Medical Case Specialist

Do you crave a career that truly makes an impact in people’s lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day

Leidos QTC Health Services is seeking a Medical Case Specialist I on our Veterans’ Services team. In this role, you will work closely with veterans and the Veterans Administration to gather, collect, record, track, and verify data and information from multiple sources. You will use software for the functional area to schedule appointments and document in the case management systems while ensuring customer service at all customer touchpoints.

Primary Responsibilities:

• Answer phones from automated call distribution system


• Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran’s Administration


• Verify appropriate CPT and CLIN codes are assigned to each case


• Communicate directly with claimants and providers


• Obtain medical history for specific conditions


• Determine appropriate examinations, tests and specialists required for each case


• Schedule appointments for examinees including follow-up appointments and rescheduled appointments


• Ensure all examinees and providers receive necessary documentation


• Confirm consultative reports and diagnostic test results are received in a timely manner


• Meet or exceed contract timeliness guidelines in both the scheduling and case management systems


• Other projects and duties as assigned

Required Qualifications:

• High School diploma, or equivalent (GED)


• Experience: Typically, 0-1 year of related experience


• If applicable, must be able to pass a federal background check and/or obtain and maintain additional clearances as specified by the contract (e.g., NACI, PIV, SMS, TMS).

Preferred Qualifications:

• Experience working in a fast-paced office environment


• Experience with medical scheduling and high-volume calls


• Knowledge of anatomy and medical terminology


• Strong verbal and written communication skills


• Excellent customer service skills with ability to critically evaluate and resolve problems

Additional Information:

• Training: On-Site for those that are local to San Antonio, TX. 78229, Chisolm Bldg.  Training approximately 90 days. Monday -Friday 7:30 AM - 4:00 PM. 


• Shift: Monday - Friday 8:00 am - 4:30 pm (CST) with some flexibility


• Probationary Period:  Employment as a Medical Case Specialist I will include successful completion of a 90-day probationary period during which you will be given objectives to achieve. This timeframe lets you assess your readiness for the position as well as allows Leidos QTC Health Services to determine your ability to successfully perform the job. You will be provided objectives, documentation, training, and performance feedback during the 90-day probationary period as part of your assimilation to the role. After successfully completing the 90-day probationary period, you will be considered a permanent employee

About Leidos QTC Health Services

Leidos QTC Health Services collaborates closely with government and non-government customers to address current and future program needs within the health services domain. 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 2 million appointments annually. Visit www.qtcm.com for more information.

Compensation and Benefits

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. More details are available here.

This role may fall under the Service Contract Act (SCA), a federal law which provides for a U.S. Department of Labor-prescribed minimum prevailing rate of pay and certain benefit levels. Where appropriate, Company-provided benefit plans such as comprehensive leave, holiday, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations. 

Commitment to Non-Discrimination

All qualified applicants will receive consideration for employment without regard to sex, race, ethnicity, age, national origin, citizenship, religion, physical or mental disability, medical condition, genetic information, pregnancy, family structure, marital status, ancestry, domestic partner status, sexual orientation, gender identity or expression, veteran or military status, or any other basis prohibited by law. Leidos QTC Health Services will also consider for employment qualified applicants with criminal histories consistent with relevant laws.