Career Opportunity I Quality Team Lead

Dear Candidate ,

Please share your resume in case below profile suits - Jitendra.Pandey@cotiviti.com / 7350534498

Team Lead Quality

General Summary:

We are seeking a dynamic and experienced Team Leader, Quality to guide and support our quality assurance team within the healthcare domain. This role is pivotal in ensuring high standards of transactional quality, supporting continuous process improvement, and enhancing process training initiatives.

The ideal candidate will have a strong background in healthcare operations, a proven track record of supporting quality management initiatives, and the ability to lead a team toward achieving operational excellence.

Job Responsibilities:

Team Supervision & Performance Management

• Oversee day-to-day activities of the quality assurance team to ensure smooth operations.
• Delegate tasks effectively, ensuring that team members meet performance targets and deadlines.
• Monitor individual and team performance through data collection and reporting.
• Conduct regular one-on-one sessions with team members to provide feedback, identify gaps, and create action plans for improvement.

Quality Monitoring & Compliance

• Ensure team adherence to company policies, procedures, and client-specific SLAs.
• Support the implementation of quality standards as defined by the Quality Manager.
• Participate in calibration sessions with quality auditors and operations team leaders to maintain alignment with client expectations.

Process Improvement Support

• Identify opportunities for process improvement within the teams scope and escalate them to the Quality Manager.
• Assist in the implementation of process improvement initiatives using methodologies like Lean, Six Sigma, or Kaizen.
• Collaborate with cross-functional teams to adopt best practices and improve operational workflows.

Training & Development

Identify training needs within the team and support the delivery of quality-related training sessions.

Mentor team members, fostering a culture of continuous learning and improvement.

Assist in the design and delivery of process training programs focused on quality standards and operational efficiency.

Data Analysis & Reporting

Support the Quality Manager in gathering performance data and producing statistical reports.

Analyze data to identify trends, areas for improvement, and potential risks in quality processes.

Stakeholder Collaboration

Act as a liaison between the quality assurance team and other departments, including operations, compliance, and client teams.

Manage escalations related to quality issues, ensuring timely resolution in alignment with client expectations.

Continuous Improvement & Innovation

Contribute ideas for process enhancements, reducing inefficiencies, and improving service quality.

Support the development and implementation of corrective and preventive actions as recommended by the Quality Manager.

Communication and Interpersonal Skills

Clear Communication: Demonstrate strong verbal and written communication skills, ensuring complex information is conveyed clearly and effectively.

Stakeholder Management: Build and maintain relationships with cross-functional teams, clients, and senior leadership to align quality objectives with business goals.

Conflict Resolution: Address conflicts constructively, facilitating discussions that lead to positive outcomes and team cohesion.

Quality and Process Orientation

Detail-Oriented: Ensure accuracy and attention to detail in audits, reports, and process evaluations to maintain high-quality standards.

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Process Improvement Focus: Identify inefficiencies, recommend process enhancements, and implement best practices to optimize performance.

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Commitment to Excellence: Uphold and promote high standards of quality, continuously seeking ways to improve team performance.

Education:

Graduation and clearance of all major exams (SSC, HSC, qualifying degree).

3+ years of experience in quality management within the healthcare industry, with a focus on transactional quality and process improvement.

Strong knowledge of healthcare operations claims processing, billing, coding, and regulatory requirements.

Proven expertise in process improvement methodologies (e.g., Lean, Six Sigma).

Minimum of 3 years in a leadership role with responsibilities related to service delivery quality and process improvement

Skills and Competencies

Strong analytical, critical thinking and problem-solving skills.

Excellent verbal and written communication skills.

Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads.

Certification in Quality Management (e.g., Six Sigma Green/Black Belt, CQM). Proficiency in process improvement tools and methodologies, including Lean, Six Sigma, and Minitab

Experience with quality management software and data analytics tools.