Job Closed

This listing is no longer active.

Smart Data Solutions logo
Smart Data Solutions

Making Healthcare Efficient With AI and Automation

Senior Quality Assurance Analyst

QA EngineerQA EngineerFull TimeRemoteSeniorTeam 501-1,000Since 2001H1B No SponsorCompany SiteLinkedIn

Location

Arizona + 1 moreAll locations: Arizona | Texas

Posted

66 days ago

Salary

$94K - $130K / year

Seniority

Senior

Bachelor Degree7 yrs expEnglish

Job Description

Senior Quality Assurance Analyst

Smart Data Solutions

• Conduct advanced quality audits of claims, EOBs, mail intake, data capture, and clearinghouse outputs to verify accuracy, correct benefit application, contract compliance, and processing integrity. • Identify, document, and track defects or discrepancies found during audits or quality reviews and ensure issues are resolved through appropriate corrective and preventive actions. • Investigate complex or escalated issues to understand end-to-end workflows, determine root causes, and recommend actions that prevent recurrence. • Monitor and triage quality issues submitted through internal systems such as Salesforce and ensure timely research, documentation, and resolution. • Analyze audit outcomes, trends, and quality performance metrics to identify risks, recurring issues, and systemic gaps that require improvement. • Develop clear and actionable quality reports, dashboards, and summaries that communicate quality health, risks, and improvement progress to leadership and stakeholders. • Partner with Operations to embed quality controls into daily workflows, reduce rework, and improve first-pass accuracy. • Collaborate with Product, Engineering, Implementation, Automation, and Compliance teams to ensure quality requirements are incorporated into system design, configuration, enhancements, and change initiatives. • Support internal and external audit readiness by maintaining clear documentation, audit trails, and evidence that meet client, regulatory, and SOC-related expectations. • Support client implementations and operational changes by defining quality requirements, acceptance criteria, and validation steps. • Serve as a liaison between Quality Assurance and cross-functional partners to ensure alignment, transparency, and consistent execution of quality standards. • Provide mentorship, guidance, and calibration support to junior QA staff and operational teams and contribute to training materials, SOPs, and job aids. • Maintain quality documentation, policies, procedures, and artifacts to support operational readiness and compliance. • Promote a culture of quality, continuous improvement, and accountability throughout the organization. • Perform other duties as assigned to support the Quality Assurance program.

Job Requirements

  • At least 7 years of experience in healthcare payer operations and quality-focused roles.
  • Extensive hands-on experience in claims processing and payment, coordination of benefits, appeals, and benefit interpretation.
  • Strong working knowledge of Medicare and Medicaid program requirements and related regulatory expectations.
  • Experience performing quality assurance reviews, operational audits, defect identification, and root cause analysis within payer environments.
  • Ability to analyze complex datasets, interpret trends, and convert findings into actionable recommendations.
  • Solid understanding of EDI transactions such as 837, 835, and related healthcare data standards.
  • Demonstrated ability to write clear documentation, maintain thorough audit evidence, and ensure alignment with internal and external compliance expectations.
  • Strong problem-solving skills with the ability to investigate issues end to end and recommend effective corrective actions.
  • Excellent verbal and written communication skills with the ability to collaborate across operational, technical, compliance, and client-facing teams.
  • High attention to detail and the ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with Microsoft 365 tools, including SharePoint for data repository and workflow management, Power BI for reporting and visualization, Power Automate for process automation, and Excel for data analysis.
  • Preferred: Experience with payer systems, benefit configuration, provider contracts, or claims system testing.
  • Preferred: Familiarity with SOC audit requirements, NCQA principles, or other quality and compliance frameworks.
  • Preferred: Experience supporting system changes, user acceptance testing, or operational readiness assessments.

Benefits

  • A company culture that is authentic, innovative, and collaborative!
  • Our most powerful strength is our people!
  • We build impactful solutions for our customers - their success is our success!
  • A professional development and growth-oriented workplace
  • Generous benefits including, health insurance, short-term, and long-term disability
  • 401(k) with a company match to provide a better future in your retirement years
  • A flexible environment with a competitive paid time off package; including vacation, holiday, give-back day, and a floating day

Related Categories

Related Job Pages

More QA Engineer Jobs

Winkler & Company logo

Online Tester

Winkler & Company

Seit 2013 sind wir auf Online Recruiting spezialisiert. Angefangen mit klassischen Kampagnen zur Vermarktung von Stellenangeboten auf verschiedenen Jobplattformen haben wir uns ein eigenes Netzwerk an Partnern, Plattformen in Sozialen Netzwerken und eigenen Jobportalen für die regionale sowie überregionale Mitarbeitersuche aufgebaut. Dadurch können wir zeitnah und dauerhaft passende Kandidatinnen & Kandidaten als Interessenten für die Stellenangebote unserer Kunden generieren. Außerdem erreichen wir oftmals auch Personen, die man über Stellenangebote auf klassischen Jobplattformen nicht mehr erreicht, oder potenzielle Mitarbeiterinnen & Mitarbeiter, die zwar offen für eine berufliche Veränderung sind, aber keine Zeit bzw. Lust haben, sich regelmäßig selbst über laufende Stellenangebote auf den bekannten Jobportalen zu informieren.

QA Engineer66 days ago
Full TimeRemoteTeam 11-50

Role Description Als Online-Testperson unterstützt du Studien zu Apps, Websites oder digitalen Services und gibst ehrliches Feedback aus Sicht eines Nutzers. - Teilnahme an Online-Studien zu Apps, Websites oder digitalen Produkten - Teilen deiner Eindrücke und Erfahrungen als Nutzer - Bewertung von Bedienbarkeit, Design und Verständlichkeit - Beantwortung kurzer Fragen oder Teilnahme an moderierten Online-Interviews - Teilnahme bequem von zuhause oder gelegentlich vor Ort (je nach Studie) Qualifications - Interesse an digitalen Produkten, Apps oder neuen Services - Einen PC, Laptop oder ein Smartphone mit Internetzugang - Zuverlässigkeit bei vereinbarten Studienterminen - Bereitschaft, deine Meinung ehrlich und nachvollziehbar zu teilen - Vorkenntnisse sind nicht erforderlich - wichtig ist vor allem deine Perspektive als Nutzer. Benefits - Flexible Teilnahme - du entscheidest selbst, an welchen Studien du teilnimmst - Vergütung pro Studie - Höhe abhängig von Dauer und Art der Untersuchung - Unterschiedliche Themen rund um Apps, Websites und digitale Services - Teilnahme meist bequem online von zuhause aus - Keine Verpflichtungen - du kannst Studienangebote annehmen oder ablehnen

Switzerland
Job Closed
Paleovalley logo

Food Safety & Quality Coordinator

Paleovalley

Paleovalley and Wild Pastures were born from a simple but radical idea: real food can heal — people, animals, and the planet. Today, Paleovalley crafts deeply nourishing snacks and supplements made with organic ingredients and honorable sourcing. Wild Pastures connects small American farmers practicing regenerative agriculture with customers who believe better food is worth fighting for. We’re a team of grounded doers, curious thinkers, bold builders, and warm humans who like to laugh while doing meaningful work. If you feel energized by impact, drawn to mission, and ready to join a company rewriting the future of food, we’d love to meet you!

QA Engineer66 days ago
Full TimeRemoteTeam 51-200Since 2013H1B No Sponsor

Role Description If you’re someone who thrives on keeping complex systems organized, spotting issues before they become problems, and making sure nothing slips through the cracks, this role will feel like home. We are seeking a detail-oriented and proactive Food Safety & Quality Coordinator with experience in USDA/FSIS-regulated environments. This role is critical in supporting and maintaining food safety and quality processes across our co-manufacturing network. You’ll act as a key connector between internal teams and external partners, helping ensure that documentation is accurate, issues are tracked and resolved, and quality systems remain audit-ready. This is a hands-on, coordination-focused role where success comes from strong organization, sound judgment, and knowing when to escalate. What You’ll Do - Support and maintain food safety and quality programs in alignment with USDA, FSIS, HACCP, and internal standards - Serve as a key point of coordination between internal teams and co-manufacturing partners to support quality and food safety processes - Review production and quality records from co-manufacturers to support compliance verification and identify potential gaps - Track and support investigation and resolution of nonconformances (NCIs), complaints, and CAPAs - Maintain organized, audit-ready documentation across HACCP plans, SOPs, SSOPs, CCP monitoring, and sanitation logs - Apply established USDA/FSIS regulations and guidance to day-to-day quality processes, escalating complex or unclear situations as needed - Support the product label review process for FSIS compliance by identifying issues and coordinating with internal stakeholders and partners for resolution - Assist in preparation for and response to internal audits, third-party audits (e.g., SQF/BRC), and USDA/FSIS inspections - Collaborate with QA, R&D, operations, and external partners to support adherence to QMS requirements - Track and organize quality data to identify trends and support continuous improvement initiatives - Maintain organized, accurate records within document control and quality systems (e.g., Monday.com, Dropbox) - Communicate quality issues, findings, and corrective actions clearly to internal stakeholders and external partners, escalating when appropriate What Success Looks Like (First 6–12 Months) - Successfully take ownership of monitoring and maintaining existing NCI, CAPA, and complaint tracking processes - Maintain consistently organized and audit-ready documentation across supported co-manufacturers - Effectively communicate labeling and compliance-related issues between internal teams and co-manufacturers - Demonstrate strong judgment in determining when to resolve issues independently versus when to escalate - Consistently monitor and maintain quality systems (NCI, CAPA, complaints) with minimal oversight - Support vendor qualification and documentation processes with increasing independence - Build familiarity with internal systems and contribute to future system improvements (e.g., ERP integration) Qualifications - Bachelor’s degree in food science, microbiology, biology, chemistry, or a related field, or equivalent hands-on experience - 2–5 years of experience in USDA/FSIS-regulated food manufacturing (meat, poultry, or seafood strongly preferred) - Experience supporting HACCP programs, GMPs, SSOPs, CAPA processes, and audit readiness - Familiarity with FSIS labeling requirements and regulatory documentation - Experience working with co-manufacturers, suppliers, or multi-site quality systems preferred - Experience in a cGMP manufacturing environment - Familiarity with GFSI standards (SQF, BRC) and electronic document control systems - Proficiency with digital tools such as Google Workspace, Microsoft Office, and collaboration platforms - Strong attention to detail, organization, and documentation skills - Ability to work independently in a remote environment while collaborating cross-functionally and seeking guidance when needed - Demonstrated judgment in identifying when to escalate issues versus resolve independently Bonus Points - HACCP certification - PCQI certification - SQF Practitioner certification - Experience supporting internal and external audits Benefits - Medical, dental, and vision coverage with 100% employer-paid dental/vision and a small monthly medical premium for employees; dependents may be added at employee cost - Generous Paid time off to support balance and rest - Paid sick time for when you need it - Six (6) paid holidays each year - Paid parental leave for growing families - 100% company-paid Short-Term Disability, Long-Term Disability, and Life Insurance - 401(k) with up to a 4% company match after one year of service - Monthly product stipend or access to perfectly imperfect damaged product so you can enjoy the nutrient-dense foods you help bring to others Compliance & Employment Practices Paleovalley and Wild Pastures are proud to be equal opportunity employers. We make employment decisions based on qualifications, merit, and business needs, and we do not discriminate based on any status protected by applicable federal, state, or local law. We’re also committed to providing reasonable accommodations throughout the hiring process. If you need assistance or an accommodation at any point, please reach out to HRteam@paleovalley.com. All applicants must be authorized to work in the United States. At this time, Paleovalley and Wild Pastures are unable to sponsor or assume sponsorship of employment visas, including but not limited to H-1B, TN, or OPT. Any offer of employment is contingent upon completion of Form I-9 and verification of work authorization. We participate in E-Verify to confirm eligibility to work in the U.S. To support an efficient and consistent application review process, we may use technology-assisted tools to help organize and review applications; however, these tools do not make hiring decisions. All final hiring decisions are made by our team. This role is open until filled.

United States
$50K - $65K / year
Job Closed
Full TimeRemoteTeam 1-10H1B No Sponsor

• Take full ownership of quality assurance within cross-functional product teams. • Design and maintain comprehensive test strategies covering functional, UI, API, integration, and exploratory testing. • Drive pixel-perfect validation of complex web interfaces across multiple devices, screen sizes, and browsers. • Ensure full test coverage for API flows using tools like Postman, Swagger, and automation hooks if needed. • Collaborate closely with developers, designers, and product managers to define quality expectations and shift testing left. • Write structured, reusable test cases and detailed bug reports that help the team move fast without sacrificing quality. • Review and improve test documentation, coverage, and regression practices across releases. • Contribute to the continuous improvement of QA processes, tools, and team workflows.

United States
Job Closed
QA Engineer66 days ago
Full TimeRemoteTeam 201-500Since 2017H1B Sponsor

• Design, develop, and maintain automated test frameworks and test cases using Python • Integrate automated tests with CI/CD pipelines for continuous testing and feedback. • Contribute to test planning, test case design, test documentation, and risk assessment. • Drive defect prioritization and perform impact analysis • Participate in software development sprint cycles by supporting the software development team through attending SCRUMs, design reviews, code reviews and providing feedback on software verification and validation deliverables. • Collaborate with cross-functional teams to understand requirements and translate them into comprehensive test plans and protocols • Continuously evaluate our testing workflow and drive improvements to increase efficiency and product quality • Stay up-to-date with the latest trends and advancements in QA and share knowledge with the team

Colorado + 1 moreAll locations: Colorado | New York
$174K - $184K / year
Job Closed