MEDICAL EVIDENCE CONSULTANT
Department: Veteran Medical Consulting Arm
Reports To: Director of Medical Consulting
FLSA Status: Exempt | Full-Time W-2
Location: Remote / Hybrid - specific arrangement based on candidate location and experience tier.
Compensation: Competitive salary based on experience, credentials, and assigned scope
POSITION OVERVIEW
The Medical Evidence Consultant is a core veteran-facing role in Xterra Health's Veteran Medical Consulting Arm (VMCA), helping veterans build the strategic roadmap they need to support a stronger VA disability claim. The role spans a broad range of scope depending on the background a consultant brings on day one. Some consultants begin in a foundational capacity, handling scheduling, structured intake, and CRM documentation while developing toward a full caseload under direct mentorship. Others step directly into full independent case analysis, building written strategy roadmaps and evaluating medical evidence for veterans from their first week.
The best-qualified candidates bring both direct VA claims expertise, such as VSO representative or accredited claims agent experience, and a licensed medical or clinical background, such as a former military medic or corpsman. That combination allows a consultant to handle the full spectrum of the role independently: reading a rating decision with the same fluency as a DBQ or C&P exam finding, and building a strategy roadmap that reflects both regulatory and clinical realities.
Placement within the pay band, incentive structure, and scope of responsibility is determined by the Director of Medical Consulting and HR based on demonstrated experience and credentials. This is documented internally and reviewed at defined checkpoints; it does not change the external job title.
SCOPE OF THE ROLE
Operational & Intake Foundation
Manage the consultation calendar: scheduling inbound calls, walk-ins, and referrals from the Veteran Care Center and providers- Conduct structured intake: current ratings, service history, prior claims activity, primary concerns
- Pre-populate CRM case records and confirm appointments so every consultation starts with full context
- This scope is typically the entry point for consultants developing toward a full caseload, not a separate role
Case Analysis & Strategy Delivery
- Review each veteran's VA ratings history, prior decisions, denial letters, service records, and available medical evidence
- Assess conditions for potential service connection: direct, secondary, and aggravation theories
- Identify evidence gaps, missing nexus letters, undertreated conditions, inadequate DBQs
- Build a clear, written strategy roadmap: what to pursue, in what order, and why
- Explain the VA ratings system, combined ratings math, TDIU, and SMC in plain language
Medical Evidence Review
- For consultants with a licensed medical or clinical credential, evaluate medical documentation, DBQ content, and exam findings for clinical adequacy alongside claims strategy
- Flag medical evidence gaps that a clinical background can identify before a nexus referral, undertreated conditions, inconsistent findings, or exam quality concerns
- Bring clinical fluency to the explanation of medical concepts, exam expectations, and evidence standards for veterans
Escalation Handling & Quality Contribution
- At senior scope, receive escalated cases requiring advanced analysis or veteran sensitivity
- Conduct random quality reviews of case documentation as directed
- Identify recurring quality issues and communicate patterns with recommended interventions
- Contribute to onboarding and coaching of consultants developing toward full scope
Service Recommendations & Referral Pathway
- Recommend the VA Evidence Roadmap ($800) and Comprehensive Evidence Bundle ($1,000) as the primary service pathways, with standalone DBQ ($200) and benefit-pathway Medical Opinion services ($600 each, Section 1151 at $1,500) as supporting recommendations where appropriate. Identify nexus-ready veterans and facilitate warm handoffs to the Provider Relations team
- Document every consultation thoroughly in the CRM: summary, strategy, recommended actions, follow-up triggers
- Track personal referral conversion rate, a core incentive metric at every tier
PERFORMANCE EXPECTATIONS
Specific targets are calibrated to assigned scope and tier by the Director. Representative benchmarks at full production:
Consult Volume: Up to 30 consultations per week at full production- Nexus Referral Conversion: 25%+ of consultations advance to Nexus Letter provider referral
- Client Satisfaction / NPS: Personal NPS 75; average client rating 4.5/5.0
- Documentation Quality: Case documentation audit pass rate 90%
- Scheduling & Intake Accuracy: 98%+ scheduling accuracy; 95%+ complete intake records (where scope includes this duty)
QUALIFICATIONS
Required
- Demonstrated operational excellence in a high-volume, client-facing environment; internal promotes from the Veteran Care Center in good standing are a strong entry pathway
- Genuine connection to the military community: veteran, military spouse, Gold Star family, or someone with direct VA navigation experience
- Strong interpersonal and communication skills, able to make complicated things feel manageable
- Willingness to work in-office in Salem during the initial ramp phase for consultants entering at the foundation tier
- Comfortable working in a structured, productivity-driven environment with clear weekly targets
Preferred (advances tier placement and pay)
- Current VA accreditation as a Claims Agent, or prior VSO Representative accreditation
- 3+ years of direct VA disability claims experience and working knowledge of 38 CFR, VASRD, and C&P examination standards
- A licensed medical or clinical credential, such as a former military medic, corpsman, EMT, or similar background; candidates combining VSO expertise with a clinical credential are best positioned for full-spectrum scope and top-of-band pay
- Military service or immediate family connection to the veteran community
- Experience with VBMS, GHL, Monday.com, Acuity, or similar CRM and scheduling platforms
COMPENSATION & BENEFITS
- Base Salary: Based on experience, credentials, and assigned scope; specific figures provided during the offer process
- Medical, Dental & Vision Insurance: Coverage effective the first full month following 30 days of employment. Xterra Health covers 75% of monthly premiums for employee-only coverage.
- 401(k) Retirement Plan: Eligible to enroll beginning the first full month following 90 days of employment. Xterra Health matches 100% of contributions up to 4% of eligible compensation. All employer match dollars are immediately vested, no vesting schedule.
- Unlimited Paid Time Off: Subject to manager approval and operational needs.
At Xterra Health, we empower veterans with the medical evidence they need to access the care, benefits, and support they've earned. We strive to become the nation's leader in veteran healthcare advocacy and disability services. We build teams that reflect that mission.
