Group Health Quality Analyst 1 – Nights

Dane Street

. Communicate with customers, reviewers, physicians, office staff, and management to ensure completed reports are delivered by customer-requested due dates .

Posted 9/25/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong communication and critical thinking skills while ensuring compliance with healthcare reporting standards. Capable of managing time efficiently to meet deadlines and improve client satisfaction through effective coordination and oversight.

Highest-signal resume keywords

LPN LicenseRN LicenseHealthcare Business ExperienceExceptional Communication SkillsCritical Thinking

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Report ReviewData AccuracyReport FormattingClient Requirement ComplianceTyping Skills

Soft Skills

Time ManagementProcess ImprovementTeam Oversight

Tools & Technologies

Computer LiteracyInternet Services

Certifications & Qualifications

Associate’s DegreeBachelor’s Degree

Industry Keywords

HealthcareInsuranceClinical OperationsJurisdictional Standards

About the role

Key responsibilities & impact

Communicate with customers, reviewers, physicians, office staff, and management to ensure completed reports are delivered by customer-requested due dates
Ensure reviewer reports are timely, complete, clinically accurate, and compliant with customer requirements, company best practices, and jurisdictional standards
Provide regular report status updates to clients
Clarify ambiguous report questions with clients
Distribute final reports according to client-specific requirements
Coordinate clarification and addendum requests from clients
Participate in client phone calls or meetings regarding questioned reports
Follow up with clients for missing referral information
Work directly with physicians to answer client questions and support clinical rationale
Follow up with physicians or office staff to ensure on-time report delivery
Provide verbal or written feedback and clarification requests to physicians
Obtain physician approval and signature for final reports
Review physician reports for data accuracy, spelling, grammar, and punctuation
Ensure state reporting requirements, report formatting, client requirements, and special handling instructions are met
Provide oversight to team members as needed
Improve processes to enhance turnaround time, peer-to-peer success rates, and client satisfaction
Give final approval for cases released to clients
Liaise with and coordinate quality issue reports and new reviewer reports with the VP of Clinical Operations
Perform other duties and special projects as assigned

Requirements

What you’ll need

Associate’s or Bachelor’s Degree preferred
LPN or RN license required
Business experience in a healthcare and/or insurance setting preferred
Exceptional communication skills
Clear understanding of company business lines
Ability to apply critical thinking
Ability to manage time efficiently and meet specific deadlines
Computer literacy and typing skills
Ability to supply and support personal internet services
Uninterrupted internet connection required for work-from-home position
Ability to perform required lifting, bending, traveling, prolonged sitting, and computer work

Benefits

Comp & perks

Medical, dental, and vision coverage for employees and families
Voluntary life insurance for employees, spouses, and children
Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans
Basic life insurance at no cost
Short-term disability coverage at no cost
Long-term disability coverage at no cost
Paid time off
401(k) plan with company match
Apple equipment for remote workspace
Media stipend for remote workspace
Remote work arrangement