Quality Assurance Specialist

Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Quality Assurance Specialist to join our team!

What you’ll be doing?

Testing & Validation

• Design, develop, and execute comprehensive test cases, test plans, and scripts.
• Perform functional, regression, integration, and performance testing of our product implementation.
• Provide test status reports for end-to-end testing along with UAT and production validation.
• Collaborate closely with developers and product managers to understand requirements and ensure test coverage.
• Identify, log, and track software defects.
• Validate data integrity and interoperability with third-party health systems.
  
  

Compliance & Documentation

• Ensure testing practices align with company and regulatory requirements.
• Maintain detailed records of testing procedures, results, and defect resolutions.
• Assist in the preparation and review of validation documentation, SOPs, and audit trails.
• Lead or participate in external audits, inspections, and certifications as required.
  
  

Cross-Functional Collaboration

• Work with cross-functional teams including engineering, product, compliance, and customer support.
• Communicate QA findings and risks clearly to stakeholders and suggest actionable improvements.
• Provide QA input during requirements gathering and implementation design phases
  
  

Process Improvement

• Contribute to the continuous improvement of QA processes and testing methodologies.
• Propose and implement automation strategies to streamline test execution and improve test coverage.
• Participate in post-release evaluations and retrospectives to refine QA strategies.
  
  

Perform other duties as assigned.

The duties set forth above are essential job functions for the role. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

What we’re looking for?

Required Skills

Education and Experience

• Bachelor’s degree in Computer Science, Health Informatics, Life Sciences, or a related field.
• 2–5 years of experience in quality assurance or software testing, preferably in healthcare or health tech environments.
• Strong knowledge of QA methodologies, tools, and processes.
• Strong experience with reviewing and interpreting data on medical claim forms: HCFA, CMS1500, UB04 and ADA will be preferred
• Knowledge and experience with Medical Code sets ICD 10, HCPCS, CPT and Modifiers
• Hands-on experience with test automation frameworks and scripting languages
• Familiarity with HIPAA, HL7, FHIR, and other healthcare standards is a plus.
• Experience with Agile/Scrum methodologies.
  
  

Preferred Skills & Certifications

• QA certification.
• Understanding of risk-based testing in regulated environments.
• Experience with cloud-based platforms and CI/CD tools (e.g., GitHub Actions, Jenkins).
  
  

Soft Skills

• Excellent analytical and problem-solving skills.
• Strong communication and stakeholder management abilities.
• Attention to detail with the ability to manage multiple projects and priorities.
• Ability to work independently and as part of a cross-functional team.
  
  

Why this is the company for you?

Top Benefits & Perks

• A company culture that is authentic, innovative, and collaborative! Our most powerful strength is our people! We build impactful solutions for our customers - their success is our success!
• A professional development and growth-oriented workplace
• Generous benefits including, health insurance, short-term, and long-term disability
• 401(k) with a company match to provide a better future in your retirement years
• A flexible environment with a competitive paid time off package; including vacation, holiday, give-back day, and a floating day
  
  

Who is Smart Data Solutions?

Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. As a strategic partner, SDS helps clients digitally transform their operations, delivering tangible value through reduced costs, streamlined workflows, and an improved customer experience. With data, AI, and automation at its core, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization and Claim Operations. Trusted by over 500 clients—including multiple Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners—SDS streamlines complex front, middle, and back-office operations.

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.