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GeBBS Healthcare Solutions

Director Quality RCM US Healthcare

10-15 Years
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Job Description

Designation : Director Quality

Department : Business Excellence

Location : Airoli Navi mumbai

Work from office

Office Hours : UK/ US

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:

  • Master's 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 .

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Job ID: 144557893