Peer Reviewer, QA

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Evaluate arbitration determination letters to ensure they meet established quality standards.

• Document observations prior to or following closeout as directed.

• Offer constructive feedback and guidance to arbitrators.

• Conduct quality reviews in accordance with relevant policies, templates, and project directives.

• Analyze determination letters for supportive evidence, logical and justifiable outcomes, and adherence to Capitol Bridge standards.

• Confirm proper evaluation of dispute-specific evidence.

• Ensure accurate completion of tasks within electronic databases.

• Record detailed findings and meaningful feedback in the specified system.

• Identify quality patterns and escalate issues as necessary.

• Engage in calibration reviews and report any recurring defects or ambiguous standards.

• Collaborate with Training, Compliance, Reporting, and Program Leadership as required.

• Adhere to approved decision-making authorities, confidentiality protocols, and escalation processes.

⛳️ Requirements

• Familiarity with the Federal No Surprises Act.

• Experience in reviewing complex written case decisions or regulated documentation.

• Exceptional attention to detail and the ability to communicate findings in a neutral and clear manner.

• A Juris Doctor (J.D.) degree from an accredited law school is mandatory.

• Capability to perform all essential duties proficiently.

• Successful completion of a background check, fair credit check, and drug screening.

• Compliance with stringent security protocols and confidentiality obligations.

🏝️ Benefits

• Medical, dental, vision, and pharmacy benefits with employer contributions.

• Company-sponsored life insurance.

• 401(k) retirement plan with company matching.

• Paid time off.

• Employee Assistance Program.

• Paid training.

• Paid holidays.