Director II, QA, Training, AI Readiness

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🔥 15 hours ago

🏈 Alabama, Arizona, +18 more states – Remote

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⏰ Full Time

🔴 Lead

🔧 QA Engineer (Quality Assurance)

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Knowtion Health

Knowtion Health

501 - 1000 employees

Founded 2008

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2020-09

Consulting • Insurance • Logistics

Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.

📋 Description

• Provide strategic leadership for workforce development, quality assurance, training, and AI readiness across Revenue Cycle service delivery operations • Lead enterprise functions supporting Accounts Receivable, Clinical Denials, Appeals, Complex Claims, and related Revenue Cycle services • Establish scalable training and quality strategies, standardized learning methodologies, audit and quality governance, competency frameworks, and AI adoption initiatives • Oversee managers, supervisors, trainers, quality professionals, and other workforce enablement resources • Partner with operational, business intelligence, technology, and quality leaders to align talent development and quality programs with organizational priorities, client expectations, and AI-enabled healthcare operations • Lead enterprise quality assurance programs supporting Billing, Accounts Receivable, Clinical Denials, Appeals, Complex Claims, and related Revenue Cycle functions • Develop, implement, and continuously optimize enterprise learning and workforce development programs • Lead AI readiness and workforce adoption initiatives for approved AI-enabled tools and technologies • Identify performance gaps, conduct root cause analyses, and implement targeted training, quality, and remediation strategies • Analyze quality, training, and operational outcomes to identify trends and reduce defects and rework while improving quality, productivity, employee proficiency, and client service • Report to the SVP, Quality & Intelligence

🎯 Requirements

• Bachelor's degree in healthcare administration, Business Administration, Health Information Management, Organizational Development, Education, or a related field required • Master's degree preferred • Minimum of 10 years of progressive leadership experience within healthcare Revenue Cycle Management, Quality Assurance, Training, Operational Excellence, or Workforce Development • Minimum of 5 years of leadership experience managing leaders, supervisors, managers, or functional teams • Demonstrated expertise in Accounts Receivable Management • Demonstrated expertise in Clinical Denials and Appeals • Demonstrated expertise in Revenue Cycle Operations • Demonstrated expertise in Quality Assurance Programs • Demonstrated expertise in Learning and Development • Demonstrated expertise in Workforce Performance Improvement • Must present a valid government-issued photo ID during screening and/or interviews • Must consent to photograph capture during the screening or interview process for identity verification, security, and record-keeping purposes

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability insurance • Long-term disability insurance • Paid holidays • 401(k) • Generous PTO policy • Remote work arrangement • Dedicated, distraction-free home workspace

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