General Manager – Quality – Healthcare Payer/Provider – BPO (15-22 yrs)

Mandatory ask RCM:

15 Years Overall With 2-3 Years In Quality-Business Excellence Function Of A US Healthcare BPO / Six Sigma Black Belt Certified / Open To Working 4.30AM-1.30PM (9Hr Shift)

Key Parameters:

– Over 15 years of which at least 6 years in a BPO.

– Experience in Healthcare Payer/ Provider Quality is a must.

– Preferably, should have held leadership position in the Quality Assurance function of a BPO for about 2 to 3 years.

– Deployment of Standardized Transaction Quality Monitoring & Excellence Assessment across the organization.

– Deployment of Discovery Methodology, Transition Methodology, Continual Improvement Methodology, Operations Methodology applicable to Healthcare business.

– Alignment of organizational metrics to Excellence frameworks.

– Implement strong governance to address Operations Quality and Improvement projects and initiatives.

– Drive projects to optimize Cost of Quality & improve ROI.

– Deploy AI, ML, Analytics based SMART audits & also drive audit automations.

– Build team capability.

– Participate in client interactions through formal and informal channels towards ensuring attainment of objectives associated with the key deliverables.

– Support Account Management through active participation in client interactions during visits, due diligences, client reviews and any other form that may arise.

– Experience in driving Compliance Audits. Relevant certification preferred.

Desired Skillset:

– Strong Program management skills.

– Strong domain knowledge in international healthcare processes and products.

– Complete knowledge and implementation experience of Excellence models.

– COPC registered coordinator and implementation experience of COPC, preferred

– Knowledge of ISO9000, ISO27000, HIPAA is added advantage.

– Work experience as Quality consultants will be an added advantage.

– Capability to train and conduct workshops in Business Excellence.

– Ability to identify process re-engineering requirements against end to end service provisioning in healthcare domain.

– Ability to work across various geographies.

– Strategic approach to problem-solving.

Desired Qualifications:

– Graduate/Post Graduate

– Diploma in Business Administration or any Post-graduation will be an added advantage.

– BPR/ Process Transformation.

– Six Sigma Black Belt.

– Certified Auditor – ISO 9001, 27001 (preferred).


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