Remote Clinical Validation Audit Lead

EXL; United States; Remote; USD 75,000 - 123,000; Full time

Job summary

EXL is seeking a CVA Quality Manager to lead clinical validation audit quality review activities. You will supervise CVA quality analysts, ensure audit accuracy, and drive improvements across QA operations while coordinating with cross-functional teams to meet client SLAs and internal standards.

The role requires strong leadership, clinical knowledge, and CMS/payer regulatory understanding, with remote, US-based work and limited travel for meetings.

Qualifications

• RN license and nursing degree required.
• 5+ years of acute care nursing experience; leadership experience preferred.
• Experience leading CVA quality analysts or similar auditing teams is a plus.

Responsibilities

• Drive execution and improvement of CVA quality review programs.
• Supervise CVA quality analysts and support other clinical/coding quality specialties.
• Analyze audit accuracy, productivity, QA inventory, and quality metrics to drive improvements.
• Escalate issues and ensure alignment with client and program expectations.

Education

Registered Nurse (RN) license

Associate's or Bachelor's degree in nursing

Job description

EXL is seeking a CVA Quality Manager to lead clinical validation audit quality review activities. You will supervise CVA quality analysts, ensure audit accuracy, and drive improvements across QA operations while coordinating with cross-functional teams to meet client SLAs and internal standards.

The role requires strong leadership, clinical knowledge, and CMS/payer regulatory understanding, with remote, US-based work and limited travel for meetings.