Quality Analyst

Are you familiar with Veterans Benefits Administration adjudication processes to ensure clinical compliance? Leidos QTC Health Services is looking to use your talents to make a difference!

Who is 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.

Job Summary:

Responsible for the analysis of examination reports, quality reviews, and data to ensure clinical compliance. Provides analysis for proper utilization of MEP to ensure timely and accurate completion of medical reports. 

In this rewarding role, you will:

• Be responsible for the quality reviews of disability examination reports to ensure compliance with clinical and contractual requirements
• Prepare analysis for proper utilization of provider portal to ensure timely and accurate completion of medical reports
• Provide interdepartmental mentorship on VA Rating and procedural requirements
• Participate in special projects related to quality improvement initiatives

Essential Duties and Responsibilities:

• Document quality issues and performance measures for management review
• Analyze data and observations and write result summaries to validate deviations from existing standards
• Recommend modifications to existing standards, methods, or procedures
• Interact with field personnel and supervisors
• Review, analyze, and implement processes and report trends to promote customer satisfaction
• Conduct internal quality assurance of providers (medical professionals)
• Compile strategic information and develop reports to monitor quality effectiveness
• Ensure compliance and understanding of quality requirements
• Manage special projects and make recommendations as appropriate
• Mentor and train team members and provide resource support with daily tasks
• Conduct conference calls and refresher training with providers
• Respond to compliance issues
• Perform other duties and responsibilities as assigned

Competencies: 

• Excellent verbal and written communication skills
• Excellent computer and presentation skills
• Strong business development, organization, analytical and problem-solving skills
• Strong medical background
• Demonstrated data gathering and reporting skills
• Ability to work in a team-oriented environment
• Proficient with MS Word, Excel, Access, and PowerPoint
• Ability to excel at details and multi-task
• Must be willing to travel up to 5%

Education and/or Experience: (includes certificate & licenses) 

• Bachelor's Degree from an accredited college in a related discipline or equivalent experience/combined education
• 7+ years of relevant professional experience
  • Requires a minimum of 5 years experience working in the the Veterans Benefits Administration adjudication process to include review of disability examination reports
• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
  • Requires a minimum of 3 years of U.S. residency - OR - U.S. citizenship
  • Requires the ability to obtain a PIV Card ("Personal Identity Verification" credential)

Pay and Benefits:

Annual Pay Range: $86,000 - $115,000 + up to 8% bonus eligibility

The 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.

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:

• Starting your first day, you will have access to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accounts
• Competitive compensation and quarterly bonuses
• Student Loan Assistance
• Tuition reimbursement
• Paid Parental Leave
• A 100% company match of your pre- and post-tax contributions up to 6% of your salary, including immediate vesting of company contributions
• Generous paid time off (minimum of 14 days/year), as well as 11 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 here: Join Our Team | Jobs & Career Opportunities | Leidos QTC Health Services (qtcm.com)

Commitment to Diversity

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, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

* 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.

Experience

• 5 year(s): Requires a minimum of 5 years experience working in the the Veterans Benefits Administration adjudication process to include review of disability examination reports

Education

• Bachelors or better

Skills

• MS Office
• Executing Multiple Tasks
• Medical Terminology
• Computer Literacy
• Written Communication
• Verbal Communication
• Team Player

Behaviors

• 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
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations

• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
• Self-Starter: Inspired to perform without outside help
• Goal Completion: Inspired to perform well by the completion of tasks
• 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)