Quality Assurance Analyst
Canadian Health Solutions Inc.
Saint John, NB

Job Brief

Canadian Health Solutions is a growing group of health service companies that develop and provide leading medical and research services. Based out of Saint John, New Brunswick, we seek energetic Quality Assurance Analyst for up-coming opportunities. The Quality Assurance Analyst is responsible to ensure IME reports are completed at the highest level of quality and integrity and in full compliance with company standards, client contractual agreements, and legal requirements. This position is required to handle quality assurance questions and provide overall support to the assessment services team. This dynamic individual will work with our key stakeholders, medical and scientific team, and help ensure our team’s quality assurance vision is achieved.

Job Responsibilities

Performs quality assurance review of IME reports, correspondences, addendums or supplemental reviews.

  • Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
  • Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
  • Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
  • Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
  • Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
  • Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
  • Ensures the provider credentials and signature are adhered to the final report.
  • Identifies any inconsistencies within the report and contacts the Provider to obtain clarification, modification or correction as needed.
  • Assists in resolution of customer complaints and quality assurance issues as needed.
  • Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
  • Promote effective and efficient utilization of company resources.
  • Participate in various educational and or training activities as required.
  • Perform other duties as assigned.

Job Requirements

  • Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
  • Knowledge of Workers Compensation legislation and principles,
  • Knowledge of legal principles of causation, and evidentiary principles respecting the use of medical, scientific and expert evidence
  • Qualified typist with a minimum of 40 W.P.M preferred.
  • Must be able to operate a general computer, fax, copier, scanner, and telephone.
  • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
  • Must possess excellent skills in English usage, grammar, punctuation and style.
  • Ability to follow instructions and respond to upper managements' directions accurately.
  • Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
  • Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
  • Must be able to work independently, prioritize work activities and use time efficiently.
  • 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 change, delays, or unexpected events appropriately.
  • Demonstrates reliability and abides by the company attendance policy.
  • Must maintain a professional and clean appearance at all times consistent with company standards.
  • Preference will be given to candidates with a PhDs in health; life sciences or psychology

Language Requirements

  • Expert in written English, particularly technical writing.
  • French reading and writing expertise also an asset.
  • Ability to read, analyze and interpret common correspondence, medical records, and/or legal contracts and documents.
  • Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar.
  • Ability to respond appropriately and professionally to all inquiries or complaints from clients, physicians, upper management, regulatory agencies, and/or members of the business community.
  • Ability to effectively present information one-on-one, in small groups, and/or clients or vendors of the company.

Education and Experience

  • Education in the fields of law, medicine, biology or sciences.
  • Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, and/or disability preferred.
  • Preference will be given to candidates with a PhDs in health; life sciences or psychology
  • IME experience preferred.

Additional Details:

  • Location: Saint John, NB, Canada.
  • Compensation: Competitive compensation based on skills and experience.

If you are excited by the opportunity to work for a highly successful fast paced growing company, then please submit your resume!

We thank all applicants for their interest, however, only those candidates being considered for an interview will be contacted.

Job Type: Full-time

Experience:

  • Quality Assurance: 1 year (Required)