ZipRecruiter

Log In

1

Optum Health Qa Jobs (NOW HIRING)

Sonsoft Inc

QA Analyst

Pittsburgh, PA

Qualifications Requirements: 1. Healthcare Payer Experience is critical. 2. Successful candidates ... Optum in client facing situations. 4. Bachelor's degree or high school diploma/GED +3 years of ...

New Generation Wellness

Be Seen First

Quality Assurance Supervisor

Colorado Springs, CO · On-site

$60K - $80K/yr (+ commission)

... to health, quality, and innovation. Our longevity reflects a stable, science-driven organization ... At NGW, Quality Assurance is empowered, respected, and embedded in decision-making. This role ...

previous pagenext page

Showing results 21-40

All JobsTechnology JobsSoftware JobsOptum Health QA Jobs

Optum Health Qa information

See salary details

$15

$44

$64

How much do optum health qa jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for optum health qa in the United States is $44.87, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $54.57 per hour, depending on experience, location, and employer.

What does an Optum Health QA do?

An Optum Health QA (Quality Assurance) professional is responsible for ensuring the quality and accuracy of healthcare products, services, or software within the Optum Health organization. Their primary role involves developing and executing test plans, identifying defects, and collaborating with other teams to resolve issues. They also monitor compliance with healthcare regulations and company standards to improve patient outcomes and operational efficiency. QA professionals help maintain the reliability and effectiveness of health solutions delivered by Optum.

What are the key skills and qualifications needed to thrive as an Optum Health QA, and why are they important?

To thrive as an Optum Health QA, you need a strong background in software quality assurance, healthcare industry knowledge, and a relevant degree in computer science or a related field. Familiarity with QA automation tools (such as Selenium or QTP), test case management systems, and understanding of HIPAA compliance are typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for collaborating with cross-functional teams and identifying issues. These skills ensure the delivery of reliable, secure healthcare solutions that meet regulatory standards and enhance patient outcomes.

What are some common challenges faced by QA professionals at Optum Health, and how are they addressed?

QA professionals at Optum Health often encounter challenges such as keeping up with rapidly changing healthcare regulations, ensuring data privacy, and testing complex systems with large datasets. To address these challenges, teams regularly collaborate with developers, compliance experts, and product managers to stay updated and align on requirements. Continuous training, adopting automation tools, and participating in cross-functional meetings are standard practices that help QA teams maintain high-quality standards and adapt to evolving industry needs.

What is the difference between Optum Health Qa vs Optum Health Medical Assistant?

AspectOptum Health QaOptum Health Medical Assistant
CertificationsQuality assurance certifications, healthcare complianceCPR, Medical Assistant certification (CMA, RMA)
Work EnvironmentOffice, clinical, or remote settings focusing on quality processesClinical settings, patient care, administrative tasks
Employer & Industry UsageHealthcare providers, insurance companies, health plansClinics, hospitals, outpatient facilities

Optum Health Qa professionals focus on quality assurance, compliance, and process improvement within healthcare organizations, often requiring QA certifications. In contrast, Optum Health Medical Assistants are involved in direct patient care, clinical support, and administrative duties, typically holding medical assisting credentials. Both roles operate within healthcare but serve different functions and environments.

What are popular job titles related to Optum Health Qa jobs?

For Optum Health Qa jobs, the most frequently searched job titles are:

Infographic showing various Optum Health Qa job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $93,338 per year, or $44.9 per hour.

RN Manager Home Health Quality Assurance

Dallas, TX • On-site

University Of Texas Southwestern Medical Cent (The)
See more jobs at University Of Texas Southwestern Medical Cent (The)external

Other

Medical, Retirement, PTO

Re-posted 14 hours ago

Job description

RN Manager of Home Health Quality Assurance

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 
JOB SUMMARY
The Home Health Quality Assurance (QA) Manager leads the agency's Quality Assessment and Performance Improvement (QAPI) program and oversees documentation and clinical quality processes that support safe, compliant, and high-performing patient care in the home. This role partners with the Administrator, Clinical Manager(s), Therapy and Nursing leadership, and the governing body to ensure an effective, ongoing, data-driven QAPI program aligned with CMS Home Health Conditions of Participation (CoPs), including 42 CFR §484.65. 
 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!


EXPERIENCE AND EDUCATION
Required

  • Education
    Bachelor's Degree in nursing 
     
  • Experience
    5 years of progressive clinical experience, with at least 2 years in Medicare-certified Home Health and 
    2 years in quality, compliance, QA, clinical documentation review, OASIS review/education, or QAPI leadership (may be combined across roles).Must be able to fulfill role of Nurse Supervisor in alignment with State of Texas requirements. 
     
  • Licenses and Certifications
    OASIS Credential: COS-C or equivalent OASIS-focused credential/training within 1 Year 
     

Preferred

  • Licenses and Certifications
    (CPHQ) Cert Pro in Hlthcr Quality 
    Formal QAPI / performance improvement training (Preferred): documented training in QAPI methods (PDSA/Lean/Six Sigma) and regulatory quality program operations. 
    Home health coding/clinical documentation credential (Preferred, role-dependent): HCS-O / HCS-D or similar home health assessment/coding credential. 
     


JOB DUTIES

  • Develop, implement, evaluate, and maintain an effective, ongoing, agency-wide, data-driven QAPI program in alignment with 42 CFR §484.65.
  • Establish measurable quality priorities, performance indicators, and a governance cadence (e.g., monthly QAPI meetings) with documented minutes, actions, and follow-up.
  • Lead Performance Improvement Projects (PIPs) using structured methodologies (e.g., PDSA/Lean) that address high-risk, high-volume, or problem-prone areas and patient safety.
  • Ensure the QAPI program uses data from multiple sources (clinical records, OASIS/QA reviews, patient feedback, incidents, infection prevention, utilization/readmissions) and results in sustained improvement.
  • Prepare QAPI reports/dashboards for the Administrator and governing body; elevate quality risks and recommend corrective actions.
  • Oversee OASIS accuracy and integrity (SOC/ROC/Discharge/Transfer), ensuring alignment with CMS guidance and internal policy.
  • Develop and manage pre-bill/clinical record review processes to confirm medical necessity, plan-of-care alignment, and defensible documentation for each visit note.
  • Collaborate with clinical leadership to set documentation standards (timeliness, completeness, consistency) and reduce denials/ADR risk through proactive improvement.
  • Provide targeted coaching and education to clinicians on OASIS, care planning, and documentation quality; track remediation completion and outcomes.
  • Maintain continuous survey readiness for CMS and accrediting bodies by ensuring CoP alignment across clinical operations and documentation.
  • Perform routine compliance audits (e.g., timeliness of assessments, care planning, orders, discharge planning, infection prevention practices) and track corrective actions to closure.
  • Coordinate responses to findings (internal audits, state survey, accreditation) including Plans of Correction (POCs), evidence submission, and sustainment monitoring.
  • Partner with clinical leaders to ensure timely investigation and trending of incidents, complaints, and adverse events; ensure lessons learned are embedded into practice.
  • Monitor key quality and operational metrics such as OASIS data quality, timeliness measures, missed visits, infection events, hospitalization/readmission rates, patient satisfaction, and clinical outcomes.
  • Develop and maintain actionable dashboards and audit tools; ensure data definitions, validation, and accountability for metric owners.
  • Identify performance gaps and root causes; translate findings into practical workflow changes, education, and measurable targets.
  • Collaborate with Finance/Revenue Cycle on claim quality indicators and denial prevention strategies (e.g., medical review/ADR readiness).
  • Design and deliver quality-focused training for onboarding and ongoing competency (documentation, OASIS, CoP standards, patient safety).
  • Support leaders in implementing standardized workflows, checklists, and competency tools that sustain improvement.
  • Other duties as assigned

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Apply