Medical Review Officer / Paramedic

Accountabilities

Review medical records and examination results: Analyze applicant medical records and occupational health screening results against established medical criteria, contractual requirements, and applicable regulations.
Ensure accurate and timely documentation: Prepare, review, and submit medical review documentation to the appropriate parties within required deadlines.
Interpret clinical findings: Apply clinical knowledge and sound judgment when evaluating examination results, identifying discrepancies, and interpreting medical findings in accordance with relevant guidelines.
Maintain contractual compliance: Develop and maintain a thorough understanding of contract-specific medical requirements, procedures, guidelines, and amendments to ensure consistent and compliant reviews.
Protect confidential medical information: Maintain the confidentiality and security of medical records and protected health information through appropriate access controls, secure file management, and adherence to HIPAA policies and privacy best practices.
Coordinate with medical leadership: Work under the general supervision of the Director of Medical Programs and Operational Medical Director to support accurate, consistent, and compliant medical review decisions.
Manage vendor relationships: Build and maintain professional relationships with external vendors and partners, serving as a liaison to facilitate effective communication and an efficient medical review process.
Oversee daily operational workflows: Coordinate and monitor the activities of Medical Support Specialists to support productivity, timely processing, quality standards, and compliance with operational requirements.
Contribute to continuous improvement: Participate in reviews of departmental policies, procedures, objectives, and operational processes to identify opportunities for greater efficiency and consistency.
Maintain quality and attention to detail: Ensure that medical review activities are completed accurately and thoroughly, addressing discrepancies and applying relevant contractual and regulatory requirements.
Support secure and effective operations: Follow established organizational procedures, confidentiality requirements, and applicable government contract standards while carrying out assigned responsibilities.
Requirements
Professional license: Active national or state Paramedic license is required.
Clinical experience: At least five years of clinical experience, including a minimum of two years in an administrative capacity.
Medical records review: Demonstrated ability to evaluate clinical documentation, interpret medical examination results, and apply established medical criteria and regulatory guidelines.
Regulatory and contractual compliance: Ability to understand and apply detailed contract requirements, medical screening standards, and applicable policies consistently.
Government security clearance: Ability to obtain and maintain a U.S. Government SECRET security clearance.
Communication skills: Excellent written and verbal communication skills, including the ability to document findings clearly, coordinate with stakeholders, and communicate professionally with vendors and internal teams.
Technical proficiency: Working proficiency in Microsoft Office 365 and Adobe applications for document management, reporting, and administrative tasks.
Attention to detail: Strong analytical skills and a high degree of accuracy when reviewing medical records, interpreting clinical findings, and preparing documentation.
Organizational skills: Ability to manage competing priorities, coordinate administrative workflows, meet deadlines, and maintain accurate records in a structured environment.
Confidentiality and integrity: Strong understanding of medical privacy, HIPAA requirements, protected health information, and secure information-handling practices.
Leadership and collaboration: Ability to coordinate support staff, work effectively under medical leadership, maintain productive vendor relationships, and contribute to team objectives.
Adaptability: Willingness to work within established operational procedures and adapt to changing priorities and contractual requirements.
Work environment and physical capabilities: Ability to meet the physical and environmental demands associated with the position when applicable. These may include prolonged periods of sitting or standing, bending, reaching, climbing, kneeling, crawling, squatting, balancing, pushing or pulling equipment, and occasionally lifting or moving up to 49 pounds. Some environments may involve extreme temperatures, airborne particles, chemicals, or elevated noise levels.
Travel availability: Ability to accommodate occasional travel of approximately 0–5%, primarily to headquarters in Arlington, Virginia.
Benefits
Remote work arrangement: Full-time teleworking opportunity for candidates based in the United States.
Competitive compensation: Salary determined by market location, relevant knowledge, skills, professional experience, and qualifications.
Full-time employment: Opportunity to contribute to ongoing medical review and occupational health programs supporting government contracts.
Professional collaboration: Work alongside medical leadership, administrative professionals, and external partners in a structured, multidisciplinary environment.
Clinical and administrative development: Apply and expand your expertise in medical records review, occupational health screening, regulatory compliance, and medical program operations.
Process improvement opportunities: Contribute ideas and recommendations to improve the quality, efficiency, and consistency of medical review services.
Meaningful professional contribution: Help ensure medical assessments and documentation are handled accurately, confidentially, and in accordance with established requirements.
Equal opportunity workplace: Employment opportunities are provided in accordance with applicable equal employment opportunity laws, with consideration for qualified applicants and reasonable accommodations where needed.