QA Coordinator (QAC)
Core
Licensed Registered Nurse supporting quality coordination, inter-rater reliability (IRR) activities, and reviewer performance monitoring for a Medicare review portfolio.
Role type
Licensed Registered Nurse (Quality Coordination)
Builds
Medicare review services for federal agencies (CMS, VA, DoD)
Domain
Healthcare administration / Medicare quality assurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Active unrestricted RN license, clinical nursing experience, home health experience, quality assurance experience, utilization review experience, documentation skills, coordination skills
Preferred skills
IRR point contact experience, MAC/RCD/CMS program integrity experience, OASIS experience
Responsibilities
Support day-to-day quality coordination activities including case assignment and complex case review, Serve as point of contact for inter-rater reliability (IRR) activities, Cooperate with client QA reviews and calibration sessions, Implement client-approved corrective actions at the reviewer level, Monitor subsequent reviewer performance, Track IRR participation and corrective action completion
