
</li><li>Minimum of 10 years of increasing responsibility and relevant experience in the global pharmaceutical industry in functions such as Clinical Operations, Data.
</li><li>Management and Statistics, with at least 5 years of experience in GCP Quality/Compliance.
</li><li>Advanced knowledge of pharmaceutical development, medical affairs and GCP/GVP regulations including FDA, EU, MHRA, PMDA and ICH.
</li><li>Experience must include successful development and implementation of a clinical or pharma-covariance audit program, hosting/leading regulatory inspections and remediation activities on a global level.
</li><li>Experience in managing complex organizational compliance issues and in identifying and implementing organization-wide compliance initiatives.
</li><li>Skilled in managing global, cross-functional projects.
</li><li>Fluency in written and spoken English, additional language skills a plus.
</li></ul>Must Have:
<ul><li>Strong experience holding the responsibility and relevant experience in the global pharmaceutical industry in functions such as Clinical Operations, Data Management and Statistics, with at least 5 years of experience in GCP Quality/Compliance.
</li><li>Advanced knowledge of pharmaceutical development, medical affairs and GCP/GVP regulations including FDA, EU, MHRA, PMDA and ICH.
</li><li>Experience must include successful development and implementation of a clinical or pharmacovigilance audit program, hosting/leading regulatory inspections and remediation activities on a global level.</li></ul></div></div>

Clinical Quality Compliance Lead

Access: Supports For Living

<div>Location: Mt. Vernon, NY
Salary: 65,000 Annually
Hours: 40 Hours per hour - Hybrid Schedule
Percent of Travel: 75%
Licensed Master or Clinical Social Worker; or Licensed Mental Health Counselor (LCSW, LMSW, LMHC) required. 
OVERVIEW OF PRIMARY RESPONSIBILITES:
This position will work within the Quality Assurance Department completing QA/QC, Quality Improvement, Regulatory, Safety and Compliance activities that support all corporate operations including incident reviews, investigations, audits, surveys, process improvement activities, training and risk management. All work is completed in compliance with all local, state and federal rules and regulations including but not limited to those mandated by NY State, OMH, OASAS, and the NY State Justice Center.
PRIMARY FUNCTIONS:<ul><li>
Completes daily QA/QC, Quality Improvement, Regulatory, Safety and Compliance activities that support the Office of Mental Health and the Office of Alcohol and Substance Use services.</li><li>
Conducts chart audits, electronically and paper, and ensures follow through to close audit.</li><li>
Conducts Utilization Reviews, electronically and paper, and ensure follow through.</li><li>
Collaborates with Clinical Quality Lead on QA Monthly Reports and Annual Program Review meetings.</li><li>
Conducts incident investigations in alignment with OMH/OASAS and NYS Justice Center requirements.</li><li>
Conducts compliance investigations in alignment with all state and federal rules and regulations.</li><li>
Assists with Incident Review Committee and Compliance and Audit Committee meeting preparation and facilitation.</li><li>
Facilitates initial and annual trainings as needed or requested by assigned programs/services.</li><li>
Attend and participate in internal and external meetings related to quality, regulatory and compliance, as needed.</li><li>
Performs other quality duties as assigned.</li></ul>
ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT:<ul><li>
Establishes and maintains effective communication and relationships with assigned programs/services.</li><li>
Serve on agency-wide committees as assigned.</li></ul>
QUALIFICATIONS AND ATTRIBUTES:<ul><li>
Skilled in Microsoft Office products (Word, Excel, PowerPoint).</li><li>
Excellent verbal, written communication and organization skills.</li><li>
Self-motivated and pro-active.</li><li>
Working knowledge of applicable local, state and federal regulations and guidelines (including but not limited to: OPWDD, CMS, OMIG, DOH, NYS Justice Center).</li></ul>
EDUCATION AND EXPERIENCE:<ul><li>
Licensed Master or Clinical Social Worker; or Licensed Mental Health Counselor (LCSW, LMSW, LMHC)</li><li>
At least 3 years of Quality Management, Incident Management, Compliance, Investigative and/or Direct Care experience</li><li>
Lean/Lean Six Sigma qualification preferred</li><li>
Moderate to expert skills in Microsoft Office tools (PowerPoint, Excel &ndash;including pivot tables, Macros, etc., Word, Access)</li></ul>
PHYSICAL CHARACTERISTICS:<ul><li>
Must be capable to sit or stand in front of a computer for long-periods of time.</li><li>
Work alongside co-workers within 3 feet.</li></ul> 
EEO Employer
IND2024</div>

Clinical Quality Specialist

ExamWorks

<div>SUMMARY
The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity and in full compliance with client contractual agreements, regulatory agency standards and federal and state mandates. This position is required to handle quality assurance questions and provide support to the Quality Assurance Department.
ESSENTIAL JOB FUNCTIONS<ul><li>
Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.</li><li>
Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</li><li>
Ensure that all client instructions and specifications have been followed and that all questions have been addressed.</li><li>
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.</li><li>
Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</li><li>
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.</li><li>
Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.</li><li>
Ensure the provider credentials and signature are adhered to the final report.</li><li>
Identify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</li><li>
Assist in resolution of client complaints and quality assurance issues as needed.</li><li>
Ensure all federal ERISA and state mandates are adhered to at all times.</li><li>
Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</li><li>
Promote effective and efficient utilization of company resources.</li><li>
Participate in various educational and or training activities as required.</li><li>
Perform other duties as assigned.</li></ul>
MINIMUM REQUIRED QUALIFICATIONS
Education and/or Experience
High school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience preferred. Knowledge of the insurance industry, preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, or disability preferred.
Certificates, Licenses, Registrations
LPN/LVN/RN may be required based on business needs.
ESSENTIAL COMPETENCIES
QUALIFICATIONS
<ul><li>Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</li><li>
Must be a qualified typist with a minimum of 40 W.P.M</li><li>
Must have a full understanding of HIPAA regulations and compliance.</li><li>
Must be able to operate a general computer, fax, copier, scanner, and telephone.</li><li>
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</li><li>
Must demonstrate exceptional communication skills.</li><li>
Ability to follow instructions and respond to upper managements&rsquo; directions accurately.</li><li>
Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met.</li><li>
Must be able to work independently, prioritize work activities and use time efficiently.</li><li>
Must be able to maintain confidentiality.</li><li>
Must be able to demonstrate and promote a positive team -oriented environment.</li><li>
Must be able to stay focused and concentrate under normal or heavy distractions.</li><li>
Must be able to work well under pressure and or stressful conditions.</li><li>
Must possess the ability to manage change, delays, or unexpected events appropriately.</li><li>
Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.</li></ul>
LANGUAGE/COMMUNICATION SKILLS
<ul><li>Ability to read, analyze and interpret common correspondence, medical records, and legal contracts and documents.
</li><li>Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar.</li><li>
Ability to respond appropriately and professionally to all inquiries or complaints from customers, physicians, regulatory agencies, and/or members of the business community.
</li><li>Ability to effectively present information one-on-one or in small groups.</li></ul>
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position generally consists of:<ul><li>
Ability to work at a desk or similar office-type furnishings up to 8 hours a day or longer as required by business needs.</li><li>
Ability to operate a computer up to 4 hours at a time.</li><li>
Ability to travel to different floors of the office or other locations.</li><li>
Ability to move throughout the office.
</li><li>Occasionally lifting and/or carrying up to 10 lbs.</li><li>
Occasionally pushing/pulling up to 10 lbs.</li><li>
Occasionally subject to bending, squatting or twisting.</li></ul>
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>
Extended hours are occasionally required beyond the regular eight (8) hour work day.</li><li>
The noise level in the work environment is usually moderate.</li></ul></div>

Clinical Quality Assurance Coordinator

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