Remote Clinical Validation QA Leader

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

Job summary

ExlService Holdings, Inc. in the United States seeks a CVA Quality Manager to lead planning, coordination, and execution of Clinical Validation Audit quality review activities, ensuring productivity, inventory, client SLAs, and internal standards are met.

You will directly manage a team of CVA quality analysts responsible for reviewing auditor-completed Clinical Validation Audit work and validating outcomes. Strong clinical knowledge and CMS/payer requirements are essential.

Qualifications

• Experience leading clinical validation audits and teams.
• Strong analytical and problem-solving abilities.
• In-depth clinical knowledge and record-review expertise.

Responsibilities

• Lead planning, coordination, and execution of validation audit quality reviews.
• Manage CVA quality analysts and ensure audit accuracy and outcomes.
• Collaborate cross-functionally to support program success and meet SLAs.
• Oversight of inventory, QA aging, and risk management.

Skills

Leadership

Analytical skills

Clinical knowledge

CMS regulations

Payer requirements

Tools

Audit tools

Job description

ExlService Holdings, Inc. in the United States seeks a CVA Quality Manager to lead planning, coordination, and execution of Clinical Validation Audit quality review activities, ensuring productivity, inventory, client SLAs, and internal standards are met.

You will directly manage a team of CVA quality analysts responsible for reviewing auditor-completed Clinical Validation Audit work and validating outcomes. Strong clinical knowledge and CMS/payer requirements are essential.