Remote Clinical Validation Audit Lead - QA & Compliance

ExlService Holdings, Inc.; United States, Northern America, Americas; Remote; USD 75,000 - 123,000; Full time

Job summary

ExlService Holdings, Inc. is seeking a CVA Quality Manager to lead planning, coordination, and execution of Clinical Validation Audit quality review activities.

You will oversee quality teams, ensure adherence to CMS regulations and payer requirements, and drive continuous improvement across programs. The role supports inventory management, QA aging, risk assessment, and day-to-day performance, with remote, U.S.-based responsibilities and limited travel for meetings.

Qualifications

• Strong leadership and analytical skills.
• Expert clinical knowledge including inpatient medical record review.
• Experience with CMS regulations and payer requirements.
• Proven ability to govern quality programs across audits.
• Familiarity with audit tools and data analysis.

Responsibilities

• Lead planning, coordination, and execution of Clinical Validation Audit quality review activities.
• Oversee inventory, QA aging, risks, and day-to-day quality performance.
• Manage CVA quality analysts and validate audit accuracy and outcomes.
• Collaborate cross-functionally to support program success.
• Oversee additional quality specialties as needed.

Skills

Leadership

Analytical

Clinical knowledge

CMS regulations

Payer requirements

Quality governance

Inpatient medical record review

Tools

Audit tools

Job description

ExlService Holdings, Inc. is seeking a CVA Quality Manager to lead planning, coordination, and execution of Clinical Validation Audit quality review activities.

You will oversee quality teams, ensure adherence to CMS regulations and payer requirements, and drive continuous improvement across programs. The role supports inventory management, QA aging, risk assessment, and day-to-day performance, with remote, U.S.-based responsibilities and limited travel for meetings.