Quality Assurance Nurse, Sr. jobs in Springfield, MO

Quality Assurance Nurse, Sr. evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Being a Quality Assurance Nurse, Sr. reviews and analyzes customer complaints. Helps train staff on new or improved clinical practices. Additionally, Quality Assurance Nurse, Sr. requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/department. To be a Quality Assurance Nurse, Sr. typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Quality Assurance Manager
  • American National Family of Companies
  • Springfield, MO FULL_TIME
  • Quality Assurance Manager


    American National is seeking a Quality Assurance Manager. In this role you will support P&C Claims Operations by ensuring that audits and validations conducted by the team are conducted with a high level of accuracy and consistency. You will help transform the client experience by actively identifying, analyzing, and recommending improvements focused on service and operational compliance with best practices and regulatory requirements.


    What You’ll Do


    • Responsible for the leadership of Quality Improvement team(s) within P&C Operations.
    • Mentor and develop each member of the Quality Improvement team.
    • Collaborate with senior leadership on the development of the overall Quality Improvement strategy and roadmap for P&C Operations.
    • Lead the delegation and prioritization of the team’s projects and ensures the projects are completed timely.
    • Creates, analyzes, and maintains queries, reports, and dashboards (i.e., PowerBI) used by the team or other areas of P&C Operations; analyzes business results, identifies trends, and issues, and makes improvement recommendations to stakeholders as needed.
    • Validate audit guides to ensure calibration and consistency of results. Analyze the results of the audits.
    • Validates and reviews queries, reports, and dashboards prior to being sent to areas within P&C Operations.
    • Interacts with all levels of the claims staff, internal partners, senior staff, external resources, and regulators, including but not limited to assessments, audit, training, coaching, performance management, and presentations.
    • Improve processes and procedures while maintaining technical bulletins, procedures, policies, practices, guidelines, and official records for the business area.

    What You’ll Need


    • Bachelor’s degree in business, risk management, or a related field
    • Eight to Ten years of claims handling experience
    • One to Two years of supervisory/management experience preferred
    • CPCU, AIDA, ARC, or similar industry designation preferred
    • Expert use with estimating software and management systems software.
    • Ability to initiate, plan, implement or evaluate programs.
    • Must have strong communication and people skills.

    American National offers eligible employees and their families medical, dental, vision, and basic life insurance. Employees are able to enroll in our company’s 401k plan. Employees also receive annually a bank of paid time off and paid holidays. We aspire to see people for what they bring to our corporate culture by supporting an inclusive work environment, including an emphasis on a healthy work-life balance, development opportunities, and a casual dress code.


    American National is an established, stable, and successful multi-line insurance corporation that has provided financial strength and a sense of security to employees, customers and business partners since 1905. With focus on our organization’s values and cultural richness: Financial Strength, Integrity, Respect, Service and Teamwork (FIRST) and Agility, Collaboration, and Engagement (ACE) we continue to pursue our vision to be a leading provider of financial products and services for current and future generations.


    Hiring Practices

    The preceding job posting was designed to indicate the general nature and level of work performed by employees assigned to this position. It is not intended to be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role, but your past experience doesn’t align perfectly with the job qualifications, we still encourage you to apply. You may be just the right candidate for this position or other opportunities at American National.


    American National’s recruitment policies help us place individuals in a timely and efficient manner. Only the most qualified candidates will be contacted by our recruiting team.


    American National is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, genetic information or any other legally protected categories. American National is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.


    Nearest Major Market: Springfield
    Job Segment: Quality Assurance, Compliance, Claims, Social Media, Risk Management, Technology, Legal, Insurance, Marketing, Finance

  • 6 Days Ago

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Quality Assurance Specialist I
  • Careers|CURIA
  • Springfield, MO FULL_TIME
  • Quality Assurance (QA) Specialist I in Springfield, MO Curia provides global contract research and manufacturing services to the pharmaceutical and biotechnology industries. Join our talented workforc...
  • 18 Days Ago

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Quality Assurance Specialist III
  • Careers|CURIA
  • Springfield, MO FULL_TIME
  • Quality Assurance (QA) Specialist III in Springfield, MO Curia provides global contract research and manufacturing services to the pharmaceutical and biotechnology industries. Join our talented workfo...
  • 21 Days Ago

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QUALITY ASSURANCE MANAGER
  • Next GenHealth Staffing
  • Republic, MO FULL_TIME
  • JOB RESPONSIBILITIES- Quality Assurance Manager QA MGR Full-Time Quality Assurance Manager candidates will have the following job responsibilities: Quality Management System oversight Quality Reportin...
  • 24 Days Ago

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Quality Assurance Technician I
  • Red Monkey Foods
  • Springfield, MO FULL_TIME
  • Shift: 1st Shift M-F (8am-4:30pm)Benefits include:Paid holidays, PTO and vacation time accrual from Day 1Medical, dental and vision insuranceLife Insurance, STD and LTD availableGenerous 401K plan$400...
  • 1 Month Ago

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Quality Assurance Manager
  • HealthTrust Performance Group
  • Republic, MO FULL_TIME
  • Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Qu...
  • 1 Month Ago

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0 Quality Assurance Nurse, Sr. jobs found in Springfield, MO area

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Physiatrist - Work in Poplar Bluff, MO
  • Veterans Health Administration
  • Springfield, MO
  • Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
  • 4/18/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,647 per week
  • Hiring Now!
  • Springfield, MO
  • Travel Nurse Across America is seeking a travel nurse RN Med Surg for a travel nursing job in Springfield, Missouri. Job...
  • 4/18/2024 12:00:00 AM

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Medical Support Specialist/Nurse
  • Biolife Plasma
  • Springfield, MO
  • As a Nurse at BioLife, youll bring your best to our donors and patients every day, doing life-changing work that impacts...
  • 4/18/2024 12:00:00 AM

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CoxHealth Nurse Care Manager - Population Health
  • Coxhealth
  • Springfield, MO
  • Summary Best in Class Work Environment 5x Modern Healthcare Best Places to work Americas Greatest Workplaces 2023 Newswe...
  • 4/18/2024 12:00:00 AM

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Nurse Care Manager - Population Health
  • Coxhealth
  • Springfield, MO
  • Summary Best in Class Work Environment 5x Modern Healthcare Best Places to work Americas Greatest Workplaces 2023 Newswe...
  • 4/18/2024 12:00:00 AM

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Maintenance Assistant
  • MGM Healthcare
  • Springfield, MO
  • At Spring Valley Health & Rehabilitation Center, we deliver the highest quality of care for every resident through our m...
  • 4/15/2024 12:00:00 AM

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RN Clinical Supervisor - Home Health
  • Maxim Healthcare
  • Springfield, MO
  • Maxim Healthcare Services is hiring for a RN/Clinical Supervisor in our Springfield, MO office At Maxim Healthcare Servi...
  • 4/15/2024 12:00:00 AM

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Nurse Care Manager - Population Health
  • Coxhealth
  • Branson, MO
  • Summary Best in Class Work Environment 5x Modern Healthcare Best Places to work Americas Greatest Workplaces 2023 Newswe...
  • 4/15/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Assurance Nurse, Sr. jobs
$86,476 to $101,862
Springfield, Missouri area prices
were up 1.3% from a year ago