Job Summary:

The Operations Support Analyst serves as the primary point of contact for internal and external clients, interfacing with physicians and healthcare extenders providing case specific feedback. Ensures the timeliness and quality of medical reports by analyzing trends and data addressing inconsistencies and taking action in a timely manner.

Essential Duties and Responsibilities:

• Serve as the primary point of contact for internal and external clients and providers for problem resolution


• Interface with physicians and healthcare extenders and provide case specific feedback


• Ensure the timeliness and quality of medical reports by analyzing trends ensuring contractual obligations are met or exceeded


• Responsible for determining and validating inconsistencies within referrals and taking action to address in a timely manner


• Provide ongoing cases specific physician training based on trend and data analysis


• Manages the assignment of caseload and/or follow-up action items to appropriate staff


• Provide quality assurance for general medical and specialty examination reports as needed


• Investigate client inquiries for case clarifications as needed


• Train, coach and develop employees as necessary


• Perform other duties and responsibilities as assigned

Competencies:

• Extensive knowledge and understanding of medical terminology, anatomy and physiology


• Ability to work, coach and train team members at all levels of the organization


• Exceptional customer service and interpersonal skills


• Ability to be flexible to meet deadlines and client expectations


• Good communication skills, both verbal and written for internal and external customers


• Working knowledge and understanding of the VA quality assurance process


• Good computer and analytical skills


• Excellent problem resolution skills


• Working knowledge of case management software, electronic medical records and medical databases

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

• BA/BS degree from an accredited college in a related discipline, or equivalent experience/combined education


• 0 to 2 years of experience as a Medical QA Specialist or related field (e.g., project management, operations, analytics, etc.)


• Vocational training in specific aspects of job functions and/or demonstrated ability to perform assigned


• Tasks, preferably in a medical related area of study (i.e. LVN, LPN, EMT, MA, Military Medic, etc.).


• Medical background and experience reviewing medical reports


• Direct healthcare experience in medical case management quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation

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.

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)

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