Top 11 Quality assurance specialist Jobs in Beloit Wi

Utilization Review & Quality Assurance Specialist
ExamWorks —Rockford, IL
- $45 - $52 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
Food Safety and Quality Assurance Specialist
Broaster Company LLC —Beloit, WI
- Full-time
- Clean driving record
- Customer service
- Laboratory experience
Audit & Quality Assurance Specialist
Blackhawk Community Credit Union —Janesville, WI
- $63,000 - $69,000 a year
- Full-time
- 18 years or older
- Computer literacy
- Mid-level
Quality Assurance Specialist (2nd Shift)
NorthStar Medical Radioisotopes —Beloit, WI
- Extended hours
- Mid-level
- Office
- 3 years
- Paid parental leave
- AD&D insurance
2d
Associate Quality Specialist
Conagra Brands —Darien, WI
- $59,000 - $79,000 a year
- Full-time
- Bachelor of Science
- Ability to climb stairs
- Bachelor's degree
- Employee stock purchase plan
- Health insurance
9d
Quality Specialist
siffron —Rockford, IL
- $17.06 - $25.59 an hour
- Overtime
- High school diploma or GED
- Ability to lift 50 pounds
- Continuous improvement
- Paid parental leave
- Health savings account

More jobs to discover

Find similar jobs that you might be interested in.

Food Safety and Quality Assurance Specialist
Broaster Company LLC —Beloit, WI
Valid driver’s license and good driving record. It leads internal and external audits, manages Halal certification, and maintains all required documentation,…
Regulatory Documentation Specialist
TH Foods, Inc. —Loves Park, IL
Supports Regulatory & R&D department activities (development of new products, line extensions, evaluation of product improvements and cost reductions) by…
$26 an hour

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Quality Assurance Specialist
Accel Inc —New Albany, OH
Assist with non-conformance assessments, findings, reports, CAPAs, and root cause analysis. Accel is hiring a *Quality Assurance Specialist* to perform routine…
$19 an hour
Quick Apply
Quality Specialist
Engineered Profiles LLC —Columbus, OH
Engineered Profiles LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of…
$16.97 - $22.05 an hour
Quick Apply
4d

Show more jobs in cities nearby

I want to receive the latest job alert for quality assurance specialist in beloit wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

quality assurance specialist jobs near beloit wi

Quality Assurance Specialist jobs in Beloit, WI

Safety jobs in Temple, TX

Food Safety Specialist jobs in Albuquerque, NM

Food Safety Specialist jobs in Orlando, FL

Food Safety Specialist jobs in Alabama

Food Safety Specialist jobs in Frisco, TX

Public Safety Dispatcher jobs in New Jersey

Occupational Health Safety jobs in Sacramento, CA

Customer Success Specialist jobs in Atlanta, GA

Quality Assurance Specialist jobs in Austin, TX

Healthcare Quality Improvement jobs in Utah

Utz Quality Foods Utz Quality Foods jobs in Hanover, PA

Quality Assurance Specialist jobs in Boca Raton, FL

Quality Assurance Specialist jobs in Manassas, VA

Quality Assurance Specialist jobs in Wesley Chapel, FL

Peer Support Specialist jobs in Indiana

Quality Assurance jobs in Omaha, NE

Quality Specialist jobs in Lawrence, MA

Quality Control jobs in Fort Worth, TX

Quality Control jobs in Merritt Island, FL

Utilization Review & Quality Assurance Specialist

ExamWorks -
Rockford, IL

Quick Apply

Job Details

Full-time
$45 - $52 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Anatomy knowledge
Confidential information handling
Microsoft Outlook
RN License
Change management
Medical treatment knowledge
Medical terminology
Customer complaint resolution

Full Job Description

Are you passionate about clinical quality, accuracy, and continuous improvement -and looking for a role that allows you to make a meaningful impact while working from home?

We’re seeking a Utilization Review & Quality Assurance Specialist to join our fully remote team. This role offers a consistent 8:00am-4:30pm EST schedule, providing structure and work-life balance while you contribute to high‑quality clinical review operations.

In this role, you’ll be at the center of ensuring excellence - leveraging strong knowledge of group health plans, clinical criteria sets, leadership, and change management to review clinical documentation, uphold regulatory and client standards, and drive quality across medical review processes.

Responsibilities may include:

Evaluate clinical information received, write and/or review various reports including, but not limited to: Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements.
Perform quality assurance reviews of peer review reports, correspondences, addendums or supplemental reviews to ensure they meet company standards for content, clarity, evidence-based rationale, formatting, and professional presentation.
Ensure all client instructions and specifications have been followed, all questions have been answered, and all recommendations or determinations are supported by clear, concise, and evidence-based rationales.
Verify that each review includes appropriate clinical citations when applicable, and ensure all references cited are current and obtained from reputable medical journals and publications.
Identify inconsistencies within reports and contact the reviewer to obtain clarifications, modifications, or corrections needed.
Assist in the resolution of customer complaints and quality assurance issues as appropriate.
Ensure all federal ERISA and applicable state mandates are adhered to.
Provide ongoing feedback and recommendations to management regarding consultant performance, quality trends, and compliance with internal and client specific requirements.
Participate in the development and implementation of policies and procedures to improve efficiency and quality across operations.
Develop and lead formal and informal training sessions -individually or in groups -that promote high-quality utilization review practices and reinforce company standards.
Develop and document new or improved operational processes to support continuous improvement.
Promote effective and efficient utilization of company resources across all responsibilities.
Participate in or lead various continuing education and training activities related to clinical knowledge, industry standards, and company processes.
Perform other duties as assigned.

Must hold and maintain a Registered Nursing License.
Strong knowledge of group health/criteria sets/leadership/change management.
Must have strong understanding of medical terminology, anatomy and physiology, treatment protocols, medications and laboratory values.
Must be proficient in Microsoft Office Suite, Outlook, internet navigation and general office equipment.
Must have the ability to follow instructions and respond to upper managements’ directions accurately.
Ability to work independently, prioritize tasks, and manage time efficiently in a fast-paced environment.
Ability to demonstrate accuracy, thoroughness, and commitment to producing high quality work; actively monitor own performance and seek opportunities for improvement.
Ability to demonstrate flexibility and remain composed under pressure or in stressful conditions; adapts well to change and promotes a positive team environment.
Must be able to maintain confidentiality.
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.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

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.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Quick Apply

Refine Your Search

quality assurance specialist jobs in beloit wi

Utilization Review & Quality Assurance Specialist

Food Safety and Quality Assurance Specialist

Audit & Quality Assurance Specialist

Quality Assurance Specialist (2nd Shift)

Associate Quality Specialist

Quality Specialist

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for quality assurance specialist in beloit wi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected