Title: Claims Quality Assurance Analyst Location: Remote USA Remote Full Time Operations Experienced Department: Operations Job Description: The Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and claims-related interactions within the Revenue Cycle Management (RCM) function. The Claims Quality Assurance Analyst reviews claim audit results and claim transactions, as well as evaluates both verbal and written contacts, to ensure accuracy, completeness, proper documentation, and compliance with policies, procedures, and applicable regulations. The Analyst supports the design and maintenance of quality monitoring formats and standards, documents quality findings, and effectively presents results, feedback, and trend data to leadership to drive continuous improvement. The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims billing practices and state billing requirements. DME claims experience is preferred. While this role is primarily focused on claims audit activities, the Analyst may also support quality monitoring and audit needs across other operational areas based on business priorities. JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Claims Quality Assurance Analyst responsibilities include but are not limited to: - Primarily monitor Claims quality and audit functions, with support for other operational departments as business needs require; DME claims experience preferred - Participate in and support the design of quality monitoring forms and quality standards - Record evaluations utilizing departmental quality monitoring forms - Conduct claims audit reviews to confirm claim accuracy, required documentation, workflow adherence, and compliance with internal policies and applicable requirements - Evaluate claim handling for appropriate billing practices, including awareness of state-specific billing requirements as applicable to the claim type and line of business - Support Revenue Cycle Management (RCM) quality outcomes by identifying audit findings that drive denials, rework, or reimbursement issues and partnering with operations to reduce defects - Identify and trend audit findings (e.g., documentation deficiencies, timeliness, process gaps, billing errors) and communicate actionable insights to leadership and operations partners - Collect, evaluate, report on and track operations data against performance metrics - Prepare and analyze quality reports for Management review - Prepare and facilitate quality calibration sessions with designated department leads · Facilitate meetings and prepare presentations related to insight analysis - Collaborate with the leadership team to create content-based training that will equip operations personnel with the necessary skills for success - Monitor trends and provide input or feedback on the information reported on - Identify, analyze and share ways to optimize the quality monitoring process - Complete all evaluations, reports and employee coaching sessions on a timely basis - Ability to learn new systems, tools, and methodologies as needed and continue progressing in a dynamic environment - Support ad hoc quality monitoring, reporting and analysis activities based on operational needs - Work and communicate cross-departmentally QUALIFICATIONS: - Minimum of 1 year of claims auditing experience supporting commercial, Medicaid, and Medicare lines of business, including working knowledge of billing rules and state/payer-specific requirements; DME preferred. Other QA/production experience a plus (or equivalent education and experience). - Working knowledge of Revenue Cycle Management (RCM) workflows and downstream impacts (e.g., clean claim submission, edits, denials, appeals, payment posting/reconciliation) across commercial, Medicaid, and Medicare. · Desire and capability to emerge as a leader within the Operations team - Consistent track record of 95% + in Quality and Production scores in current/previous roles - Proficient understanding of QA methodologies and quality monitoring practices - Demonstrated ability to rapidly gain product, process and tools knowledge and effectively communicate it to employees - Ability to analyze data to identify root causes of quality issues and propose actionable solutions - Excellent communication skills including listening, interpersonal, verbal, written, spelling and grammar - Ability to coach/motivate employees with tact in order to facilitate optimal performance - Must exhibit leadership capabilities and interpersonal skills - Maintain confidential information and abide by necessary rules and regulations - Strong organizational, problem-solving, and analytical skills - Manage conflicting priorities while clearly communicating and managing expectations - Proficiency in Word, Excel and PowerPoint for presentations and reports - Flexible and able to multitask and work with changing priorities with enthusiasm - Self-motivated, detail-oriented and prepared to work independently or as an active team player - Ability to remain focused and motivated during the auditing process - Healthcare experience preferred - Fluent in Spanish and English preferred What will you learn in the first 6 months? - You will learn the function of the Quality Assurance team within the Operations organization. - You will fully understand your job role and responsibilities and which tools assist you in your position - Familiarized with Integra’s QA platform (Genie) and how to navigate through it. Including how to adjudicate an audit appeal - Subject matter expert in the Policy and Procedures for the department(s) you audit - During this time, you will set measurable goals for personal development and growth. What will you achieve in 12 months? - You will be fully integrated with your job, company and team. - You will be contributing your skills and knowledge to meeting your department's goals. - You will become confident in leading meetings with Interdepartmental Management teams and presenting complex concepts related to quality analysis EDUCATION: - Bachelor’s Degree preferred or equivalent experience Salary: $24.00/Hourly Benefits Offered - Competitive compensation and annual bonus program - 401(k) retirement program with company match - Company-paid life insurance - Company-paid short term disability coverage (location restrictions may apply) - Medical, Vision, and Dental benefits - Paid Time Off (PTO) - Paid Parental Leave - Sick Time - Paid company holidays and floating holidays - Quarterly company-sponsored events - Health and wellness programs - Career development opportunities - Remote Opportunities We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

• Develop, execute, and maintain test plans, cases, and regression suites • Perform various types of testing, including functional, exploratory, integration, and API testing • Track defects through to resolution and contribute to automated testing initiatives • Collaborate with teams during sprint planning and requirement refinement • Advocate for quality throughout the software development lifecycle

Title: Lead QA Test Analyst Location: Columbus United States Job Description: Summary: The QA Testing Analyst Lead role for the IT Commercial Technology group, will be responsible for manual testing and act as project test lead for multiple projects. This includes planning and coordinating the testing as well as creating and executing test strategy documents for projects impacting systems in the Commercial Operations areas. This role requires experience in System Integration Testing (SIT), DR and User Acceptance Testing (UAT). Incumbent will be responsible for multiple, concurrent testing efforts as needed. Coordination with project resources is critical (test analysts, project managers and business SME's will be key). Duties & Responsibilities: - Create Test Strategy/Plan Document (working closely with Development team, SME's and Business to ensure full coverage of acceptance criteria to be met during testing). - Create Systems Integration test cases and test scripts. - Work with business segment testers as need to support User Acceptance Testing, working closely with SME's and Business to ensure user criteria are clearly defined and testable, test data is available, and test results and defects are documented and addressed. - Create and deliver testing estimates, testing metrics (defect metrics), testing implementation plans - Create daily/weekly test execution metrics and status reporting - Assist the Project Managers to drive project team to defect resolution - Partnering with Technical PM and team in the planning, and building of the test environments - Leverage existing tools/techniques to streamline and automate wherever possible - Actively participate in walk-through, inspection, review and user group meetings for quality assurance - Participate in production implementation verification and being accountable for validating system quality - Comply with standards of the software development life cycle and follow strategies, plans and procedures within Information Technology software - Excellent verbal and written communication skills - Coaching, mentoring and leading team members - Ability to work in a fast-paced, dynamic environment - Performs other duties as assigned Basic Qualifications: - Min 5 years of Quality Assurance testing and meeting facilitation experience - Bachelor's degree Preferred Qualifications: - Knowledge of test data requirements, planning and conditioning test data for complex test scenarios - Test tool experience- Test Management (Quality Center), Automation, Defect Tracking etc. - Proficiency in MS Office (Word, Excel, Outlook, PowerPoint) - Previous analytical experience (analyzing problems and analyzing results) Exempt Status: (Yes = not eligible for overtime pay) (No = eligible for overtime pay) Yes Workplace Type: Office Our Approach to Office Workplace Type Certain positions outside our branch network may be eligible for a flexible work arrangement. We're combining the best of both worlds: in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter. Specific work arrangements will be provided by the hiring team.

Title: Cross Functional Test Engineer Location: Mclean United States Working time Full-time Remote Job Description: Description & Requirements Maximus is a trusted federal partner supporting mission‑critical programs across national security, defense, and public service delivery. Our work focuses on sustaining, operating, and improving essential government systems and services, with proven operational excellence, and a commitment to mission success for our customers. Joining Maximus means becoming part of a collaborative, mission‑driven organization where teamwork, accountability, and professional growth are core to how we operate. We invest in our workforce through training, education, and career development, empowering professionals to deliver high‑impact solutions while contributing to outcomes that matter at a national scale. This position is contingent upon contract award and position availability. Selected candidates will receive a contingent offer of employment, which will become final only upon successful contract award to Maximus, availability of the position, and receipt of authorization to proceed. Ability to obtain and maintain a Public Trust is required. An active Public Trust and/or DHS suitability is preferred. Must be a U.S. Citizen without dual citizenship. This role is remote. Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS199, T1, Band 4 The Cross Functional Test Engineer serves as an independent validator for system changes across cloud and on‑prem environments. This role performs manual and automated testing following patches, upgrades, and reconfigurations, ensuring quality, stability, and timely release execution while operating as an integrated partner across core service teams. Job-Specific Essential Duties and Responsibilities: - Serve as an independent, second‑level validator for system changes. - Perform testing activities following system modifications, including patching, upgrades, reconfigurations, and configuration changes across enterprise environments. - Develop, execute, and maintain test plans, test cases, test scripts, and test results, providing timely reporting to support operational and release decisions. - Conduct installation, security, interoperability, failover/recovery, and load testing across development, integration, and production environments. - Support testing for cloud and on‑prem environments, including Azure, AWS, Windows and virtual machines, Oracle and SQL databases, network infrastructure, and security systems. - Implement and maintain automated test scripts to enable repeatable execution, improve efficiency, and reduce testing bottlenecks tied to release schedules. - Operate as an integrated testing partner across core services, aligning with development and operations teams to accelerate delivery while maintaining system stability. Job-Specific Minimum Requirements: - Due to Federal contract requirements, candidates must be US Citizens who do not hold dual citizenship with another country. - Ability to obtain a position of Public Trust - Bachelor's degree in Computer Science, Information Systems, Engineering, or a related field or equivalent work experience - 1+ years of experience in IT system testing or quality assurance within enterprise environments - Experience developing and executing manual and automated test cases - Experience testing system changes following patching, upgrades, and configuration changes - Familiarity with enterprise IT environments, including cloud platforms, databases, and operating systems - Ability to document test results, defects, and risks clearly and consistently - Experience working in segregated implementation and testing models (tester independent of implementer) Preferred Skills and Qualifications: - Experience supporting federal government environments - Familiarity with CI/CD pipelines and automated testing frameworks - Exposure to security testing aligned with NIST or federal security controls - Strong collaboration skills for working across multiple core service teams in a shared‑responsibility model #LI-Remote #techjobs #clearance #veteranspage Minimum Requirements EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.