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Remote Healthcare Quality Assurance Jobs in Decatur, GA

Primus Software Corporation

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EDI Claims Tester - QA/Test Engineer (Healthcare)

Atlanta, GA · Remote

$45 - $58/hr

Remote Technical Must Haves · Must have 5+ years of hands-on Healthcare QA/Testing experience with a strong focus on MMIS (Medicaid Management Information System) projects. · Must have extensive ...

American Unit, Inc.

Functional QA Tester

Atlanta, GA · Remote

Functional QA 12 months Remote - ATLANTA, GA Highly preferred is candidates who have retail or e-commerce experience. This is fully remote, but looking for candidates in the Atlanta area. FUNCTIONAL ...

Mondo

QA Automation Engineer

Atlanta, GA · Remote

Apply now: QA Automation Engineer, Remote. Start date is ASAP for this 3-month contract position ... Eligible for Health, Dental, Vision, and 401K Visa Sponsorship: Not eligible for visa sponsorship ...

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How much do remote healthcare quality assurance jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for remote healthcare quality assurance in Decatur, GA is $43.81, according to ZipRecruiter salary data. Most workers in this role earn between $35.67 and $53.27 per hour, depending on experience, location, and employer.

What is a Remote Healthcare Quality Assurance job?

A Remote Healthcare Quality Assurance job involves monitoring and improving the quality of healthcare services provided by medical facilities, insurance companies, or telehealth organizations. Professionals in this role review patient records, ensure compliance with regulations, analyze data for quality improvements, and provide feedback to healthcare teams. They work remotely, using digital tools to conduct audits, track performance metrics, and implement best practices. Their goal is to enhance patient safety, reduce errors, and maintain high standards of care.

What are the key skills and qualifications needed to thrive in the Remote Healthcare Quality Assurance position, and why are they important?

To thrive as a Remote Healthcare Quality Assurance professional, you need a deep understanding of healthcare regulations, quality management principles, and data analysis, often supported by a degree in healthcare administration, nursing, or a related field. Familiarity with quality assurance software, electronic health record (EHR) systems, and certifications such as CPHQ (Certified Professional in Healthcare Quality) are highly valued. Strong attention to detail, effective communication, and the ability to work independently in a virtual environment are standout soft skills. These competencies are crucial for ensuring compliance, enhancing patient safety, and supporting continuous quality improvement in remote healthcare settings.

What are some common challenges faced in a Remote Healthcare Quality Assurance position?

One common challenge in Remote Healthcare Quality Assurance is effectively monitoring and evaluating compliance across multiple teams and systems without being onsite. Coordinating with clinical staff, administrators, and IT teams remotely requires excellent organization and communication skills to ensure that quality standards are consistently met. Additionally, staying updated on evolving healthcare regulations and best practices in a virtual setting can involve significant self-motivation and ongoing professional development. However, working remotely also allows for flexibility and the opportunity to utilize a variety of digital tools to streamline processes and strengthen team collaboration.

What job categories do people searching Remote Healthcare Quality Assurance jobs in Decatur, GA look for? The top searched job categories for Remote Healthcare Quality Assurance jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Healthcare Quality Assurance jobs? Cities near Decatur, GA with the most Remote Healthcare Quality Assurance job openings:
Remote Healthcare Quality Assurance jobs near you
Infographic showing various Remote Healthcare Quality Assurance job openings in Decatur, GA as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $91,129 per year, or $43.8 per hour.

EDI Claims Tester - QA/Test Engineer (Healthcare)

Primus Software Corporation

Atlanta, GA • Remote

$45 - $58/hr

Contractor

Posted 8 days ago

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Job description

Job Title: QA/Testing Engineer (Healthcare)

Duration: 06 Months (Contract to Hire) (W2 Contract Only)

Location: Remote

Technical Must Haves

· Must have 5+ years of hands-on Healthcare QA/Testing experience with a strong focus on MMIS (Medicaid Management Information System) projects.

· Must have extensive hands-on Claims Testing experience across the complete healthcare claims lifecycle.

· Must have strong Healthcare domain knowledge with expertise in both Medicaid and Medicare.

· Must have hands-on experience with Claims Processing and Claims Adjudication.

· Must have strong understanding of claims reference codes, reference data sets, and business rules required for claims adjudication.

· Must have experience configuring benefits, programs, and claims system setup across multiple claim processing subsystems.

· Must have strong SQL skills to validate backend data, claims status, payment information, members, providers, and benefit plans.

· Must have experience performing system analysis, root cause analysis (RCA), and defect validation.

· Must have experience validating end-to-end claims processing from claim intake through adjudication, payment, and reporting.

· Must have experience testing Professional, Institutional, Dental, Pharmacy, Encounter, and Capitation claims.

· Must have experience working with EDI X12 transactions including 837P, 837I, 837D, 835, 834, 270/271, and 276/277.

· Must have experience validating EDI transactions using EDI validation tools.

· Must have experience with Interface Testing and API Testing using Postman or similar tools.

· Must have experience creating test strategies, test plans, test cases, test scenarios, test data, and test summary reports.

· Must have experience preparing and maintaining Requirements Traceability Matrix (RTM).

· Must have experience using test management tools such as Azure DevOps (ADO), JIRA, or equivalent.

· Must have experience working with claims processing platforms such as Facets, CMdS, GHS, or similar healthcare claims systems.

· Must have experience collaborating with Development, Architecture, Business Analysts, SMEs, and client teams throughout the SDLC.

· Must have experience participating in client demonstrations, validating milestones, tracking feedback, and supporting production implementations.

· Must have strong written and verbal communication skills with the ability to manage multiple priorities and work directly with clients.

Desired

· Desired experience working on large-scale Medicaid MMIS modernization or implementation projects.

· Desired experience with healthcare benefit configuration and policy validation.

· Desired experience assessing regulatory requirements and validating compliance changes within healthcare claims systems.

· Desired experience supporting GUI validation and application design reviews.

· Desired experience performing integration testing across multiple healthcare systems and interfaces.

· Desired experience creating innovative testing approaches and improving QA processes.

· Desired experience working in Agile or hybrid software development environments.

· Desired ability to provide testing guidance throughout the full software development lifecycle.

· Desired experience supporting production deployments, release validation, and post-implementation testing.

· Desired experience working closely with cross-functional business and technical stakeholders to deliver high-quality healthcare solutions.

Company Description

Primus Software Corporation. Primus Software Corporation is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. We have excellent domain expertise in all verticals. We provide long term solutions with quality as our main focus. To learn more about Primus Software Corporation, please visit our website www.primussoftcom. I recently came across your resume on job boards, and I wanted to reach out to you regarding an exciting job opportunity that I believe aligns perfectly with your skills and experience.