Medical Quality Assurance Specialist I

Leidos QTC Health Services
$38,086 - $49,869 a year
San Antonio, Texas
Full time
1 day ago

Do you crave a career that truly makes an impact in people’s lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day

Leidos QTC Health Services is seeking a Medical Quality Assurance Specialist (QA) to support our Veteran Affairs Operations team. As a QA, you will perform a variety of activities to ensure reports are complete, consistent, and clear for a single line of business. This role provides case-specific physician training and ongoing feedback by tracking and controlling non-conformance documents.

Primary Responsibilities:

  • Accountable for the timeliness and quality of medical services and reports
  • Provide quality assurance and careful review of examination reports to ensure reports are complete, consistent, and clear
  • Provide case specific physician training and ongoing feedback
  • Review provider invoices against services rendered
  • Interact with clients, providers, medical case administrators, and case technicians
  • Perform other duties and responsibilities as assigned

Required Qualifications:

  • High School diploma or equivalent (GED)
  • 0-1 year experience with computers, data entry, and various software applications
  • If applicable, must be able to pass a federal background check and/or obtain and maintain additional clearances as specified by the contract (e.g., NACI, PIV, SMS, TMS).

Preferred Qualifications:

  • Allied medical professional certification, or relevant college, or vocational training in the medical field, i.e. LVN, CNA, Military Corpsman/Medic, EMT, MA, etc.
  • Experience within medical coding and documentation
  • Excellent verbal and written communication skills
  • Exceptional interpersonal and organizational skills
  • Ability to plan, coordinate, excel at details, multi-task and work with a high sense of urgency
  • Must be a team player and work well with others
  • 1-3 years of experience with computers, data entry, and various software applications, including medical database systems
  • Strong foundational knowledge of anatomy, physiology and medical terminology
  • Understanding of the disease process with the ability to apply clinical reasoning
  • Knowledge of military medical examinations or experience working with the VA

Additional Information:

  • Training: Onsite at our San Antonio, TX office located at 4400 N.W. Loop 410, Ste. 500 San Antonio, TX 78229
  • Shift: Monday – Friday from 8:00 AM – 4:30 PM
  • Probationary Period: Employment as a Medical Quality Assurance Specialist I will include successful completion of a 120-day probationary period during which you will be given objectives to achieve. This timeframe lets you assess your readiness for the position as well as allows Leidos QTC Health Services to determine your ability to successfully perform the job. You will be provided objectives, documentation, training and performance feedback during the 120-day probationary period as part of your assimilation to the role. After successfully completing the 120-day probationary period, you will be considered a permanent employee

About Leidos QTC Health Services

Leidos QTC Health Services collaborates closely with government and non-government customers to address current and future program needs within the health services domain. We specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing technologies that improve service delivery, with a particular emphasis on enhancing accessibility for examinees in rural communities. With a proven track record of continuous improvement and steady growth, we now handle over 2 million appointments annually. Visit www.qtcm.com for more information.

Compensation and Benefits

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here.

This role may fall under the Service Contract Act (SCA), a federal law which provides for a U.S. Department of Labor-prescribed minimum prevailing rate of pay and certain benefit levels. Where appropriate, Company-provided benefit plans such as comprehensive leave, holiday, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations.

Commitment to Non-Discrimination

All qualified applicants will receive consideration for employment without regard to sex, race, ethnicity, age, national origin, citizenship, religion, physical or mental disability, medical condition, genetic information, pregnancy, family structure, marital status, ancestry, domestic partner status, sexual orientation, gender identity or expression, veteran or military status, or any other basis prohibited by law. Leidos QTC Health Services will also consider for employment qualified applicants with criminal histories consistent with relevant laws.


Experience

Required
  • Experience with case management software, electronic medical records and medical databases
  • Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation
  • Less than 1 year(s): Healthcare, medical, or insurance related industry experience

Behaviors

Preferred
  • Team Player: Works well as a member of a group
  • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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