Medical Review Officer - 1099

QTC Management, inc
Franklin, WI , US
Part-time

Leidos QTC Health Services and our affiliated medical professional corporations ( PCs ), Jamshid Tamiry, , , collaborate closely with government and non-government customers to address current and future program needs within the health services domain.

In coordination with the PCs, 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.

We seek a Medical Review Officer to support the company’s strategic growth and operational execution. Additionally, the Medical Review Officer will provide clinical leadership for company employed and contracted providers ensuring high quality services for all QTC lines of business.

The selected candidate will also be responsible for the interpretation and analysis of medical examination results in accordance with state and federal laws.

This is a opportunity.

Candidates must reside or being willing to reside within a commutable distance of a Leidos QTC Health Services clinic.

Your Role at Jamshid Tamiry, ,

  • Consistently exercises exceptional attention to detail in the review of examination results.
  • Thoroughly applies contractual and regulatory guidelines and interprets nuances of exam results to render quality medical determinations regarding job position eligibility, medical surveillance, and regulatory and contract compliance.
  • Exercises considerable latitude in independent decision-making and judgment.
  • Maintains a solid understanding of the specific contract’s guidelines, requirements, and addendums.
  • Collaborates with exam management team of Physicians, Medical Review Nurses, and Program Managers for efficient processing of medical determinations
  • Communicates exam results and provides medical determinations to clients in support of clients’ occupational health business needs
  • Assists in formulating, documenting, maintaining, and implementing guidelines dictated by medical directives and contractual or regulatory updates and requirements.
  • Performs duties in a safe manner. Follows the corporate safety policy. Participates in and supports safety meetings, training, and goals.

Ensures safe operating conditions within an area of responsibility. Encourages co-workers to work safely. Identifies close calls and / or safety concerns to supervisory personnel.

  • Be able to participate in physical courses required to be a reviewing officer (example : Three day Firefighting courses).
  • Perform Medical Review Officer (MRO) responsibilities as required by current and future contracts
  • Perform other duties and responsibilities assigned.

Competencies :

  • Ability to travel %
  • Demonstrates compassion and professionalism, excellent bedside manner, and a commitment to providing care
  • Advance professional demeanor and interpersonal skills
  • Well-developed written and verbal communication skills
  • Advanced skills with computers, Electronic Medical Records, and case management tools to include proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
  • Working knowledge of workplace health and safety concepts and OSHA regulations

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

  • Medical Doctor (MD) of Doctor of Osteopathy (DO) with Current / active unrestricted license to practice medicine in the United States and the ability to be credentialed.
  • ABMS Board Certified in Occupational Medicine, Family Medicine, Internal Medicine, or Emergency Medicine.
  • Strong clinical background required with minimum five () years out-patient clinical practice experience, including standard office-based diagnostic testing.
  • Proficiency with computer and common office equipment and MS Office products is required.
  • Must exhibit a strong analytical ability to research and interpret detailed medical information and effectively communicate verbally and in writing.
  • Valid BLS and ACLS for Healthcare Providers required
  • Ability to earn and maintain clinical training / certifications as required by current and future contracts / customers
  • Must be eligible to obtain and maintain Government clearances (LARS / Public Trust Clearance, etc.)

Preferred Qualifications :

  • MRO Certification
  • Experience with dictation equipment and federally regulated medical examinations.
  • Active government clearance strongly desired
  • Military background strongly preferred

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.

The 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.

Leidos QTC Health Services is a VEVRAA Federal contractor. Leidos QTC Health Services and each of its affiliated PCs, Jamshid Tamiry, , ,are Equal Opportunity Employers.

We have an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation.

We recruit, hire, train, and promote 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.

26 days ago
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