Quality Assurance Reviewer

Core responsibilities

• Review customer, provider, case, and payment records against QA criteria and control standards.
• Document defects, observations, trends, and required follow-up actions clearly.
• Support 100% or targeted pre-authorization reviews where required.
• Track repeat findings and assist with monthly reporting and evidence preparation.
• Escalate suspected integrity issues, policy deviations, or systemic problems.
• Assist operations leaders and trainers by identifying error patterns and training needs.

Associate degree or bachelor’s degree preferred. Three or more years of quality review, audit support, file review, claims review, eligibility review, compliance checking, or similar analytical operational experience.

• 3+ years total relevant experience
• 1+ year in QA review, compliance checking, audit support, file review, or operational quality control.
• Direct public assistance, childcare subsidy, Maryland public program, or regulated operational review experience preferred.

• Experience reviewing public program cases or payments for timeliness, accuracy, and policy compliance.
• Experience using scorecards, review forms, or audit tools.
• Experience writing concise findings and communicating them to operations teams.
• Experience with Maryland systems or public program files is a plus.

Fusion offers a competitive benefits package that includes medical, dental, and vision coverage.

Join a team committed to operational excellence, and mission success.

In order to provide equal employment and advancement opportunities to all individuals, employment decisions will be based on merit, qualifications, and abilities. Fusion Advanced Technology does not discriminate against any person because of race, color, creed, religion, sex, national origin, disability, age, genetic information, or any other characteristic protected by law (referred to as “protected status”). This nondiscrimination policy extends to all terms, conditions, and privileges of employment as well as the use of all company facilities, participation in all company-sponsored activities, and all employment actions such as promotions, compensation, benefits, and termination of employment.

This job description is intended to outline the general nature and level of work being performed. It is not intended to be a comprehensive list of all responsibilities, duties and skills required of the position. Additional tasks may be assigned as needed.