Key Facts

Remote From:

Full time

English

Hard Skills

Medicare Clinical Quality Management Industry Trend Analysis Analytics Project Management Computer-Aided Audit Tools Project Management Process Engineering Case Assessment Stakeholder Communications +6 more

Other Skills

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Microsoft Excel
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Quality Assurance
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Microsoft Office
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Report Writing
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Multitasking
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Time Management
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Teamwork
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Critical Thinking
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Organizational Skills
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Detail Oriented
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Constructive Feedback
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Problem Solving

Roles & Responsibilities

Proven experience in a QA, compliance, or audit-focused role (preferably within healthcare or ABA environments)
Proficiency in CentralReach, Rethink, Microsoft Office, and Excel
Experience with QA audit tools and project management platforms
Strong understanding of healthcare standards and ability to independently research and apply them

Requirements:

Conduct detailed quality assurance audits across clinical and operational processes
Review documentation, reports, and case materials to ensure accuracy, compliance, and adherence to healthcare standards
Utilize QA audit tools and platforms (including CentralReach and Rethink) to evaluate performance and identify gaps
Interpret and apply healthcare regulations and standards across varying scenarios and cases

ReWorks Solutions

About ReWorks Solutions

At ReWorks Solutions, we help businesses scale smarter by blending cost-effective outsourcing with high-performance teams and strategic operations. We don’t just fill positions—we handpick top talent and seamlessly integrate them into your workflow, ensuring efficiency, quality, and real results. Our proven process streamlines operations, reduces costs, and boosts productivity, giving U.S. and international businesses access to highly skilled professionals without compromising on quality. Whether you need a dedicated remote team or specialized support, we tailor our solutions to fit your business needs. Why Choose Us? ✅ Top-Tier Talent: We carefully curate professionals who match your company’s culture and expertise requirements. ✅ Cost-Effective Solutions: Reduce overhead costs without sacrificing quality or efficiency. ✅ Seamless Integration: We make outsourcing easy, ensuring smooth collaboration with your in-house team. ✅ Scalable & Flexible: Whether you need a small team or a full-scale operation, we grow with your business. ✅ Results-Driven Approach: We focus on real impact—helping you optimize operations and achieve your goals. Let’s Build Your Dream Team! Ready to unlock the power of smart outsourcing? Connect with us today and let’s build a high-performing, cost-efficient team that drives your business forward.

Founded: 2018

Company size: 11 - 50

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Job description

Job Opening: Clinical Quality Assurance Agent

Location: South Africa, Remote (US Hours - 9am-5pm EST)

Employment Type: Full-Time

Key Responsibilities

Conduct detailed quality assurance audits across clinical and operational processes
Review documentation, reports, and case materials to ensure accuracy, compliance, and adherence to healthcare standards
Utilize QA audit tools and platforms (including CentralReach and Rethink) to evaluate performance and identify gaps
Interpret and apply healthcare regulations and standards across varying scenarios and cases
Provide clear, constructive feedback and recommendations for improvement
Analyze data using Excel and other tools to track trends, identify risks, and support decision-making
Collaborate with cross-functional teams to maintain and improve quality standards
Develop and refine QA processes, frameworks, and documentation
Translate complex findings into clear, concise, and actionable insights for stakeholders
Manage multiple audits and projects simultaneously using project management tools

Requirements

Proven experience in a QA, compliance, or audit-focused role (preferably within healthcare or ABA environments)
Proficiency in CentralReach, Rethink, Microsoft Office, and Excel
Experience with QA audit tools and project management platforms
Strong understanding of healthcare standards and ability to independently research and apply them
Exceptional attention to detail with the ability to identify nuanced issues in audits and reviews
Strong critical thinking skills with the ability to interpret complex information across different scenarios
Excellent written communication skills, with the ability to simplify complex concepts clearly and effectively
Strong problem-solving abilities and a proactive, solutions-oriented mindset
Ability to take initiative and work both independently and as part of a team
Strong organizational and time management skills

Benefits

Comfortable working U.S. hours
Remote work from home

Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.