Jr QA (Entry Level)

Zealogics.com; New York (NY); On-site; USD 50,000 - 70,000; Full time

Job summary

Zealogics.com is looking for a detail-oriented professional to conduct routine audits of patient case files, ensuring compliance and accuracy. The role includes data collection and entry to support quality improvement initiatives.

Candidates should have a Bachelor's degree in a relevant field and 0–2 years of experience in an administrative or auditing capacity. Familiarity with healthcare improvement frameworks is a plus.

Qualifications

• 0–2 years of experience in an administrative, analytical, or auditing role.
• Experience or internships within a healthcare or health insurance setting are highly preferred.
• Strong written and verbal communication skills.

Responsibilities

• Conduct routine, structured audits of patient case files.
• Accurately extract and maintain data from health information systems.
• Assist in gathering documentation for scheduled reviews.
• Monitor workflows and flag inconsistencies.
• Maintain internal tracking logs and compile compliance spreadsheets.
• Partner with clinical teams to clarify data inaccuracies.

Skills

Attention to detail

Organizational skills

Microsoft Office Suite (Excel)

Communication skills

Education

Bachelor’s degree in Healthcare Administration or related field

Job description

Key Responsibilities

• Process Auditing & Record Review: Conduct routine, structured audits of patient case files, member records, and documentation to verify accuracy, completeness, and compliance with institutional standards.

• Data Collection & Entry: Accurately extract, compile, and maintain data from various health information systems to support quality scorecards and performance monitoring.

• Regulatory Compliance Support: Assist in gathering documentation and prepping audit trails for scheduled state and federal reviews (CMS, DOH, NCQA HEDIS).

• Trend Identification: Help monitor operational workflows and flag inconsistencies, documentation gaps, or deviations from established protocols to senior QA team members.

• Reporting & Tracking: Maintain internal tracking logs, compile compliance spreadsheets, and assist in drafting basic data summary reports for quality improvement committees.

• Cross-Functional Collaboration: Partner with clinical, customer service, and care management teams to clarify documentation inaccuracies and support corrective action plans.

Required Qualifications

• Education: Bachelor’s degree in Healthcare Administration, Public Health, Health Information Management, Business Administration, or a related field.

• Experience: 0–2 years of experience in an administrative, analytical, or auditing role. Experience or internships within a healthcare or health insurance setting are highly preferred.

• Core Skills:

  • Exceptional attention to detail and strong organizational skills.

  • Intermediate proficiency with Microsoft Office Suite (particularly Excel functions like filtering, sorting, and basic data entry formatting).

  • Ability to handle highly sensitive, confidential patient information with strict adherence to HIPAA guidelines.

• Communication: Strong written and verbal communication skills; comfortable reaching out to internal teams to gather or clarify data.

Preferred Qualifications

• Familiarity with healthcare quality improvement frameworks (e.g., PDSA cycles, Lean concepts).

• Basic understanding of Medicaid/Medicare plan structures, HEDIS metrics, or clinical documentation standards.

• Comfort learning new electronic health records (EHR) and database management software.