Medical Qa Specialist I

Are you someone who has a knack for details and a passion for helping others? If so, we would love to speak with you!

QTC is seeking a Medical Quality Assurance Specialist I to support our Veteran Affairs Operations in Malvern, PA.

Who is QTC?

QTC is 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 Quality Assurance Specialist I, 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, accurate and the veteran has received consultation for all of the medical issues listed.

In this rewarding role, you will:

• Review exam reports sent over from medical providers
• Ensure all tests have been ordered and completed
• Coordinate with medical providers as needed for clarification of reports
• Ensure all medical coding is complete and accurate
• Work with our in house appointment schedules to request additional appointments for the veteran as necessary

You must have:

• Ability to read medical reports
• High School diploma, or equivalent (GED) or 2 years of experience in lieu
• Knowledge of anatomy and medical terminology

Preferred:

• Vocational training in the medical field, i.e. LVN, CNA, Military Corpsman/Medic, EMT, MA, etc.
• Experience within medical coding and documentation
• Knowledge of military medical examinations

Typical Day:

• Mon – Fri: 8:30am – 5pm EST

• Positions are located ONSITE at our Malvern, PA Admin Office (located at 1700 Paoli Pike, Malvern, PA 19355).

Pay and Benefits:

Starting pay: $ 23.10 per hour

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.

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.

QTC Management Inc. 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.

Experience

Required

• 1 - 3 years: 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

Preferred

• Experience with case management software, electronic medical records and medical databases

Education

Required

• GED or better
• High School Diploma or better

Preferred

• Technical/other training or better in Medical Assistant
• Foreign Medical Graduate or better
• Technical/other training or better in Army Practical Nursing
• Technical/other training or better in HM Navy Medic
• Technical/other training or better in Combat Medic
• Technical/other training or better in Vocational Nursing
• Corpsman or better

Skills

Required

• Team Player
• Organization
• MS Office
• Medical Terminology
• Written Communication
• Executing Multiple Tasks
• Analytical
• Verbal Communication
• Computer Literacy
• Medical Documentation
• Human Anatomy/Physiology

Preferred

• Multi-line phone
• Sense of Urgency
• Review Medical Reports/Evaluations
• Electronic Medical Records
• Customer Service
• Interpersonal

Behaviors

Required

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Thought Provoking: Capable of making others think deeply on a subject

Preferred

• Team Player: Works well as a member of a group

Motivations

Preferred

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

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)