Revenue Cycle Quality Leader: HIPAA & CAPA

Abbott Laboratories; Taguig; On-site; PHP 1,200,000 - 1,600,000; Full time

Job summary

Abbott Laboratories in the Philippines seeks a Quality Manager to elevate revenue cycle operations, including benefit verification, cash posting, and claims review. You will lead In-Process Quality, CAPA, and cross-functional improvements to optimize performance while ensuring regulatory compliance and patient satisfaction.

The ideal candidate brings healthcare operations expertise, preferably with medical device experience, and the ability to translate data into actionable strategies for

Qualifications

• 5–8+ years of experience in Healthcare Operations with at least 3 years focused on quality/QA, process excellence, or analytics.
• USRN/PHRN licensure with 3–5 years clinical experience.
• Experience in medical device processes (preferred).
• Strong knowledge of revenue cycle management (preferred).
• Demonstrated capability in root cause analysis and CAPA with measurable outcomes.
• Excellent stakeholder management, written and verbal communication, and the ability to build trust with frontline teams and leadership.

Responsibilities

• Co-lead the Quality Management framework for Operations (In-Process Quality, Document Control, CAPA, Complaints and Training).
• Define, document, and maintain SOPs, quality checklists, audit plans, and control points across operations.
• Establish and monitor quality gates for internal processes.
• Ensure compliance of services to quality and industry standards.
• Lead RCA for defects and drive CAPA.
• Build dashboards and perform deep-dive analyses to surface drivers of defects.
• Partner with team leads to implement first-time-right data capture in verification and enrollment; standardize scripts and workflows.
• Oversee in-process quality to improve operation processes and reduce rework.
• Coordinate with Payments/Cash Posting to reconcile remits and ensure accurate posting.
• Work with Operations, Compliance, Finance, Document Control, Complaints, CAPA, Patient Support/Enrollment, IT/BEx, and Training to implement scalable improvements.
• Provide strategy and guidance for workflows, escalation paths, and documentation standards.
• Run quality reviews with stakeholders; present insights and prioritize a quarterly improvement roadmap.
• Design and implement long-term solutions to improve service quality and customer experience.
• Manage document change control for policies, procedures, work instructions, and patient letters.
• Lead document reviews, resolve discrepancies, and support new products/projects affecting Quality Systems.
• Develop and deliver targeted training on operations, compliance and quality system best practices.
• Coach supervisors and QA analysts on scoring, calibration, and feedback delivery.
• Monitor adherence to HIPAA and payer-specific compliance standards; coordinate internal audits.
• Maintain documentation to support audits and CAPA tracking.
• Provide SME during audits and inspections.

Skills

Root cause analysis

CAPA

Stakeholder management

Data analytics

Quality governance

HIPAA knowledge

Education

USRN/PHRN licensure

Job description

Abbott Laboratories in the Philippines seeks a Quality Manager to elevate revenue cycle operations, including benefit verification, cash posting, and claims review. You will lead In-Process Quality, CAPA, and cross-functional improvements to optimize performance while ensuring regulatory compliance and patient satisfaction.

The ideal candidate brings healthcare operations expertise, preferably with medical device experience, and the ability to translate data into actionable strategies for