Assistant Vice President – Quality, Payment Integrity, Healthcare

🕒 Setembro 28

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $130.000 - $145.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

👻 Score fantasma 1%

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EXL

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛡️ Seguros

📦 Logística

💰 $2.000.000 Venture Round em 2015-01

Healthcare • Insurance • Logistics

Escolher um parceiro digital vai além das capacidades — trata-se de colaboração e caráter.

Descrição

• Lead end-to-end healthcare quality operations for clinical, coding, third-party liability, and operational audits • Lead Quality Managers and their teams, providing guidance, mentorship, and coaching • Oversee operational quality performance against KPIs, SLAs, and quality standards • Manage capacity planning, productivity, and workload distribution within the quality team • Develop and oversee quality audit methodologies, scoring frameworks, and governance protocols • Identify process risks and implement improvements using audit data and trend analysis • Lead quality readiness for new programs, clients, and rapid growth • Drive continuous improvement through root cause analysis, data analytics, and process evaluation • Lead automation and efficiency initiatives with Technology • Design and oversee scalable, repeatable quality processes • Partner with global quality leaders, Operations, Training, and Technology • Lead change management initiatives and strategic quality projects • Track KPIs and performance metrics and deliver insight-driven reporting to senior leadership and stakeholders • Establish and maintain SOPs, governance frameworks, and documentation

🎯 Requisitos

• Bachelor’s degree in healthcare, business, or related field (advanced degree preferred) • 7–10+ years of experience in healthcare quality operations, clinical/coding auditing, or payment integrity programs • 7–10+ years of proven leadership experience managing quality teams in complex, fast-paced environments • Expertise in quality methodologies and process improvement, including Lean and Six Sigma • Experience with audit tools, dashboards, reporting systems, and advanced Excel • Strong analytical, strategic thinking, and problem-solving abilities • Exceptional verbal, written, and presentation communication skills • Ability to drive operational excellence while maintaining quality standards • Digital mindset with automation and scalable solutions • Ability to align multiple teams and global partners • Strong time management, prioritization, and stakeholder management skills • Demonstrated ability to coach, develop, and inspire high-performing professionals • Commitment to continuous learning and a culture of quality excellence

🏖️ Benefícios

• Exciting, fast-paced, and innovative environment • Work closely with highly experienced, world-class Healthcare consultants • Learn diverse aspects of clients’ businesses • Mentorship and coaching program pairing junior-level employees with senior-level advisors • Limitless growth and advancement within the company and beyond