Clinical Quality Assurance Coordinator - Supervisor (31149)

Job Details Job Location: Atlanta, GA 30305 Position Type: Full Time Travel Percentage: None Join Our Team at MCMC! We’re excited to announce an opportunity for a Clinical Quality Assurance Coordinator – Supervisor to make an impact and lead with excellence. In this role, you’ll oversee the daily operations of our Quality Assurance Department, ensuring workflows run smoothly and efficiently. You’ll provide leadership, guidance, and support to a dedicated team, driving quality standards and operational success. We’re looking for someone who brings expertise, organization, and a passion for quality care. If you thrive in a leadership role and enjoy making processes better, this is your chance to shine! This position is 100% remote with a schedule of Monday through Friday 9:00am-5:30pm EST. Ready to take the next step in your career? Apply today and help us deliver excellence in clinical quality assurance! Responsibilities may include: • Coordinate and direct the QA department’s daily workflow to ensure all product lines are completed with the highest level of quality in the most effective and efficient manner possible. • Prioritize and manage the daily workload and ensure the appropriate and equitable distribution of work is maintained in order to achieve goals. • Monitor work product to ensure clear, concise, evidence-based rationales have been provided in support of all recommendations or determinations and that specific indicators and criteria in accordance with company policy and procedures have been achieved. • Ensure department compliance of all federal ERISA and state mandates is adhered to at all times. • Promote effective and efficient utilization of all clinical resources and makes necessary recommendations for improvements to management as needed. • Ensure all client relationships are maintained and all client specific requirements are met. • Assist promptly in resolution of any physician and/or customer complaints or quality assurance issues. • Delegate work as needed and provide backup to all departmental positions as required. • Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures. • Participate in the development and implementation of policies and procedures in order to promote and achieve the most efficient operation possible. • Participate in various educational and or training activities as required. • Perform other duties as assigned. Qualifications Education and/or Experience • High school diploma or equivalent required. • A minimum of three years related experience; or equivalent combination of education and experience preferred. • Knowledge of the insurance industry, preferably claims management relative to workers' compensation, no-fault, liability, and disability is preferred. • Previous supervisory experience preferred. QUALIFICATIONS • Must possess a working knowledge of medical legal aspects of medical records and health information principles and/or liability. • Must possess complete knowledge of general computer, fax, copier, scanner, and telephone. • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Excel, and the Internet. • Must be a qualified typist with a minimum of 40 W.P.M. • Must demonstrate exceptional communication skills. • Analyzes problems involving multiple interrelated causes. • Gathers information and applies complex concepts or methods to generate an effective solution. • Ability to follow instructions and respond to upper managements’ directions accurately. • Must demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements. Looks for ways to improve and promote quality and monitors own work to ensure quality is met. • Must be able to work independently, prioritize work activities and use time efficiently. • Must be able to take independent actions and calculated risks when needed. • Must use good judgment and include the appropriate people in the decision-making process. • Must be able to maintain confidentiality. • Must be able to demonstrate and promote a positive team -oriented environment. • Must be able to stay focused and concentrate under normal or heavy distractions. • Must be able to work well under pressure and or stressful conditions. • Must possess the ability to manage and direct change, delays, or unexpected events appropriately. • Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time. MCMC completes over 100,000 reviews each year for more than 400 clients, including almost all of the nation’s largest Health Plans, PBMs, Disability Carriers, TPAs, UR companies, Self-Insured Employers, Taft-Hartley Plans and Government Organizations. Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. MCMC offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k. Apply tot his job