Assistant Manager – Quality Auditor (Payer Enrollment)

Job Description – Assistant Manager / Quality Auditor – Payer Enrollment

Job Title: Assistant Manager – Quality Auditor (Payer Enrollment)

Location: Chennai

Work Mode: Work From Office (WFO)

Experience Required: 6+ Years

Job Summary

We are looking for an experienced and detail-oriented Assistant Manager – Quality Auditor for the Payer Enrollment process. The candidate will be responsible for managing quality assurance activities, conducting audits, identifying process gaps, driving continuous improvement initiatives, and leading a team to ensure high-quality standards and compliance within the payer enrollment operations.

Key Responsibilities

• Conduct quality audits for Payer Enrollment processes and ensure adherence to client guidelines and SOPs.
• Monitor and evaluate team performance through regular quality checks and feedback sessions.
• Analyze audit findings, identify trends, and recommend corrective and preventive actions.
• Prepare and maintain QA reports, dashboards, and performance metrics.
• Ensure compliance with healthcare regulations, internal policies, and quality standards.
• Collaborate with operations and training teams to improve process efficiency and accuracy.
• Handle escalations related to quality concerns and support resolution activities.
• Lead and mentor a QA team, ensuring productivity and performance management.
• Drive continuous process improvement initiatives and quality enhancement programs.
• Participate in calibration sessions and client quality reviews.
  

Required Skills & Qualifications

• 6+ years of overall experience in Healthcare/BPO operations.
• Minimum 4+ years of relevant experience in Quality Auditing within Payer Enrollment.
• Minimum 2+ years of team handling or people management experience.
• Strong understanding of healthcare payer enrollment processes and quality frameworks.
• Excellent analytical, communication, and reporting skills.
• Experience in handling audit tools, quality metrics, and RCA analysis.
• Strong stakeholder management and leadership abilities.
• Proficiency in MS Excel, PowerPoint, and reporting tools.
  

Preferred Qualifications

• Graduate/Postgraduate in any discipline.
• Experience in healthcare domain/BPO operations preferred.
• Exposure to process improvement methodologies will be an added advantage.