Service Quality ( Healthcare ) - Manager

Access Healthcare

9 - 14 years

9 - 18 Lacs

Chennai Tamil Nadu India

Posted:12 hours ago| Platform: Foundit logo

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Skills Required

Service Quality Revenue Cycle Management Quality Management Audit Process Powerpoint

Work Mode

On-site

Job Type

Full Time

Job Description

Service Quality Leader

Key Responsibilities

Lead and manage the
Service Quality team
supporting RCM operations across multiple client accounts.
Develop, implement, and monitor quality control processes and
audit frameworks
aligned with industry standards and client SLAs.
Identify root causes of performance gaps and drive corrective and preventive action plans using
Six Sigma/Lean tools
(
DMAIC, RCA, FMEA
, etc.).
Partner closely with Operations, Training, and Client Services teams to align quality objectives with overall business goals.
Design and deploy
performance dashboards
and reporting structures for internal and client-facing reviews.
Ensure audit accuracy, timely reporting, and feedback loops to drive
error reduction
and enhance process stability.
Stay up to date with provider and payer-specific requirements impacting RCM.
Support client audits, escalations, and calibration sessions with detailed analysis and remediation plans.
Collaborate in transitioning new business by setting up
QA frameworks, SOPs
, and success metrics.

Requirements

Bachelors degree
in any stream or related field.
Proven experience in
auditing and improving end-to-end RCM functions
such as Billing, AR Follow-Up, Denials, and Cash Posting.
Six Sigma Green Belt certification
is an added advantage.
Strong analytical skills with experience using quality monitoring platforms, dashboards, and
RCA tools
.
Excellent communication, stakeholder management, and team leadership skills.
Proficiency in
MS Excel, PowerPoint
, and BI tools for reporting and data visualization.

Work Environment

Work Location
: Chennai
Work Type
: Work from office
Shift Timings
: US Shift Timings (6:00 PM to 3:00 AM)

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