Remote Clinical Validation Audit Quality Manager

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

Job summary

EXL Service is seeking a CVA Quality Manager to lead the planning, coordination, and execution of Clinical Validation Audit quality review activities. You will manage a team of CVA quality analysts and collaborate cross-functionally to meet quality standards, client SLAs, and program goals.

The role emphasizes leadership, analytical skills, and expert clinical knowledge in inpatient record reviews, CMS criteria, and audit tools. Remote work within the U.S. is supported, with limited travel.

Qualifications

• Experience leading CVA quality teams.
• Strong analytical and problem-solving abilities.
• Solid understanding of CMS regulations and payer requirements.
• Knowledge of quality governance frameworks.
• Experience cross-functionally to support program success.
• Experience with inpatient medical record review.

Responsibilities

• Plan, coordinate and execute CVA quality review activities.
• Lead a team of CVA quality analysts and oversee audit accuracy.
• Ensure adherence to quality standards, inventory goals and client SLAs.

Skills

Leadership

Analytical skills

CMS regulations

Quality governance

Cross-functional collaboration

Inpatient records review

Tools

Audit tools

Job description

EXL Service is seeking a CVA Quality Manager to lead the planning, coordination, and execution of Clinical Validation Audit quality review activities. You will manage a team of CVA quality analysts and collaborate cross-functionally to meet quality standards, client SLAs, and program goals.

The role emphasizes leadership, analytical skills, and expert clinical knowledge in inpatient record reviews, CMS criteria, and audit tools. Remote work within the U.S. is supported, with limited travel.