GeBBS Healthcare Solutions - Director - Quality - RCM US Healthcare Domain

Description:

Designation: Director Quality

Department: Business Excellence

Location: Airoli, Navi Mumbai

Experience - 14 -18years

Work from office

Duties & Responsibilities:

Strategic Leadership & Oversight:

- Develop and implement a comprehensive quality audit strategy aligned with organizational goals and regulatory requirements.

- Lead the quality audit department, setting direction, establishing performance objectives, and ensuring a high-performing team.

- Oversee the development and implementation of effective quality audit processes and methodologies.

- Stay informed on emerging trends and best practices in healthcare quality auditing.

Quality Audit Management:

- Manage a portfolio of quality audits, prioritizing audits based on risk assessments and regulatory requirements.

- Develop and assign audit plans, scopes, and resources for assigned audits.

- Lead or oversee the execution of quality audits, ensuring adherence to established procedures and standards.

- Analyze audit findings, identify root causes of quality issues, and recommend corrective action plans.

- Track and monitor the implementation of corrective action plans and ensure timely resolution of quality issues.

Reporting & Communication:

- Prepare comprehensive audit reports that detail findings, recommendations, and action plans.

- Communicate audit results effectively to senior management, stakeholders, and regulatory agencies (if applicable).

- Develop and deliver presentations on audit findings and trends to raise awareness and drive improvement.

Relationships & Collaboration:

- Build and maintain strong relationships with internal departments (e.g., clinical, compliance) to facilitate effective audits and collaboration on quality improvement initiatives.

- Collaborate with external auditors (if applicable) to ensure compliance with regulatory requirements.

- Foster a culture of quality within the organization by promoting the value and importance of quality audits.

Skills Required:

- Healthcare Quality Auditing Expertise: In-depth knowledge of healthcare quality auditing principles, methodologies, and best practices (e.g., JCAHO standards, HIPAA regulations).

- Leadership & Management Skills: Strong leadership skills to motivate, guide, and mentor a team of quality auditors. Proven ability to manage multiple projects and resources effectively.

- Strategic Planning & Analysis Skills: Ability to develop a comprehensive quality audit strategy and translate organizational goals into actionable audit plans

- Problem-Solving & Critical Thinking Skills: Strong analytical and problem-solving skills to identify root causes of quality issues and develop effective solutions.

Qualification:

Education:

- Masters degree in healthcare administration, Public Health, or a related field is preferred.

- A minimum of 10-15 years of experience in healthcare quality auditing, with at least 5 years in a leadership role at Senior Manager or Eqivalent .