Demo

Quality Analyst

QTC Management, inc
Burlingame, CA Full Time
POSTED ON 1/15/2025
AVAILABLE BEFORE 4/10/2025

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 million appointments annually. Visit 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 %
  • Education and / or Experience : (includes certificate & licenses)

  • Bachelor's Degree from an accredited college in a related discipline or equivalent experience / combined education
  • years of relevant professional experience Requires a minimum of 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 years of residency - OR - citizenshipRequires the ability to obtain a PIV Card ("Personal Identity Verification" credential)
  • Pay and Benefits :

    Annual Pay Range : $, - $, up to % 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 % company match of your pre- and post-tax contributions up to % of your salary, including immediate vesting of company contributions
  • Generous paid time off (minimum of days / year), as well as 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 :

    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.

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