Remote Healthcare QA Lead — SQL & Audit Specialist

Gainwell Technologies; Texas; Remote; USD 50,000 - 72,000; Full time

Benefits offered by this job

Remote work from home

401(k) plan

Health benefits

Paid time off

Professional development

Job summary

Gainwell Technologies is seeking an experienced Sr. Healthcare Quality Assurance professional to support quality assurance, auditing, and financial operations within a healthcare environment.

This role combines healthcare knowledge, financial and operational auditing, data analysis, and hands‑on SQL experience to evaluate processes, identify discrepancies, ensure compliance, and support continuous improvement.

Qualifications

• Bachelor's degree or equivalent combination of education and relevant professional experience in quality assurance, auditing, finance, accounting, financial analysis, or a related function.
• Healthcare industry experience, preferably within Medicaid, Medicare, managed care, health insurance, claims, or government healthcare programs.
• One to two years of hands-on SQL experience, including querying, extracting, reviewing, and analyzing data.
• Working knowledge of medical terminology with experience interpreting healthcare-related data, claims, documentation, and operational information.
• Knowledge of financial controls and accounting principles, including GAAP and/or SOX, with strong analytical, research, problem-solving, and communication skills.

Responsibilities

• Perform quality assurance and audit activities across healthcare financial operations, including accounts receivable/payable, capitation, credit balances, cost settlements, recoveries, and related processes.
• Review financial transactions, healthcare data, reports, and supporting documentation to identify discrepancies and ensure accuracy and compliance with established controls.
• Use SQL to query, extract, review, and analyze data in support of audits, reporting, research, reconciliation, and operational analysis.
• Create, maintain, and update audit procedures, control documentation, operational processes, and client-required reporting.
• Research complex financial and operational issues, recommend process improvements, and serve as a resource to team members on quality, audit, and operational requirements.

Skills

Quality assurance

Auditing

Financial analysis

Education

Bachelor's degree

Tools

SQL

Job description

Gainwell Technologies is seeking an experienced Sr. Healthcare Quality Assurance professional to support quality assurance, auditing, and financial operations within a healthcare environment.

This role combines healthcare knowledge, financial and operational auditing, data analysis, and hands‑on SQL experience to evaluate processes, identify discrepancies, ensure compliance, and support continuous improvement.