Clinical Quality Assurance Coordinator - Supervisor (32482)

Job DetailsJob Location: Norwood, MA 02062Position Type: Full TimeSalary Range: $85,000.00 - $90,000.00 SalaryTravel Percentage: NoneMES Solutions is looking for a Clinical Quality Assurance Coordinator Supervisor to joIn their team! 

The Clinical Quality Assurance Coordinator Supervisor is responsible to oversee the daily workflow of the Quality Assurance Department and provide leadership and direction to ensure operations run as efficiently and effectively as possible. This position is required to have a complete understanding of the duties required below and provide overall direction and support to the Quality Assurance Department.

The is a 100% fully remote role with a schedule of: Monday - Friday 8-5pm ET or 9-6pm ET (set, available for occasional escalated issues evenings/weekends by phone)

ESSENTIAL JOB FUNCTIONS:

Coordinate and direct the QA department’s daily workflow to ensure all product lines are completed with the highest level of quality in the most effective and efficient manner possible.
Prioritize and manage the daily workload and ensure the appropriate and equitable distribution of work is maintained in order to achieve goals.
Monitor work product to ensure clear, concise, evidence-based rationales have been provided in support of all recommendations or determinations and that specific indicators and criteria in accordance with company policy and procedures have been achieved.
Ensure department compliance of all federal ERISA and state mandates is adhered to at all times.
Promote effective and efficient utilization of all clinical resources and makes necessary recommendations for improvements to management as needed. 
Ensure all client relationships are maintained and all client specific requirements are met.
Assist promptly in resolution of any physician and/or customer complaints or quality assurance issues.
Delegate work as needed and provide backup to all departmental positions as required.
Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures.
Participate in the development and implementation of policies and procedures in order to promote and achieve the most efficient operation possible.
Participate in various educational and or training activities as required.
Perform other duties as assigned.

ESSENTIAL SUPERVISORY RESPONSIBILITIES

Carrying out all responsibilities in accordance with the company’s standards, policies, and all applicable employment laws.
Managing and monitoring workflow and providing support, training, and techniques to assist staff in achieving department daily/weekly/monthly goals and standards.  
Encouraging positive morale, maintaining harmony among staff, and resolving grievances when necessary.
Overseeing the completion and approval of employee timecards and coordinating overtime needs with management and staff as needed.
Actively participating in the department’s staffing requirements including hiring, onboarding, and separating  of employees
In conjunction with management, creating and implementing plan to meet department’s goals and metrics based on workload and client needs.
Communicating change effectively and supporting those affected by change.
Supervising insubordinate staff when warranted and initiating coaching or corrective actions as required and/or directed by upper management.
Evaluating staff needs and performance, providing periodic feedback to staff and reporting any performance concerns and/or recommendations growth opportunities to management.
Actively participating and successfully conducting annual performance evaluations. 

Qualifications 

High school diploma or equivalent required.
A minimum of three years related experience; or equivalent combination of education and experience preferred.
Knowledge of the insurance industry, preferably claims management relative to workers' compensation, no-fault, liability, and disability is preferred. Previous supervisory experience preferred
Must possess a working knowledge of medical legal aspects of medical records and health information principles and/or liability.
Must possess complete knowledge of general computer, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Excel, and the Internet.
Must be a qualified typist with a minimum of 40 W.P.M.
Must demonstrate exceptional communication skills.
Analyzes problems involving multiple interrelated causes.
Gathers information and applies complex concepts or methods to generate an effective solution.
Ability to follow instructions and respond to upper managements’ directions accurately.
Must demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must be able to work indep