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QTC Management, Inc.: Medical Qa Specialist I – Temp

QTC Management, Inc.

This is a Full-time position in San Antonio, TX posted June 29, 2021.

Job Summary:Under close supervision, performs a variety of activities to ensure accuracy and completeness of medical documentation and evaluation processes through the various training phases.

Reviews and develops information for processes and diagnosis based on training and knowledge of medical processes and procedures performed.

Tracks and controls non-conformance documents, reviews anomalies and contacts medical professionals for clarification with Quality Specialist.

Reviews final documentation for accuracy and obtains finalization from medical professionals.Essential Duties and Responsibilities:Responsible for satisfactory completion of QTC Medical Quality Assurance Training ProgramProvide quality assurance for general medical and specialty examination reportsResponsible for the timeliness and quality of medical reportsInterface with physicians and healthcare extenders and provide case specific feedback as necessaryMeet personal productivity and quality goalsOther projects and duties as assignedCompetencies: Ability to investigate, fact find and provide evidence towards case resolutionMust possess the ability and flexibility to work early morning, evening, and/or weekend shiftsEducation and/or Experience:Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation 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, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.QualificationsSkillsRequiredVerbal CommunicationIntermediateTeam PlayerIntermediateMedical DocumentationIntermediateHuman Anatomy/PhysiologyAdvancedComputer LiteracyIntermediateWritten CommunicationIntermediateMS OfficeIntermediateMedical TerminologyAdvancedPreferredOrganizationIntermediateMulti-line phoneSome KnowledgeInterpersonalIntermediateExecuting Multiple TasksIntermediateCustomer ServiceIntermediateAnalyticalIntermediateReview Medical Reports/EvaluationsIntermediateSense of UrgencyAdvancedElectronic Medical RecordsIntermediateBehaviorsPreferredTeam Player: Works well as a member of a groupDetail 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 safeAbility to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organizationGrowth Opportunities: Inspired to perform well by the chance to take on more responsibilityGoal Completion: Inspired to perform well by the completion of tasks:EducationRequiredGED or better.High School Diploma or better.PreferredCorpsman or better.Foreign Medical Graduate or better.Technical/other training or better in Army Practical Nursing.Technical/other training or better in Combat Medic.Technical/other training or better in HM Navy Medic.Technical/other training or better in Medical Assistant.Technical/other training or better in Vocational Nursing.ExperienceRequiredLess than 1 year: Healthcare, medical, or insurance related industry experiencePreferredExperience with case management software, electronic medical records and medical databasesDirect 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 explanationLicenses & Certifications Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe 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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