Clinical Quality Assurance Analyst

 Posted 10 hours ago
     
 $26.5 - $28.5 per hour
  
2-5 years experience
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AI Summary

The analyst will verify clinical services and insurance usage to ensure they meet client policies and criteria. They are responsible for drafting grammatically correct reports and communicating results to clients via phone and email.

My client, a reputable healthcare company, is hiring for a remote Clinical QA Analyst!

Job Description:

Their process includes the following:

  • Double Checking to verify what was processed.
  • Were certain surgeons and specialties used? Was State Insurance used? Were these correct?
  • Identifying if what was asked by the clients met in their visits? Nothing more or less. If they were supposed to get a certain service, verify it was met up to the T.
  • Did these services meet their policies and criteria? Was the service necessary and required?
  • This person will take the answers to these questions, and then provide the answers and updates to their client.
  • They will make sure that the report being sent over is written up well, grammatically correct, and double check that the clinical information and explanation makes sense.
  • They will be providing phone call and email communication to their clients about these results.
  • They may have some quick turnaround cases, so time management is going to be important.
  • Their specialization is Workers Comp, but chronic illness is their specific area. Any sort of broad experience though will be well versed enough for this.

Qualifications to Apply:

  • A Nursing Degree either RN or LPN and everything active
  • Great communication both written and phone
  • Clinical knowledge to do the reviews
  • Any previous remote work is a plus

APPLY NOW!!!!

Job Type & Location

This is a Contract to Hire position based out of Rockville, MD 20852.

Pay and Benefits

The pay range for this position is $26.50 - $28.50/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 23, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: 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.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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