[Hiring] Clinical Quality Assurance Specialist @Wider Circle

Role Description

We are looking for a Quality Assurance Specialist, RN, to build and run our clinical Quality Assurance program. This is a hands-on role focused on operations — not a simple checklist job. You will:

• Review patient charts, design and run the QA schedule, and ensure documentation is clear and well-supported across the care team.
• Report to the Senior Director of Clinical Operations.
• Work closely with the Operations team, the Billing team, and the Training and Enablement Specialist to turn QA findings into action.
• Review clinical charts on a regular schedule for both new hires and current staff.
• Pull random samples and keep monthly QA records and audit documentation.
• Ensure documentation and billing compliance, meeting billing standards with clear clinical reasoning.
• Report larger patterns and gaps to leadership, along with suggested fixes.
• Help prepare the team for new or changing standards.
• Partner with Operations on workflow and automation fixes, with Billing on documentation and revenue issues, and with the Training and Enablement Specialist to close skill gaps through targeted training.
• Build a clinical quality scoring system with clear standards for coaching and escalation.
• Own and grow the QA program overall, including tracking, scoring rules, adverse event reporting, grievance handling, and support for health plan audits.
• Keep a clear line between clinical QA and billing QA, and manage the handoff between the two.

Qualifications

• An active, unrestricted RN, NP, LPN, or LCSW license (a multi-state or compact license is preferred).
• At least 3 years of clinical experience, plus experience in operations or quality — ideally at a healthcare organization or a fast-growing healthcare startup.
• Hands-on experience reviewing charts for billing compliance.
• A strong understanding of documentation rules for Medicare, Medicaid, and value-based care.
• An operations mindset, with a focus on building systems that prevent problems.
• A tech-forward attitude, looking for ways to use technology and automation to grow a quality program.
• Openness to feedback, viewing it as a tool for growth.
• A proactive, persistent attitude with a strong drive to take action and solve problems.
• Comfort working in a fast-changing, sometimes uncertain environment.
• Strong project management and prioritization skills, along with close attention to detail.
• Skill in data analysis, able to pull, sort, and understand QA data independently.
• Strong collaboration skills across teams, working well between Operations, Billing, Training, and frontline staff.
• Comfort using technology, including EHR systems, Slack, Google Suite, and QA or audit tools.

Benefits

• The salary range for this role is $80,000–$95,000, based on qualifications, experience, skillset, and geography.
• Eligible for Wider Circle's full benefits package, including:
• Comprehensive health coverage, including medical, dental, and vision.
• 401(k) Plan.
• Paid Time Off.
• Employee Assistance Program.
• Health Care FSA.
• Dependent Care FSA.
• Health Savings Account.
• Voluntary Disability Benefits.
• Basic Life and AD&D Insurance.
• Adoption Assistance Program.
• Training and Development.