Quality Assurance Specialist (Medical Report Reviewer)

Description

Why Work for Us?

Workplace well-being is more important than ever. We are the winner of the 2018, 2019, 2020, 2021, 2022 and 2023 Best and Brightest Companies to Work for In The Nation. We have also won the 2020 Best Places to Work Award, Minneapolis/St. Paul Business Journal.

Our employees benefit from a competitive benefits package that includes paid time off (PTO), paid parental leave, paid holidays, insurance (medical, dental, vision, life, STD, LTD), flexible schedules, a 401k program with company match, and profit sharing. Insurance benefits are effective on the 1st of the month following month of hire.

We strive to develop and provide growth opportunities for our employees. In 2022, R3 Continuum spent approximately $32,500 on employee training and development.

At R3 Continuum, we believe our differences don’t divide us but teach us. R3 Continuum eagerly embraces diversity and is a committed Equal Opportunity Employer to all qualified applicants, ensuring individuals will not be discriminated against based on any protected classifications.

Join a company dedicated to helping people and organizations be more resilient and thrive.

Position Summary

(Remote, FT, 1st shift)

The Quality Assurance (QA) Specialist provides reviews and audits the work of the network panel (medical and behavioral health) on File Reviews and Evaluations services. The QA Specialist reviews their work for content, opinion, clarity, and consistency and will ensure that all questions posed by the client are answered and that the answers contain appropriate rationale. The specialist will work directly with the network panel for revisions to reports and case documents as needed and will also facilitate any calls required between panelists on a case. The specialist will also be responsible for identifying and resolving network panelist quality issues.

Essential Functions (In order of importance) Approximate % of time required

QA Specialist 90%

Other 10%

Essential Functions

  • Complete quality assurance reviews on each report (file reviews and evaluations), letter, and appendix and provide clear and concise edits to the specialist, ensuring that reports and case documents are error free and delivered on time to the customer
    • Review for consistency and clarity of content
    • Ensure network specialist answers all questions requested by customer
    • Review completeness of all reports, letters, and appendices, ensuring that all customer instructions were followed by the network specialist
    • Identify potential clinical content inconsistencies and collaborate with Manager, Quality Assurance, and/or Clinical Subject Matter Experts as needed, including clarification reports
  • Facilitate and document panel calls between network specialists as needed
  • Send letters to attending physicians via fax or mail
  • Send finalized reports and case documents to customers
  • Identify network panelist quality issues and resolve issues by providing feedback/training to the network panelist and, if necessary, referring the network panelist back to the Training Department based on available data
  • Demonstrate proficiency in using eCase Manager (eCM) as it relates to QA tasks
  • Document all communications with network specialists and work completed in eCM
  • Monitor workload through use of eCM reports
  • Maintain confidentiality utilizing HIPAA guidelines

Other Essential Functions

  • Assist in gathering case documents for legal records requests, as needed
  • Participate in process improvement identification and solutions, including completion of projects
  • Participate in department and company meetings, as requested
  • Perform other duties as assigned
  • Overtime/Additional Hours – There are times in which overtime/additional hours will be mandatory due to an increase in work and the need to meet turnaround timeframes

Requirements

  • Ability to develop and foster relationships with employees, network panelists, and customers at all levels of the organization.
  • Comfort and ability to give clear, consistent, and concise direction and communication with network panelists (RNs, psychologists, physicians) and team members.
  • Good judgment with the ability to make timely and sound decisions based on data and business acumen
  • Ability to recall important and commonly used QA concepts and to independently apply concepts learned to multiple areas
  • Highly proficient with verbal and written communication
  • Excellent grammar and spelling skills
  • Excellent interpersonal and customer service skills
  • Excellent organizational skills and attention to detail
  • Ability to multitask and to quickly switch between two unrelated tasks
  • Excellent time management skills with a proven ability to meet deadlines
  • Strong analytical and problem-solving skills
  • Ability to function well in a high-paced and at times stressful environment
  • Proficient with Microsoft Office Suite or related software
  • Basic mathematics skills

Education & Licensing

Bachelor’s degree or higher from an accredited college or university preferred

Experience

1 to 3+ years of previous experience in the disability or workers’ compensation insurance industry or similar is preferred

Employment contingent on a successful background check, reference checks, work verification, and signing a non-disclosure agreement.

Data Entry Specialist

Accepting applications until: April 30, 2024 at 11:59 PM CST
Location: Fairfax, VA 22031
Pay Rate: $24.03 – $33.65 Hourly
Job Status: Full-Time
Work Shift: 8:00 AM – 5:00 PM
Days Worked: Mon., Tue., Wed., Thu., Fri.
Status: Accepting Applications
Position Description
Under the direction and supervision of the Director of Data Management, this position is responsible for performing all data entry functions as they relate to the completion of case report forms, by entering study data collected by the research team into the Electronic Data Capture (EDC) system. Data entry personnel will also resolve all data queries. The position works closely with the research coordinators in support of all ongoing clinical studies.

PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:

Oversee and manage the data entry from the source document to the case report form (CRF)
Reviews patient records for completeness and accuracy
Coordinates and schedules monitor(s) visits.
Meets with sponsor/monitors to review data entry. Provides support and information to monitors as necessary and as directed by supervisor(s).
Timely resolution of data queries promptly to insure completeness of CRFs.
Complies with all applicable regulations, guidelines and procedures pertaining to data loading, EDC and clinical research
Identifies lab facilities used for studies so that lab certifications can be requested for study files.
Assures that data entry remains current for all studies per SOP.
Reviews and utilizes protocols as guides for study activities.
Communicates as needed with accounts receivable staff regarding submitted data.
Attends meetings and briefings regarding clinical studies as required.
Ability to assist in the guidance and training of less experienced staff.
Ability to maintain a positive attitude with the research team.
Maintain professional demeanor with sponsors, monitors and auditors.
Remains current with all required training.
Performs other duties as assigned.
KNOWLEDGE AND SKILLS:
Working knowledge of clinical research Electronic Data Capture (EDC) systems.
Excellent interpersonal skills to deal effectively with research personnel.
Knowledge of medical terminology.
Knowledge of ICH GCP, FDA, OHRP, OSHA and HIPAA guidelines pertaining to clinical research.
Excellent organizational skills to independently manage work flow.
Ability to prioritize quickly and appropriately with minimal guidance.
Ability to multi-task.
Ability to work independently and function as part of a team.
Ability to react calmly in emergent situations.
Clear and concise verbal and written communications.

Marketing Assistant

RentReporters.com is looking to expand its marketing team by hiring a Marketing Assistant. RentReporters assists individuals by confirming and reporting their rent payments to Equifax and TransUnion, thus allowing so many more people to improve their credit based upon their rental history.

As a Marketing Assistant You Will:

Collaborate with the marketing manager and internal teams on marketing strategy.
Help execute and manage email campaigns.
Help execute and manage social media campaigns.
Create content for blogs, emails, social media, website, and video scripts.
Manage social media channels such as responding to comments and scheduling content.
Assist with gathering testimonials from happy customers.
Help maintain customer and prospect database.
Provide administrative support.
Prepare and analyze reports for marketing campaigns and channels.
Requirements:

Effective written and verbal communication skills.
Attention to detail.
Ability to work effectively in a remote environment.
Experience using computers for a variety of tasks.
Demonstrated competency in Google Business Suite tools.
Good organization skills.
Relevant job, internship, or educational experience.
These skills and experience are a plus:

Experience or interest in SEO, social media, email marketing.
Experience in Salesforce, Pardot, Hubspot or other CRMs and marketing tools.
Experience with personal finance tools.
Experience or knowledge of the credit industry.
Compensation and Benefits

$19.00 – $22.00 per hour

Benefits: 401(k), Dental insurance, Flexible spending account, Health insurance, Paid time off, Vision insurance

Lead PLADS Business Systems Analyst

Salary Range: $55,000 – $140,000

We’ve Got You Under Our Wing

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way.

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America’s best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com.

Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac.

Work Designation. This role is remote. This means you will be expected to work from your home, within the continental US. There may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

What does it take to be successful at Aflac?

Acting with Integrity
Communicating Effectively
Pursuing Self-Development
Serving Customers
Supporting Change
Supporting Organizational Goals
Working with Diverse Populations

What does it take to be successful in this role?

Group and/or Individual Disability and Absence Management Insurance Industry experience
Experience working in an Agile team
Strong Analytical Problem-Solving skills
Attention to detail and results oriented, with a strong customer focus
Ability to work as part of a team and independently
Problem-solving and technical communication skills
Ability to prioritize workload to meet tight deadlines
Experience with ClaimVantage (preferred)
Experience with requirements management tools and techniques, such as UML Class/Sequence Diagrams, Use Cases, Story-boarding, Scrum, Atlassian Tools Suite – Jira and Confluence
Experience using data query tools to perform data analysis, profiling and validation
Strong written and verbal communication skills
Experience in Life, Absence and Disability Insurance

Education & Experience Required

Bachelor’s Degree in Computer Science, Information Systems, Business Admin, or a related field
Six or more years’ experience in a Business Analysis function
Demonstrated experience in developing projects across all phases of the project life cycle; demonstrated experience in developing functional specifications, , user interface designs/wireframes
Knowledge of how systems support business operations, collection of technical requirements, and modeling concepts
Experience in working simultaneously with technical IT resources and non-technical business resources and users
Ability to apply statistical and other research methods into systems issues as required; review complex data and derive summary conclusions
Group Life/Absence/Disability (LAD) industry experience highly preferred
Or an equivalent combination of education and experience

Principal Duties & Responsibilities

Leads all Business Systems Analyst activities and strategies within their team, guiding more junior Business Systems Analysts
Engages with representatives from multiple business and/or IT units to develop user requirements for enhancements to the system
Analyzes and understands business processes and end user needs to effectively prioritize, triage, recreate and analyze system issues to determine root cause and provide solution recommendations
Effectively communicates complex technical concepts and topics to a broad audience
Creates appropriate documentation for project deliverables, such as use cases, cost benefit analysis, test plans, process flows, training and communication plans as needed to support the successful launch of solutions
Assists in the coordination of testing partnering with our QA team
Provides Peer Reviews on work from within the team
Understands the work across teams to identify potential conflicts
Serves as a self-accountable team member to prioritize and function in environments with competing and alternating priorities, with a constant focus on delivery
Continually refines business acumen and establishes domain / industry vertical expertise
Performs other related duties as required

Total Rewards

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The range has been created in good faith based on information known to Aflac at the time of the posting. Compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate. The salary range for this position is $55,000 to $140,000.

In addition to the base salary, we offer an array of benefits to meet your needs including medical, dental, and vision coverage, prescription drug coverage, health care flexible spending, dependent care flexible spending, Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee), 401(k) plans, annual bonuses, and an opportunity to purchase company stock. On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state mandated sick leave (Washington employees accrue 1 hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to sick and safe leave, and adoption and parental leave, in all states and localities.