Quality Manager - Six Sigma Certified

Cotiviti; Pune District; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Cotiviti is seeking a dynamic Manager of Quality Assurance to lead our QA team in the healthcare domain. This role focuses on ensuring high transactional quality, driving process improvements, and enhancing training initiatives.

The Manager partners with senior leadership to develop audit plans, set targets, and align quality objectives with business goals. The ideal candidate has 5+ years in healthcare quality management, Six Sigma certification, and proven cross-functional leadership.

Qualifications

• Bachelor's degree or higher in a related field.
• 5+ years of quality management experience in healthcare.
• Six Sigma certified with exposure to transactional quality and process improvement.
• Strong knowledge of healthcare operations like claims processing, billing, coding, and regulatory requirements.

Responsibilities

• Lead and manage the quality assurance team to ensure operational excellence.
• Develop strategic audit plans and monitor adherence to SLAs.
• Conduct quality control audits and provide actionable recommendations.
• Drive process improvements using Lean, Six Sigma, Kaizen.
• Organize training and coaching to improve team performance.

Skills

Quality management

Lean

Six Sigma

Team leadership

Cross-functional collaboration

Education

Graduation

Job description

JOB TITLE: Manager Quality Assurance Reports TO: AVP Quality Assurance

General Summary

We are seeking a dynamic and experienced Manager, Quality to lead our quality assurance team within the healthcare domain. This role is pivotal in ensuring high standards of transactional quality, driving continuous process improvement, and enhancing process training initiatives. The ideal candidate will have a strong background in healthcare operations, a proven track record of quality management, and the ability to lead cross-functional teams to achieve excellence. The Quality Manager is responsible for leading and managing the quality assurance team to ensure operational excellence and compliance with organizational standards. The Manager collaborates with senior leadership to develop strategic audit plans, set financial targets, and define staffing objectives. Additionally, they conduct quality control audits, analyze findings, and provide actionable recommendations to enhance performance. The role requires strong problem-solving skills to determine when issues need internal escalation or direct client involvement.

Education & Experience

Graduation and clearance of all major exams (SSC, HSC, qualifying degree). 5 years of experience in quality management within the healthcare industry, with a focus on transactional quality and process improvement. Strong knowledge of healthcare operations claims processing, billing, coding, and regulatory requirements. Proven expertise in process improvement methodologies (e.g., Lean, Six Sigma). 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.

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