Medical Documentation Reviewer - Core Business Operations Job at Learnbeyond Consulting LLC, Remote

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  • Learnbeyond Consulting LLC
  • Remote

Job Description

Job Title: Medical Documentation Reviewer Core Business Operations

Location: Houston, TX

Travel: Up to 25%, depending on client needs

Work Authorization: Must be authorized to work in the U.S. without employer sponsorship, now or in the future. Candidates eligible for U.S. Security Clearance are also considered.

About the Role:

This position is part of Deloitte's Core Business Operations (CBO) portfolio, which supports clients-particularly in the government and public services sector-by optimizing operations and mission delivery through innovative solutions and technologies.

Key Responsibilities:

Review medical exam reports for compliance with legal and medical guidelines.

Collaborate with healthcare professionals to provide case-specific feedback and resolve inconsistencies.

Adhere to protocols related to the handling of Personally Identifiable Information (PII) and Personal Health Information (PHI).

Maintain productivity and quality metrics consistently.

Required Qualifications:

Bachelor's degree or equivalent practical experience.

Minimum of 6 months of experience in MDE (Medical Disability Examination) programs and/or DBQ (Disability Benefits Questionnaire) processes.

Must be legally authorized to work in the U.S. without the need for sponsorship or be eligible for a U.S. security clearance.

Willingness to travel up to 25% based on project requirements.

Preferred Qualifications (Nice-to-Have):

At least 6 months of experience in Healthcare Quality Assurance.

Background with MDEO (Medical Disability Examination Office) vendors.

Prior experience in reviewing medical documentation under legal/medical compliance standards.

Familiarity with medical terminology.

Experience in medical benefits processing.

Active or prior medical licensure (e.g., LVN, RN).

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Employee Benefits:

Comprehensive benefits package.

Professional growth through mentorship and training opportunities.

Inclusive workplace culture that encourages diverse viewpoints.

Strong focus on sustainability, equity, and long-term career development.

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