ITQA Lead – athenaIDX Revenue Cycle Program

Remote Full-time
Description: CTG is seeking to fill an ITQA Lead – athenaIDX Revenue Cycle Program position for our client. Location: Remote Duration: 12 months Duties: The Information Technology IT Quality Assurance Lead (ITQA Lead) for the RCM Transformation Program is a senior, hands-on quality and validation leader responsible for ensuring the accuracy, stability, and end-to-end integrity of revenue cycle system changes across athenaIDX Hospital Patient Accounting (HPA) and Billing Accounts Receivable (BAR), as well as a complex ecosystem of upstream and downstream clinical, financial, and ancillary systems. This role combines deep revenue cycle expertise, advanced technical QA/testing capabilities, and leadership accountability for quality outcomes across multiple interdependent initiatives. Key responsibilities include: Provide end-to-end QA oversight for athenaIDX integrations, ensuring accurate data flow across patient demographics, encounters, charges, coding, claims, and payments Design and execute system integration testing (SIT), end-to-end (E2E), regression testing, charge validation, claim validation, and workflow testing Identify impacted systems and integration touchpoints for athenaIDX changes and coordinate validation activities across teams Partner with Interface, Application, Vendor, Compliance, HIM, Coding, Finance, and Revenue Cycle Operations teams to resolve defects and ensure regulatory alignment Validate charge logic configurations, including Altera Charge Logic Module workflows, ensuring accurate, compliant, and auditable charge capture Verify elimination of duplicate charges/documentation and ensure downstream posting accuracy into athenaIDX Lead QA for dictionary and table configuration changes, ensuring accurate mapping and downstream system impacts are fully tested Execute pre- and post-implementation validation to confirm system integrity, stability, and workflow consistency Oversee QA for Edits and Hold Bills optimization initiatives, including validation of edits removal, creation, and revision logic Test ETM and EDI workflows to ensure improved claim routing, reduced rejections, and alignment with user roles and operational processes Support denial prevention initiatives by identifying and validating upstream system issues contributing to preventable denials Validate fixes related to medical necessity, prior authorization, site-of-service rules, oncology billing, infusion services, clinical trials, pharmacy, and 340B workflows Develop test strategies, test plans, scripts, defect tracking, and formal QA sign-off documentation Provide governance, QA standards, and readiness assessments across all RCM transformation initiatives Communicate risks, issues, testing status, and quality outcomes to program and executive leadership Skills: Strong expertise in athenaIDX HPA and BAR systems Deep knowledge of revenue cycle operations, charge capture, billing, and claims processing Experience with system integration testing (SIT), E2E testing, and regression testing Strong understanding of ETM, EDI workflows, edits, hold bills, and denial management Knowledge of oncology revenue cycle workflows including infusion, clinical trials, and specialty pharmacy billing Strong analytical, troubleshooting, and defect resolution skills Ability to lead cross-functional QA efforts and influence without direct authority Strong communication skills with ability to translate technical issues into operational and financial impact Experience with compliance, HIM, coding, and revenue integrity requirements Experience: 10+ years of experience in healthcare IT quality assurance and revenue cycle systems Extensive hands-on experience with athenaIDX HPA and BAR required Proven experience leading large-scale system integration and end-to-end testing initiatives Experience in complex hospital or academic medical center environments strongly preferred Oncology or complex specialty revenue cycle experience highly preferred Experience supporting enterprise RCM transformation programs preferred Education: Bachelor’s degree in Information Systems, Healthcare Administration, Business, or related field strongly preferred. Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required. CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee based recruitment services for this role. To Apply: To be considered, please apply directly to this requisition using the link provided. For additional information, please contact Tana Stilloe at [email protected] . Kindly forward this to any other interested parties. Thank you! The expected base salary for this position ranges from $135,000 to $145,000. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered. About Us: CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. With more than 9,000 team members in over 15 countries, we combine global expertise with local insight to deliver innovative solutions. We operate across the Americas, Europe, and India, working with over 3,000 clients in many of today's highest-growth industries. Together, we shape what’s next—working shoulder to shoulder to deliver impactful solutions for our clients and society. Our culture is built by the people who work at CTG, the values we hold, and the actions we take. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. At CTG, you’ll find a workplace where you are encouraged to grow, supported in your ambitions, and empowered to shape your own career journey. For more information, visit www.ctg.com . CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws. CTG is an Equal Opportunity Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. CTG is fully committed to promoting employment opportunities for members of protected classes.
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