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07/06 Reena Gonsalves
Consultant at Innoquest Consulting

Views:892 Applications:158 Rec. Actions:Recruiter Actions:47

General Manager - Quality - Healthcare Payer - BPO (15-22 yrs)

Bangalore Job Code: 934335

General Manager - Quality - US Healthcare Payer - BPO

Mandatory ask RCM:

15 Years Overall With 2-3 Years In Quality-Business Excellence Function Of A US Healthcare BPO / Six Sigma Black Belt Certified / Open To Working 4.30AM-1.30PM (9Hr Shift)

Key Parameters:

- Over 15 years of which at least 6 years in a BPO.

- Experience in Healthcare Payer/ Provider Quality is a must.

- Preferably, should have held leadership position in the Quality Assurance function of a BPO for about 2 to 3 years.

- Deployment of Standardized Transaction Quality Monitoring & Excellence Assessment across the organization.

- Deployment of Discovery Methodology, Transition Methodology, Continual Improvement Methodology, Operations Methodology applicable to Healthcare business.

- Alignment of organizational metrics to Excellence frameworks.

- Implement strong governance to address Operations Quality and Improvement projects and initiatives.

- Drive projects to optimize Cost of Quality & improve ROI.

- Deploy AI, ML, Analytics based SMART audits & also drive audit automations.

- Build team capability.

- Participate in client interactions through formal and informal channels towards ensuring attainment of objectives associated with the key deliverables.

- Support Account Management through active participation in client interactions during visits, due diligences, client reviews and any other form that may arise.

- Experience in driving Compliance Audits. Relevant certification preferred.

Desired Skillset:

- Strong Program management skills.

- Strong domain knowledge in international healthcare processes and products.

- Complete knowledge and implementation experience of Excellence models.

- COPC registered coordinator and implementation experience of COPC, preferred

- Knowledge of ISO9000, ISO27000, HIPAA is added advantage.

- Work experience as Quality consultants will be an added advantage.

- Capability to train and conduct workshops in Business Excellence.

- Ability to identify process re-engineering requirements against end to end service provisioning in healthcare domain.

- Ability to work across various geographies.

- Strategic approach to problem-solving.

Desired Qualifications:

- Graduate/Post Graduate

- Diploma in Business Administration or any Post-graduation will be an added advantage.

- BPR/ Process Transformation.

- Six Sigma Black Belt.

- Certified Auditor - ISO 9001, 27001 (preferred).

Women-friendly workplace:

Maternity and Paternity Benefits

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