Peer/Record Review Quality Analyst Full Time NEW

This role plays a critical part in ensuring the accuracy, completeness, and quality of medical peer review documentation within a structured clinical review workflow. You will be responsible for validating completed medical file reviews to ensure client questions are fully addressed and reports meet strict quality standards.

You will act as a key quality gatekeeper between clinical reviewers, operations teams, and clients, ensuring consistency, clarity, and compliance across all deliverables.

The position requires strong attention to detail, excellent communication skills, and the ability to confidently engage with physicians and external stakeholders.

You will support continuous improvement of reporting quality through feedback, clarification requests, and adherence to established QA frameworks.

The environment is fast-paced, process-driven, and highly collaborative, with a strong focus on accuracy and service quality.

Your work directly contributes to the reliability and credibility of clinical peer review outcomes used in healthcare and insurance decision-making.

Accountabilities

• Review completed peer review reports and associated medical records to ensure all client questions have been fully and accurately addressed.
• Validate report completeness, grammatical accuracy, formatting standards, and adherence to internal QA checklists.
• Communicate with clinical reviewers to request clarifications, corrections, or additional information when needed.
• Liaise with clients to provide updates, clarify findings, and ensure satisfaction with review outputs.
• Ensure timely progression of referrals by tracking, following up, and maintaining clear communication across stakeholders.
• Format and prepare finalized reports for approval and delivery to clients.
• Support continuous quality improvement by identifying recurring issues and contributing to process enhancements.
• Collaborate closely with operations teams to maintain consistency and efficiency across review workflows.

Requirements

• Associate’s or Bachelor’s degree preferred.
• Experience in healthcare, insurance, or a related regulated business environment is preferred.
• Strong familiarity with technology-driven workflows and digital documentation systems.
• Excellent written and verbal communication skills, with the ability to engage confidently with physicians and clients.
• Strong attention to detail, critical thinking ability, and commitment to high-quality output.
• Effective time management skills with the ability to meet strict deadlines.
• Proficiency in computer tools and strong typing and documentation skills.
• Ability to work independently in a remote environment while maintaining strong collaboration with distributed teams.

Benefits

• Comprehensive medical, dental, and vision insurance coverage for employees and families.
• Employer-provided basic life insurance, short-term disability, and long-term disability coverage.
• Voluntary benefits including supplemental life, critical illness, accident insurance, hospital indemnity, and pet insurance.
• Generous paid time off to support rest, recovery, and work-life balance.
• 401(k) retirement plan with company matching contributions.
• Remote work support including equipment and media stipend for home office setup.
• Opportunity to work in a high-volume, mission-driven healthcare review environment.
• Exposure to large-scale peer review and claims evaluation processes across multiple insurance sectors.

How Jobgether Works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role’s core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.