Clinical Quality Assurance Coordinator

. Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews .

Posted 9/25/2026full-timeRemote • Massachusetts • United StatesJuniorMid-Level💰 $27 - $31 per hourWebsite

Key responsibilities & impact

Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews
Ensure clear, concise, evidence-based rationales support recommendations and determinations
Verify client instructions, specifications, questions, citations, and references are addressed and current
Ensure reports meet company standards for content, format, and professional appearance
Verify appropriate board specialty review and accurate documentation
Verify peer reviewer attestation and absence of conflicts of interest
Ensure provider credentials and signatures are included in final reports
Identify report inconsistencies and contact peer reviewers for clarification or correction
Assist with customer complaints and quality assurance issues
Ensure compliance with federal ERISA and state mandates
Provide management insight on consultant quality, availability, and compliance
Promote efficient use of company resources
Participate in required educational and training activities
Perform other assigned duties

What you’ll need

Active RN or LPN nursing license required
Graduate of an accredited nursing program or related medical experience
Minimum of two years clinical or related field experience, or equivalent combination of education and experience
Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values
Ability to perform basic arithmetic and compute rates and percentages
Qualified typist with a minimum of 40 W.P.M.
Ability to operate a computer, fax, copier, scanner, and telephone
Knowledge of Microsoft Word, Outlook, Excel, and the Internet
Excellent English usage, grammar, punctuation, and style
Ability to follow instructions and management directions accurately
Accuracy and thoroughness
Exceptional communication skills
Ability to work independently, prioritize work, and use time efficiently
Ability to maintain confidentiality

Comp & perks