ITQA Lead – athenaIDX Revenue Cycle Program

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 Tana.Stilloe@ctg.com. 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.