Senior Healthcare QA Specialist

Job Summary

Seeking a detail-oriented Senior Healthcare QA Specialist, the remote position will manage quality assurance and auditing activities within healthcare financial operations, ensuring compliance and process improvement while utilizing SQL for data analysis.

Key responsibilities

• Perform quality assurance and audit activities across healthcare financial operations, including accounts receivable/payable and related processes
• Review financial transactions and healthcare data to identify discrepancies and ensure compliance with established controls
• Use SQL to query and analyze data in support of audits, reporting, and operational analysis

Required qualifications

• Bachelor's degree or equivalent experience in quality assurance, auditing, finance, accounting, or a related field
• Healthcare industry experience, preferably in Medicaid, Medicare, or managed care
• One to two years of hands-on SQL experience
• Working knowledge of medical terminology and healthcare-related data interpretation
• Knowledge of financial controls and accounting principles, including GAAP and/or SOX