Senior Quality Assurance Specialist
1 month ago
Gratitude Philippines is seeking a highly skilled Senior Quality Assurance Specialist to join our team. This role will be responsible for ensuring the highest standards of quality in our clinical services.
About the RoleWe are looking for a dedicated professional with strong clinical expertise and a passion for quality assurance. As a Senior Quality Assurance Specialist, you will play a critical role in maintaining our high standards of care and ensuring that our services meet the needs of our clients.
Key Responsibilities:- Conduct regular reviews of Managed Care internal and external claim files to validate consistent evaluation of evidence-based medicine.
- Analyze Quality Assurance reporting metrics to identify strengths, trends, and areas for improvement.
- Measure and identify staffing competency levels from quality assurance reviews.
- Work with leadership and staff to calibrate quality standards across all offices.
- Unrestricted active RN license
- Bachelor's degree in nursing (BSN)
- Certification in case management, rehabilitation nursing or related specialty preferred
- Minimum two (2) years direct clinical care required but not limited to trauma, emergency, intensive care, orthopedic, neurology
- Written and verbal fluency in English is required
- Combination of two (2) years in either utilization review programs for Group Health or Worker's Compensation or experience in a quality assurance role required
- A competitive salary range of PHP 350,000 - PHP 450,000 per annum
- Opportunities for career growth and professional development
- A dynamic and supportive work environment
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