Quality Specialist, Medical QC

Our client is a privately held, technology-first organization operating in the legal services sector. The company develops software and workflow solutions designed to modernize how law firms manage scale, operations, and case execution. Its platform focuses on replacing legacy processes with structured, data-driven systems used in personal injury and mass tort litigation environments.

The organization emphasises the integration of technology and legal operations to improve efficiency, accuracy, and case management standards within plaintiff-side litigation workflows.

Hybrid work model: Mondays, Tuesdays, and Thursdays in-office (Boca Raton, Florida).

Job Summary

The Quality Specialist, Medical QC is responsible for reviewing, validating, and auditing medical record data and case chronologies to ensure accuracy, completeness, and adherence to defined quality standards. This role serves as a critical quality control function within medical documentation workflows used in litigation case preparation.

The position requires strong clinical understanding, attention to detail, and the ability to independently assess complex medical records. The successful candidate will ensure consistency and accuracy across review outputs while supporting adherence to internal processes and criteria.

Core Responsibilities

• Review medical record chronologies for accuracy, completeness, and consistency.
• Conduct structured quality control audits across case files and review outputs.
• Identify missing or inconsistent information and document corrective actions.
• Track, log, and report errors, discrepancies, and quality trends.
• Recommend case approval or escalation decisions based on review outcomes.
• Maintain audit documentation and communicate findings to management.
• Support development and refinement of QC systems and standard operating procedures.
• Ensure full compliance with HIPAA and confidentiality requirements.
• Coordinate with cross-functional teams to ensure smooth case progression.
• Contribute to continuous improvement initiatives within medical review workflows.
• Additional duties as required.

Requirements

• Active RN or Nurse Practitioner licence.
• Minimum 5 years clinical experience in a healthcare setting.
• Strong inpatient clinical background.
• Working knowledge of medical terminology, anatomy, physiology, pharmacology, lab interpretation, and disease processes.
• Experience working with ERP systems (NetSuite, SAP, or equivalent).
• Proficiency with Microsoft 365 tools, Outlook, Google Sheets, and PowerPoint.
• Ability to operate independently in a fast-paced, deadline-driven environment.

Core Competencies

• Strong medical writing and documentation capability.
• High accuracy in interpreting and validating medical records.
• Analytical thinking and structured problem-solving.
• Ability to manage multiple concurrent cases with minimal supervision.
• Strong organisational discipline and workflow prioritisation.
• Comfortable working across ambiguous or evolving processes.
• Collaborative communication across technical and non-technical teams.

Preferred Experience

• Medical record review and chronology drafting.
• Data extraction or structured medical data handling.
• Plaintiff-side personal injury, mass tort, or pharmaceutical litigation exposure.
• Spanish language proficiency.
• Bachelor’s degree in a relevant field.
• Experience across paediatric and adult care or oncology.

Compensation

USD $70,000 - $75,000

Benefits

• Medical, dental, and vision insurance.
• Life insurance and short- and long-term disability coverage.
• Flexible Spending Accounts.
• 401(k) plan.
• Paid holidays (11 annually).
• Flexible PTO and discretionary time off.
• Employee Assistance Program.
• Calm subscription for mental wellbeing.
• Comprehensive support for every unique path to parenthood.

Equal Opportunity Statement

We are an equal opportunity employer and make employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, age, or any other status protected by law.