QA QI Clinician
Location
California
Posted
22 hours ago
Salary
$120K - $140K / year
Seniority
Senior
Job Description
QA QI Clinician
California Mental Health Services Authority
• Support CalMHSA’s regional Drug Medi-Cal Organized Delivery System (DMC-ODS) administrative model by providing clinical leadership for quality management, utilization management, provider compliance, and care delivery oversight activities. • Conduct clinical service authorization, reauthorization, and medical necessity reviews for delegated DMC-ODS functions, including residential and withdrawal management services, as applicable. • Apply ASAM criteria, DMC-ODS requirements, Medi-Cal medical necessity standards, and parity considerations to clinical review and utilization management activities. • Provide clinical consultation on access, screening, referral, care coordination, placement, transitions between levels of care, and residential step-down planning. • Develop and review clinical policies, procedures, practice guidelines, training expectations, and clinical workflow standards for delegated DMC-ODS functions. • Provide clinical leadership for provider onboarding, implementation support, and provider-facing operations related to access, screening, documentation, care coordination, and service delivery expectations. • Oversee clinical components of provider credentialing/recredentialing standards, including review of provider qualifications, scope of services, and clinical service capacity. • Lead clinical quality improvement activities, including QI Work Plan development, PIP coordination, clinical trend review, and development of clinically informed improvement strategies. • Review utilization, access, grievance, provider performance, and quality data to identify clinical risks, gaps in care, and opportunities for improvement. • Provide training and technical assistance to counties, providers, and internal teams on DMC-ODS clinical requirements, ASAM criteria, medical necessity, documentation expectations, and care coordination standards. • Represent CalMHSA in clinical quality, utilization management, provider, county, EQRO, DHCS, and other stakeholder meetings, as assigned.
Job Requirements
- Master’s degree in Social Work, Marriage and Family Therapy, Professional Clinical Counseling, Psychology, or related clinical field, required.
- Current California Board of Behavioral Sciences (BBS) licensure or license eligibility required; acceptable credentials may include LMFT, LCSW, LPCC, AMFT, ACSW, APCC, or equivalent BBS-recognized status.
- Minimum of five (5) years of experience in behavioral health, substance use disorder treatment, quality management, utilization management, clinical program oversight, or a closely related field, required.
- Experience with DMC-ODS, including ASAM criteria, medical necessity, authorization processes, residential treatment, withdrawal management, care coordination, and Medi-Cal documentation requirements, strongly preferred.
- Experience working within or directly with a County Behavioral Health Plan, particularly overseeing or supporting DMC-ODS functions, strongly preferred.
- Experience with provider monitoring, credentialing/recredentialing, site reviews, chart reviews, quality improvement, EQRO, PIPs, or corrective action processes, preferred.
Benefits
- Health insurance
- Retirement plans
- Flexible work arrangements
- Professional development opportunities
Related Guides
Related Categories
Related Job Pages
More QA Engineer Jobs
Role Description The Software Engineering department is looking for a Junior Quality Assurance Specialist. As a Junior QA Specialist, you bring a developing foundation in both functional and automated quality assurance practices. You work closely with your development team to help ensure product quality by: - Reviewing requirements, user stories, technical designs, and acceptance criteria. - Creating practical testing approaches that validate changes across the application stack. - Contributing through a mix of manual and automation testing, including functional, regression, exploratory, and basic automated coverage. - Valuing teamwork, asking thoughtful questions, and balancing speed with quality. Qualifications - A degree or diploma in Engineering, Computer Science, Software Development, or a related field. - 1-3 years of total experience in software quality assurance, software development, or a combination of both. - Foundational understanding of software testing principles across manual and automated testing. - Experience with black box and functional testing. - Exposure to test automation concepts and experience creating or maintaining basic automated tests. - Awareness of front-end and back-end testing concepts. - Exposure to UI testing tools such as Selenium, Cypress, or Playwright. - Exposure to API testing tools such as Postman or similar tools. - Basic understanding of databases and ability to perform simple data validation using SQL. - Experience with version control systems such as Git. - Ability to read and contribute to test scripts in languages such as JavaScript, TypeScript, Python, or Java. - Ability to create and maintain test cases in a centralized test case management tool such as AIO Tests. - Strong problem-solving skills, attention to detail, and willingness to learn. - Excellent communication and collaboration skills. Requirements - Extra considerations for candidates with ISTQB Software Tester Certification Foundation Level. - Experience with Atlassian products; Jira and Confluence is an asset. - Familiarity with CI/CD pipelines and DevOps practices. - Experience testing web, desktop, or mobile applications. - Testing software in healthcare or clinical healthcare experience. - Previous experience in high data security/privacy environments. - Product knowledge in any of QHR’s main products. - Exposure to performance or load testing tools. - Experience in design, development, or implementation of a Quality Assurance Strategy. Benefits - Base salary, variable bonus established at the corporate level, competitive benefits package. - Hiring Range: $60,000 - $70,000 annual. - Final pay for this position may depend on candidate knowledge, skills, experience, and location. - Full time, permanent. - No travel required.
Role Description As a QA Specialist, you bring a strong foundation in both functional and automated quality assurance practices. You collaborate closely with development teams to ensure product success — reviewing business requirements, technical designs, user stories, and acceptance criteria to craft effective end-to-end testing strategies. Leveraging your ability to dive into the code base, you pair a QA mindset with technical insight, understanding not only what the product should do but why the underlying code behaves as it does. You balance speed with quality, are excited to try new approaches, and thrive in a fast-paced team environment. Qualifications - A degree or diploma in Engineering, Computer Science, Software Development, or a related field - 3+ years of total experience in software quality assurance, software development, or a combination of both - ISTQB Software Tester Certification Foundation Level - Strong understanding of software testing principles (manual and automated) - Proficiency in testing both front-end and back-end components - Knowledge of UI testing frameworks (e.g., Selenium, Cypress, Playwright) - Experience with API testing tools (e.g., Postman, REST Assured) - Understanding of databases (SQL and NoSQL) and ability to validate data integrity - Experience with version control systems (e.g., Git) - Ability to write and maintain test scripts in languages like JavaScript, TypeScript, Python, or Java - Experience in testing across desktop, web and mobile applications - Strong problem-solving and debugging skills - Excellent communication and collaboration skills Requirements - Strong proficiency in automation, functional, and integration testing, complemented by hands-on experience with performance and load testing - A genuine dedication to the implementation of high-quality products - Working with your development team to create and maintain a quality product - Reviewing and analyzing requirements to design a comprehensive test framework that supports both automation and functional testing, including the creation of detailed test plans and test cases - Implementing, running, maintaining, and reporting on automation testing, including reviewing the behavior and quality of other team members' automation code - Speaking into the quality needs of the product based on knowledge and experience - Setting up testing environments to successfully execute simple to complex tests - Testing against requirements and acceptance criteria through scripted, regression, and exploratory testing to ensure the solution meets business needs - Reporting and tracking high quality bugs using Jira - Advocating for quality best practices within your development team and aligning with QA Specialists from other teams to support departmental quality improvement efforts - Working to create supporting QA documentation related to products, processes, and testing practices - Validating front-end, API, and data flows as part of a full stack quality approach - Assisting with upskilling new or existing team members to drive better knowledge within the team Benefits - Base salary, variable bonus established at the corporate level, competitive benefits package - Hiring Range: $70,000 - $80,000 annual - Final pay for this position may depend on candidate knowledge, skills, experience and location - Full time, permanent - No travel required
QA Tester - BaseCamp
GovCIOGovCIO is a service-disabled-veteran-owned small business (SDVOSB) that offers technology services to improve business performance for government organizations.
QA Tester - BaseCamp (Remote) Indianapolis, IN United States Suitability/Public Trust Fully remote Information Technology Overview GovCIO is currently hiring for a BaseCamp Software Quality (QA) Tester to oversee SQA activities such as test planning, test documentation, reviews, tracking and reporting on testing results. This position is responsible for testing, customer and resource management, self-service request management, sustainment, and cloud migration. This position is fully remote, located in the United States. Responsibilities - Monitor the performance of SQA Testing, provide clarification and assistance required to complete the testing, assure that all testing is completed, and all test results are reported. 7 - Report all findings and test incidences in a testing status report and the Defect Log. - Work closely with development team to develop and execute test strategies, plans, and test cases based on requirements. - Perform functional, regression, integration, system, UAT, smoke, and end‑to‑end testing across web, API, cloud, and database environments. - Build and maintain automated test scripts and frameworks using Selenium WebDriver and Visual Studio tools. - Conduct API and web‑services testing using SOAPUI, Postman, and XML/JSON validation. - Perform accessibility testing per Section 508 and WCAG 2.0 AA standards using JAWS. - Execute backend testing in SQL Server. - Conduct cloud‑focused QA activities within Azure environments. - Participate in CI/CD workflows and version control using GitHub and related DevOps tools. - Execute performance, load, and stress tests using JMeter, LoadRunner, etc. - Collaborate with cross‑functional teams in an Agile/Scrum environment - Document test results, manage defects, and ensure traceability using ALM, JIRA, RTC, and Confluence. - Support UAT planning, execution, and reporting, including incident and compliance documentation. - Perform production validation and post‑release quality checks. - Ensure compliance with HIPAA, security, data governance, and accessibility requirements throughout testing. Qualifications Required Skills and Experience: - Bachelor's with 15 years (or commensurate experience) - Selenium WebDriver - Visual Studio tools. - SOAPUI - Postman - XML/JSON - Familiarity with Agile methodologies and project management tools. - JAWS - SQL server - Experience in Azure environments - Experience with ALM, JIRA, RTC, and Confluence - Certifications in relevant technologies - JMeter - LoadRunner Preferred Skills and Experience: - Selenium WebDrive - Strong analytical skills with experience identifying workflow inefficiencies and recommending improvements. - Excellent communication, stakeholder engagement, and documentation skills. - Highly motivated and analytical; proven problem-solving abilities - Ability to demonstrate initiative, proactivity, and enthusiasm in a fast-paced environment. Clearance Required - Ability to obtain and maintain a suitability/Public Trust Posted Salary Range USD $160,000.00 - USD $185,000.00 /Yr. Company Overview GovCIO is a team of transformers--people who are passionate about transforming government IT. Every day, we make a positive impact by delivering innovative IT services and solutions that improve how government agencies operate and serve our citizens. But we can't do it alone. We need great people to help us do great things - for our customers, our culture, and our ability to attract other great people. We are changing the face of government IT and building a workforce that fuels this mission. Are you ready to be a transformer? What You Can Expect Interview & Hiring Process If you are selected to move forward through the process, here’s what you can expect: - During the Interview Process - Virtual video interview conducted via video with the hiring manager and/or team - Camera must be on - A valid photo ID must be presented during each interview - During the Hiring Process - Enhanced Biometrics ID verification screening - Background check, to include: - Criminal history (past 7 years) - Verification of your highest level of education - Verification of your employment history (past 7 years), based on information provided in your application Employee Perks At GovCIO, we consistently hear that meaningful work and a collaborative team environment are two of the top reasons our employees enjoy working here. In addition, our employees have access to a range of perks and benefits to support their personal and professional well-being, beyond the standard company offered health benefits, including: - Employee Assistance Program (EAP) - Corporate Discounts - Learning & Development platform, to include certification preparation content - Training, Education and Certification Assistance* - Referral Bonus Program - Internal Mobility Program - Pet Insurance - Flexible Work Environment *Available to full-time employees Our employees’ unique talents and contributions are the driving force behind our success in supporting our customers, which ultimately fuels the success of our company. Join us and be a part of a culture that invests in its people and prioritizes continuous enhancement of the employee experience. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, or status as a protected veteran. EOE, including disability/vets. Posted Pay Range The posted pay range, if referenced, reflects the range expected for this position at the commencement of employment, however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, education, experience, and internal equity. The total compensation package for this position may also include other compensation elements, to be discussed during the hiring process. If hired, employee will be in an “at-will position” and the GovCIO reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, GovCIO or individual department/team performance, and market factors.
Quality Assurance Supervisor
PrideStaffBest of Staffing award-winning firm ⭐️🏆 Offering expert staffing & recruiting solutions nationwide
• Conduct regular reviews of participant case files to evaluate accuracy, completeness, and compliance with Federal WIOA/TANF, State, local, and corporate policies • Monitor data entered into State Systems and other participant management systems for accuracy and timeliness • Identify deficiencies and trends, document findings, and recommend corrective action • Support local QA staff in resolving file and data issues to ensure no eligibility issues or disallowed costs • Lead bi-weekly check-in calls with Program Directors, Regional Directors, and other appropriate staff • Ability to maintain and update multiple spreadsheets and reporting tools daily • Monitor quality assurance reports and dashboards and alert Quality Assurance Manager of any discrepancies • Assist with preparation for and response to program monitoring and audits • Support the development and continuous improvement of policies, procedures, and quality management practices • Partner with the Training Coordinator to address recurring issues and conduct targeted training with local QA staff • Maintain up-to-date knowledge of standard operating procedures and contract and TEGL updates • Review incoming invoices, payment requisitions, and ACH requests for accuracy, proper authorization, and complete documentation before requests are submitted to management • Process weekly billing by preparing detailed payment spreadsheets and submitting to management for timely approval and payment • Identify any missing information, duplicate entries, or mathematical discrepancies. Collaborate with internal teams (operations, project managers, fiscal) to quickly resolve variances • Maintain a high level of accuracy and confidentiality in handling participant information • Approach each day and task with a positive attitude and a “ZAG” mindset • Other duties and projects as needed


