Ops Support Analyst

QTC Management, Inc. - Philadelphia, PA3.1

Full-timeEstimated: $55,000 - $73,000 a year
Skills
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
Ability to be flexible to meet deadlines and client expectations
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)

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.

Travel Required
No.
Qualifications
Skills
Required
MS Office Intermediate
Electronic Medical Records Intermediate
Written Communication Intermediate
Verbal Communication Intermediate
Medical Terminology Intermediate
Preferred
Analytical Some Knowledge
Problem Solving Some Knowledge
Interpersonal Intermediate
Customer Service Intermediate
Behaviors
Preferred

Loyal: Shows firm and constant support to a cause

Team Player: Works well as a member of a group

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

Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations
Preferred

Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Education
Required

Bachelors or better.

Experience
Required

3-6 years: Experience as a Medical QA Specialist or related field (e.g., project management, operations, analytics, etc.)
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.