Quality Manager Jobs

About The Position

Requirements

• Minimum 5+ years of experience leading quality management efforts for: Large-scale IT system implementations or Healthcare/Medicaid operations or Claims processing or call center environments of comparable scale
• Demonstrated experience developing and maintaining quality control and QA programs
• Proven experience leading system testing efforts across the full SDLC
• Strong knowledge of: Quality management methodologies (QA/QC frameworks) Testing strategies and tools Data validation and integrity controls Experience working with health information systems standards
• Strong leadership, communication, and stakeholder engagement skills

Nice To Haves

• Experience supporting Medicaid or MMIS/PA system implementations
• Familiarity with CMS certification processes and requirements
• Experience in large-scale public sector or healthcare programs
• Experience with automated testing tools and frameworks
• Knowledge of data governance and analytics in healthcare systems

Responsibilities

• Lead all aspects of quality planning, quality assurance (QA), and quality control (QC) across implementation and operations
• Develop, implement, and maintain a Quality Management Plan (QMP) aligned with contract requirements and State expectations
• Define and enforce quality standards, metrics, and performance indicators across all deliverables and services
• Design and implement a comprehensive testing framework, including: Unit testing System integration testing Regression testing Volume/performance testing User Acceptance Testing (UAT)
• Develop and maintain a Test Plan and oversee all testing lifecycle activities
• Ensure defects are identified, tracked, resolved, and prevented from reaching production
• Establish and execute quality control processes to validate: System inputs/outputs Data integrity Workflow accuracy Operational processes
• Oversee deliverable reviews, including reports, documentation, and system enhancements
• Ensure consistent application of internal controls and quality checks across all system and operational activities
• Ensure accuracy and reliability of: System outputs Data processing and balancing Interface integrations
• Validate end-to-end system functionality and alignment with business requirements
• Lead and manage QA and testing teams, including assignment of resources and oversight of daily activities
• Provide guidance, training, and oversight to ensure staff competency in quality processes and tools
• Coordinate with project managers, developers, business analysts, and State stakeholders
• Ensure all quality processes support CMS certification readiness, including required documentation and system validation artifacts
• Align quality practices with: Medicaid program requirements Federal and State regulations Industry standards for health information systems
• Establish a continuous quality improvement framework across implementation and operations
• Monitor performance metrics and drive process optimization and defect reduction
• Recommend and implement improvements to enhance system quality and operational efficiency

Benefits

• Medical / Dental / Vision Insurance – insurance premium assistance provided
• Additional Insurance (Life, Disability, etc.)
• Paid Time Off
• 401(k) Retirement Savings Plan & Health Savings Account
• Various training courses to promote continuous learning
• Corporate Wellness Program