Senior Healthcare QA Auditor - Remote, Flexible Hours

Gainwell Technologies; Kentucky; Hybrid; USD 50,000 - 72,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) retirement plan with match

Paid time off and holidays

Career development programs

Job summary

Gainwell Technologies is seeking an experienced Sr. Healthcare Quality Assurance professional to support QA, auditing, and financial operations in a healthcare setting.

The role combines healthcare knowledge, financial auditing, data analysis, and hands-on SQL experience to evaluate processes, identify discrepancies, ensure compliance, and drive continuous improvement. This position is remote within Ohio, with onsite attendance at our Ohio Office approximately twice a month; frequency may vary

Qualifications

• Bachelor’s degree or equivalent in quality assurance, auditing, finance, or related field.
• Healthcare industry experience, preferably Medicaid/Medicare, etc.
• 1–2 years of hands-on SQL experience.
• Knowledge of medical terminology and healthcare data interpretation.
• GAAP and/or SOX knowledge with strong analytical and communication skills.

Responsibilities

• Perform QA and audit activities across healthcare financial operations (A/R/A/P, capitation, cost settlements, recoveries).
• Review financial transactions and healthcare data to identify discrepancies and ensure compliance with controls.
• Use SQL to query, extract, and analyze data for audits, reporting, and reconciliation.
• Create and maintain audit procedures, control documentation, and client reporting.
• Research complex issues and recommend process improvements; advise team on QA and audit requirements.

Skills

Quality assurance

Auditing

Data analysis

Healthcare knowledge

Education

Bachelor's degree or equivalent

Tools

SQL

Job description

Gainwell Technologies is seeking an experienced Sr. Healthcare Quality Assurance professional to support QA, auditing, and financial operations in a healthcare setting.

The role combines healthcare knowledge, financial auditing, data analysis, and hands-on SQL experience to evaluate processes, identify discrepancies, ensure compliance, and drive continuous improvement. This position is remote within Ohio, with onsite attendance at our Ohio Office approximately twice a month; frequency may vary