Quality Manager - Six Sigma Certified

JOB TITLE: Manager Quality AssuranceREPORTS TO: AVP Quality Assurance

1. Graduation and clearance of all major exams (SSC, HSC, qualifying degree).
2. 5+ years of experience in quality management within the healthcare industry, with a focus on

   transactional quality and process improvement.

3. Strong knowledge of healthcare operations claims processing, billing, coding, and regulatory requirements.
4. Proven expertise in process improvement methodologies (e.g., Lean, Six Sigma).
5. Must be Six Sigma certified with

   transactional quality and process improvement exposure.

Job Responsibilities:

• Ensure adherence to the companys policies and procedures.
• Act as an interface between the quality assurance executives and management.
• Ensure adherence to the client specific SLAs.
• Ensure quality activities are in line with documented procedures and manage the day-to-day/routine operations.
• Have supervisorial responsibilities to delegate work and ensure that targets are achieved & reporting timelines are met.
• Monitoring performance by gathering relevant data and producing statistical reports.
• Conduct Monthly one-one session with the team to identify gap areas and initiate action plan accordingly.
• Conduct calibration sessions with the quality auditors and the operation team leaders to ensure they are in sync with the client / program expectations.
• Organize brainstorming sessions among the quality auditors and team leaders to find out the best possible way to tackle current issues / problems.
• Analyze data to identify areas for improvement in the quality system.
• Develop, recommend and monitor corrective and preventive actions.
• Identifying relevant quality-related training needs and delivering training.
• (E.g. Feedback Delivery Method, Monitoring Methods, Data Analysis etc.)
• Process Improvement:
• Identify opportunities for process enhancement, reduce inefficiencies, and improve operational workflows.
• Lead process improvement initiatives using methodologies like Lean, Six Sigma, or Kaizen.
• Collaborate with cross-functional teams to implement best practices and standard operating procedures (SOPs).Lead Process Improvement Projects
• Strive for continual improvement of the existing quality monitoring systems and the processes by which they are developed.
• Process Training & Development:
• Design and deliver training programs focused on quality standards, process improvements
• Mentor and develop team members, fostering a culture of continuous learning and improvement.
• Stakeholder Management:
• Work closely with operations, compliance, and client teams to align quality objectives with business goals.
• Manage escalations effectively, ensuring timely resolution of quality-related issues.

IF ABOVE PROFILES SUITS YOU THEN PLEASE SHARE YOUR RESUME - Jitendra.Pandey@cotiviti.com / 7350534498