Quality Assurance Medical Analyst Remote

Summary

This position is a full-time remote Medical Quality Assurance Analyst position working for Loyal Source Government Services (LSGS) supporting prime contracts, programs, and subcontracts throughout the United States. The Analyst supports the corporation’s VA MDE program performing corporate level independent detailed reviews of recently completed Medical Disability Examinations (MDE) using the Disability Questionnaire (DBQ) to validate Loyal Healthcare quality performance. The evaluation may encompass over 80 different DBQs where medical providers have completed their examination and have documented the results in accordance with all written guidance and VA policies. The analyst performs detailed audits of clinics and remote locations to validate that all contractual requirements are being met. These examinations and audits are performed onsite and in offices across the United States on behalf of the LSGS MDE Program. Travel to clinic locations may be up to 50-75%.

Duties and Functions

The Medical Quality Assurance Analyst performs detailed reviews of completed DBQs to provide quality oversight of Loyal Source’s MDE program. They are responsible for assessing the output quality of hundreds of Providers located at over 100 clinics in the United States. There are over 80 different DBQs used to determine and assess the disability of Veterans. The focus of the Medical Quality Assurance Analyst’s review includes detailed step-by-step verification and validation of each entry and an assessment of the medical language and assessments made by the Provider. The results of the review determine a quality score with a goal of 96% overall. The program being set up provides Loyal Source with the ability to assess our performance at each of our clinics (over 120) prior to the VA performing their limited assessments at the region/VARO level. Loyal Source must, under contract and per the Service Level Agreements (SLAs) present acceptable quality reports and DBQs at all times. The Medical Quality Assurance (MQA) Analyst provides insight into the individual Providers’ performance, tracks trends for potential improvements, and identifies corrective actions before sending DBQs to the VA.

Other major duties the MQA Analyst will be involved with as part of the LSGS Corporate Quality team include:

• The MQA Analyst participates with other QA Analysts to review requirements, identify controls, develop audit checklists, perform oversight activities, and perform assessments of contractual requirements, environmental and safety checks, local statutes, laws, and regulations, as well as other unique requirements during periods of high production start-up, ramp ups and ongoing operations.
• The MQA Analyst supports site specific evaluations during Ramp Up activities to assure full compliance with the contract, subcontract, the Quality Management Plan, Risk Management Plan, and the Project Management Plan/Work Breakdown Schedule. Initial clinic checklists and mature clinic checklists include comprehensive criteria and contractual requirements to be evaluated, documented, and tracked.
• The MQA Analyst assists and oversees quality and program management activities pre and post ATO (Authorization to Operate) certification from the customer. Using the Plan, Do, Check, Act methodology, the MQA Analyst assures all quality and performance objectives and measures are identified, tracked, managed, and acted upon as necessary.
• The MQA Analyst supports and performs detailed oversight visits to operational offices, clinics, and Provider network locations to ensure all activities are properly documented in Standard Operating Procedures (SOPs), Policies, Instructions, and recorded in the appropriate automated system, MDE4Vets and others. The MQA Analyst supports the development of the checklists used at the clinic level and used in the baseline validation documents to assure full compliance. Data gathered is used by the Performance Improvement Center (PIC) to provide a dashboard of clinic level performance with additional supporting data to identify scores such as red, yellow, green. This data is readily available to all LSGS leadership.
• Assist and develop and recommend corrective action plans to address identified non-compliance issues.
• Assist and develop strategies to mitigate identified risks to ensure continuous compliance.
• Support updates to inspection protocols and training materials to reflect any new requirements.
• Help to maintain organized records of all inspections, findings, corrective actions, and follow-up activities.
• Participate and collaborate with clinic management and MDE leadership to implement corrective actions in a timely manner as necessary.
• Perform follow-up inspections as necessary to ensure that corrective actions have been implemented and that the clinics are in compliance with VA MDE and ISO 9001:2015 standards.
• Develop and recommend corrective action plans to address identified non-compliance issues.

Education and Experience

Bachelor’s degree (5 years of medical or healthcare quality assurance related experience may be considered equivalent to a bachelor’s degree). 10 years of experience in the quality field, healthcare or medical field is a must. Experience with ISO 9001:2015 certification a plus. Experience implementing and/or auditing a program to meet ISO 9001:2015 is desired. Experience working at a corporate level implementing ISO 9001:2015 clauses is desired. Understanding through proven performance and experience of the general medical requirements and process controls necessary to fully implement a healthcare Quality Management System.

Preferred Requirements

Recent work performed within the medical field under major US Government Agencies such as Customs and Border Protection, Department of Veterans Affairs, Department of Defense, Centers for Disease Control, Health and Human Services, Office of Refugee Resettlement, or other major agencies at the State level performing similar services. Microsoft Office 365, strong written and verbal communication skills, and a valid driver’s license.

Knowledge/Skills/Abilities (KSA)

Knowledge — a comprehensive understanding of the principles of quality control, quality assurance and program management in a variety of industries including Federal and State Government, Military and Healthcare.

Skill — Competence with QA Methodologies, audit techniques, data collection and analysis, root cause analysis, and excellent writing and briefing skills.

Ability — Capability to analyze data and present observations of overall quality and program management practices, overseeing large programs with critical data and information, trend analysis, and other quality tools.

Supervisory Responsibilities

This is a non-supervisory position.

Key Collaborators

This position will collaborate with Quality team members specifically and all departments in general. The position requires individual motivation to meet the demands of establishing a new program in a large environment with multiple locations (120+) across the United States and Puerto Rico.

Work Environment/Condition

The environment is generally an office type location, medical clinic, or doctor’s office, generally indoors with some outdoor activity at times. Travel to clinic sites up to 75% of the time may be necessary. Travel may be on short notice.

Physical Demand

Position requires an individual in good health to perform their job duties in multiple locations, long periods of standing and walking with no significant limitations. Multiple forms of travel will be needed for this position, typically by airplane or driving long distances. Individuals will be traveling in various weather conditions. Travel is required, potentially 75% of the time or 2-3 weeks per month throughout the United States.

Salary

$70,000 - $100,000 annually

Acknowledgement

Loyal Source does not discriminate in employment based on race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors.

This contractor abides by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

This job description is not an exclusive or exhaustive list of all job functions that an employee in this position may be asked to perform. All employees are required to perform the essential functions, physical demands and intended purpose of their role in a satisfactory manner.

I attest that I can perform the essential job functions as outlined in this job description with or without any reasonable accommodation(s).