Quality Assurance Reviewer

GoFusion; Baltimore, Northern (MD, KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

Job summary

Fusion Advanced Technology, LLC is seeking a Quality Assurance Reviewer in Baltimore, MD to perform case, payment, and service quality reviews against established standards and document findings. This role supports corrective action and monthly reporting while ensuring adherence to policies and procedures.

The ideal candidate will have 3+ years in QA review or related analytical experience, with an Associate or Bachelor’s degree preferred.

Qualifications

• 3+ years in quality review, audit support, file review, claims review, eligibility review or similar analytical operational experience.
• Associate or bachelor’s degree preferred.
• Experience with public programs, compliance checks, or policy adherence is a plus.

Responsibilities

• Review customer, provider, case, and payment records against QA criteria and control standards.
• Document defects, observations, trends, and required follow-up actions clearly.
• Support pre-authorization reviews where required.
• Track repeat findings and assist with monthly reporting and evidence preparation.
• Escalate integrity issues, policy deviations, or systemic problems.
• Assist operations leaders and trainers by identifying error patterns and training needs.

Skills

Quality review

Audit support

Data analysis

Operational quality control

Regulatory compliance

Education

Associate or Bachelor degree preferred

Tools

Scorecards

Review forms

Audit tools

Job description

Fusion Advanced Technology, LLC Quality Assurance Reviewer Baltimore, MD·Full time Company website

Fusion Advanced Technology, LLC (Fusion) is seeking a motivated and mission-focused professional to perform case, payment, and service quality reviews against established standards, documents findings, and supports corrective action follow-up activities supporting the Maryland State Department of Education (MSDE).

About Fusion Advanced Technology, LLC

Fusion Advanced Technology, LLC is a mission-driven cybersecurity, IT, and program management company supporting federal and state government customers in complex, high-impact environments. As a certified Woman-Owned Small Business (WOSB) and Service-Disabled Veteran-Owned Small Business (SDVOSB), Fusion combines agile small-business responsiveness with leadership backed by decades of military, Department of Defense, and Intelligence Community experience.Fusion stands out through its people-first culture, hands-on leadership, and commitment to mission success. We provide employees the opportunity to support meaningful programs, grow professionally, and work alongside experienced professionals who understand both mission operations and customer needs.

Description

Core responsibilities

• Review customer, provider, case, and payment records against QA criteria and control standards.
• Document defects, observations, trends, and required follow-up actions clearly.
• Support 100% or targeted pre-authorization reviews where required.
• Track repeat findings and assist with monthly reporting and evidence preparation.
• Escalate suspected integrity issues, policy deviations, or systemic problems.
• Assist operations leaders and trainers by identifying error patterns and training needs.

Recommended minimum qualifications

Associate degree or bachelor’s degree preferred. Three or more years of quality review, audit support, file review, claims review, eligibility review, compliance checking, or similar analytical operational experience.

Minimum years of experience criteria

• 3+ years total relevant experience
• 1+ year in QA review, compliance checking, audit support, file review, or operational quality control.
• Direct public assistance, childcare subsidy, Maryland public program, or regulated operational review experience preferred.

Preferred qualifications

• Experience reviewing public program cases or payments for timeliness, accuracy, and policy compliance.
• Experience using scorecards, review forms, or audit tools.
• Experience writing concise findings and communicating them to operations teams.
• Experience with Maryland systems or public program files is a plus.

Fusion offers a competitive benefits package that includes medical, dental, and vision coverage.

Join a team committed to operational excellence, and mission success.

In order to provide equal employment and advancement opportunities to all individuals, employment decisions will be based on merit, qualifications, and abilities. Fusion Advanced Technology does not discriminate against any person because of race, color, creed, religion, sex, national origin, disability, age, genetic information, or any other characteristic protected by law (referred to as “protected status”). This nondiscrimination policy extends to all terms, conditions, and privileges of employment as well as the use of all company facilities, participation in all company-sponsored activities, and all employment actions such as promotions, compensation, benefits, and termination of employment.

This job description is intended to outline the general nature and level of work being performed. It is not intended to be a comprehensive list of all responsibilities, duties and skills required of the position. Additional tasks may be assigned as needed.