Associate Director Quality
Core
Leading quality strategy, governance, and continuous improvement across healthcare Revenue Cycle Management (RCM) operations to ensure compliance, claim accuracy, and denial prevention.
Role type
Senior leadership quality manager (healthcare RCM)
Builds
Operational excellence, process standardization, and performance improvement across Medical Billing, Accounts Receivable, Denial Management, Payment Posting, Eligibility Verification, Prior Authorization, and Medical Coding.
Domain
Healthcare / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Quality management framework development, KPI and performance metric establishment, Lean Six Sigma, root cause analysis, corrective and preventive action (CAPA) planning, audit execution, data analytics, stakeholder management, team mentorship
Preferred skills
None stated
Technologies
None stated
Responsibilities
Develop and execute the quality management framework for RCM operations; Establish quality goals, KPIs, and performance metrics aligned with organizational objectives; Lead quality governance reviews with senior leadership and client stakeholders; Identify process gaps, root causes, and opportunities for operational improvement; Lead Lean Six Sigma, quality improvement, and transformation initiatives; Overseer quality audits, transaction monitoring, calibration sessions, and compliance reviews; Develop quality dashboards and scorecards to track performance; Collaborate with training teams to design and implement quality-focused learning programs
Seniority
Senior, hands-on IC