Healthcare Operations Audit & Process Improvement Lead

eData Services US, L.L.C.; Taguig; Vor Ort; PHP 450.000 - 850.000; Vollzeit

Zusammenfassung

eData Services US, L.L.C. seeks an Internal Process, Quality & TAT Auditor to safeguard healthcare operations in Taguig. Audit critical workflows like Utilization Review, RCM, and scheduling while enforcing HIPAA and SLA adherence.

You will analyze data to uncover bottlenecks, lead root cause analysis, and drive CAPA with Operations Supervisors. The role emphasizes proactive process optimization and daily/weekly quality reporting to leadership.

Qualifikationen

• Bachelor's degree required with healthcare admin/finance acceptable.
• Proven ability to analyze large datasets and translate findings into actions.
• Experience with US healthcare workflows and HIPAA is preferred.
• Familiarity with QA, auditing, or SME roles in healthcare BPO.

Aufgaben

• Audit and validate daily healthcare workflows to ensure accuracy and SOP adherence.
• Monitor end-to-end TAT and aging reports to prevent SLA breaches.
• Lead RCA and coordinate CAPA with Operations Supervisors.
• Suggest workflow changes and automation to improve floor efficiency.
• Lead calibration sessions with Production Department Leadership.
• Prepare daily/weekly dashboards on errors, SLA performance, and compliance.

Kenntnisse

Analytical Mindset

Advanced Excel/Google Sheets

AI tools familiarity

Ausbildung

Bachelor's Degree

Lean Six Sigma Yellow/Green Belt

CPC Certification

Tools

QMS

IMS

Epic

Salesforce

Jobbeschreibung

eData Services US, L.L.C. seeks an Internal Process, Quality & TAT Auditor to safeguard healthcare operations in Taguig. Audit critical workflows like Utilization Review, RCM, and scheduling while enforcing HIPAA and SLA adherence.

You will analyze data to uncover bottlenecks, lead root cause analysis, and drive CAPA with Operations Supervisors. The role emphasizes proactive process optimization and daily/weekly quality reporting to leadership.