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Contracts QA Manager

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Location:
United States , Costa Mesa

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Contract Type:
Employment contract

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Salary:

50.00 - 57.00 USD / Hour

Job Description:

This is a senior level role that will look at how the team currently sets up healthcare contracts in the system and makes sure there’s a clear, reliable way to check that the work is done correctly. This role will create step-by-step checks, guidelines, and training so mistakes are caught early, work is consistent, and fewer fixes are needed later. Additionally, they will look for parts of the checking process that can be automated to save time and help the team work faster and more accurately.

Job Responsibility:

  • Assess existing contract configuration and validation workflows
  • Develop a comprehensive QA process, including methodology, review steps, and quality checkpoints
  • Define criteria and test steps for validating reimbursement logic, contract rules, and payment outcomes
  • Recommend roles and responsibilities for analysts and QA reviewers, ensuring seamless handoffs
  • Create detailed process documentation, templates, and training materials
  • Identify and implement QA metrics and reporting needs to track improvements
  • Explore and recommend automation options for repetitive QA tasks to enhance efficiency
  • Collaborate with leadership and analysts to pilot and refine the QA process
  • Facilitate knowledge transfer to ensure the sustainability of the QA framework

Requirements:

  • 5+ years' proven expertise in process design and QA framework development
  • Strong understanding of contract logic, payment rules, and configuration errors
  • Experience with managed care contracts and reimbursement methodologies
  • Ability to document processes clearly and translate complex requirements into actionable steps
  • Strong analytical and problem-solving skills
  • Experience in healthcare or revenue cycle environments is advantageous
  • Detail-oriented with excellent critical-thinking skills
  • Comfortable with ambiguity and capable of building structured processes
  • Independent worker with the ability to drive clarity in a dynamic environment
  • Strong communicator who can effectively collaborate across teams
  • Worked with software tools and salesforce from a QA perspective

Nice to have:

  • Automation tools
  • Healthcare experience
What we offer:
  • Medical, Dental, and Vision Insurance
  • Life Insurance
  • 401k Program
  • Commuter Benefit
  • eLearning
  • Education Reimbursement
  • Ongoing Training & Development

Additional Information:

Job Posted:
January 03, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:

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