Senior Quality Configuration Analyst – Core Systems QA

L.A. Care; Los Angeles (CA); On-site; USD 92,000 - 151,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Job summary

L.A. Care Health Plan in Los Angeles, CA seeks a Quality Configuration Assurance Analyst III to lead complex QA for core systems like QNXT and related applications.

The role emphasizes testing, root-cause analysis, mentorship, and ensuring accurate configuration across clinical and claims platforms, with a focus on improving member access and claims processing. Candidates will collaborate with business operations and IT, develop testing specifications, participate in audits, and support ongoing

Qualifications

• At least 5 years of experience in Systems Configuration; Claims and Health Services/Population Health department.
• Advanced knowledge of health plan quality assurance for claims and related systems.
• Knowledge of SDLC and change management methodologies, standards and best practices.
• Experience with California Medi-Cal managed care plan or Commercial health plan preferred.

Responsibilities

• Identify, develop, and recommend testing specifications and related documentation.
• Serve as SME for QA of configuration of core and surround systems.
• Perform complex quality audits of the systems configuration and root cause analysis.
• Collaborate with peers to support QA best practices and process improvements.
• Provide training and mentorship to junior staff as needed.

Skills

Managed care operations

SDLC knowledge

Quality assurance

Data analysis

Time management

Education

Bachelor's Degree in Business or Related Field

Master's Degree in Business or Related Field

Job description

L.A. Care Health Plan in Los Angeles, CA seeks a Quality Configuration Assurance Analyst III to lead complex QA for core systems like QNXT and related applications.

The role emphasizes testing, root-cause analysis, mentorship, and ensuring accurate configuration across clinical and claims platforms, with a focus on improving member access and claims processing. Candidates will collaborate with business operations and IT, develop testing specifications, participate in audits, and support ongoing