Medical QA Specialist I

If you're a medical professional skilled in reviewing and interpreting medical records, driven by a passion for aiding others, we're eager to connect with you!



We are seeking a Medical Quality Assurance (QA) Specialist to support our Veteran Affairs Operations in Malvern, PA.



Who is Leidos QTC Health Services?



We are the nation’s largest provider of disability and occupational health examination services. We are PASSIONATE about our country’s veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.



What part would you play in this role?



As a Medical QA Specialist, you will work closely with medical providers and the Veterans Administration to ensure the documentation process is complete and accurate. In this role, you will review documentation sent over from medical providers and ensure the report is complete, concise, clear, and correct and the provider has accurately completed the Disability Benefit Questionnaires for delivery back to the VA.



In this rewarding role, you will:



Review and audit exam reports sent over from medical providers



Ensure all medical coding is complete and accurate



Ensure all tests have been ordered and completed, and present in the medical record



Coordinate with medical providers as needed for clarification of reports



Work with our in house appointment schedules to request additional appointments for the veteran as necessary



You must have:



High School diploma, or equivalent (GED)



Minimum of 1 year of Healthcare, medical, or insurance-related industry experience



Extensive knowledge and understanding of anatomy and medical terminology



Understanding of medical conditions and their progression in the body



Ability to read and analyze medical reports



Ability to apply clinical reasoning (diagnostic testing)



Ability to write clear questions to submit to the provider



Experience working with medical providers (credentialing, medical coding, chart audits, triage, scribe, nursing)



Demonstrated ability to work independently, managing tasks and responsibilities with minimal supervision.



Strong problem-solving skills, with the ability to creatively utilize available resources to find solutions.



Self-motivated and proactive in task management, consistently seeking opportunities for improvement.



Preferred to have:



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 assisting with medical tests, treatments and procedures



Knowledge of military medical examinations or experience working with the VA



Knowledge of general disability claims, workers compensation, or audits



This is a great role for:



Military Medics or Corpsmen



Medical Scribes



CCMA / LVN / LPN / RN



EMT / Paramedic



Lab Tech / Pharmacy Tech



Medical Records Analyst



Typical Day:



Environment: This is a true, Healthcare administration role. While working onsite you'll be working in an open office layout, with cubicles side to side. 90% of your day is head down reviewing and auditing medical claims. Your main communication will occur with your internal team and during provider collaborations.



Schedule: Mon – Thursday ONSITE: 8:30am – 5pm EST at our headquarters in Malvern, PA located at 1700 Paoli Pike Malvern PA 19355; Friday - Remote work



Training: Consists of 4-8 month of foundational, coaching and mentorship training; the length of time is depending on how well you pick up the material



Includes 120 Day Probation Period which you will be given objectives to achieve.



This timeframe lets you assess your readiness for the position as well as allows Leidos QTC Heath 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.



Pay:



Starting pay: $23.10 per hour



with a 3% increase upon completion of the 120 day probationary period ($23.79)



and 5% increase upon graduation of training ($24.98)



Eligible for quarterly bonus up to 6% (rough range from 1-6% = (phone number removed)



Eligible for Annual Merit Increases up to 5% (Growth each year!)



Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law



Benefits



We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent. Benefits start on DAY 1 of employment with us: You can check them out in detail on our careers page here: (url removed)



Here are some Highlights of our benefit package:



Medical- Great Low Cost PPO and HMO options through Anthem BCBS and Kaiser



Dental: Super LOW cost for high and low ppo plans



Vision: Free for the employee!



401K: 5% match with 100% vestment on day one.



Tuition reimbursement up to $5250 a year that can also be applied to active student loans -



4 weeks PAID parental leave that you qualify for after 30 days.



Free life insurance with automatic approval.



Volunteer Benefits: Pet Insurance, Theft Protection, Legal Coverage



Generous paid time off (minimum of 14 days/year), as well as 10 paid holidays



An inclusive and ethical work place



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 .



Commitment to Diversity



This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.



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, vacation, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations.



Leidos QTC Health Services is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.



ExperienceRequired1 year(s): Healthcare, medical, or insurance related industry experience



PreferredExperience 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



EducationRequiredGED or better



High School Diploma or better



PreferredTechnical/other training or better in HM Navy Medic



Technical/other training or better in Army Practical Nursing



Technical/other training or better in Vocational Nursing



Technical/other training or better in Combat Medic



Technical/other training or better in Medical Assistant



Foreign Medical Graduate or better



Corpsman or better



SkillsRequiredVerbal Communication



Team Player



Medical Documentation



Sense of Urgency



Human Anatomy/Physiology



Computer Literacy



Written Communication



MS Office



Medical Terminology



PreferredOrganization



Multi-line phone



Interpersonal



Executing Multiple Tasks



Customer Service



Analytical



Review Medical Reports/Evaluations



Electronic Medical Records



BehaviorsPreferredTeam 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



MotivationsPreferredJob Security: Inspired to perform well by the knowledge that your job is safe



Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization



Growth Opportunities: Inspired to perform well by the chance to take on more responsibility



Goal Completion: Inspired to perform well by the completion of tasks



Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities



The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)




Location: Downingtown, PA, US

Posted Date: 11/26/2024