AVP - Quality & Training

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Job Summary:

We are seeking a dynamic and experienced AVP - Quality to lead and elevate our Quality function across RCM (Revenue Cycle Management) services. The ideal candidate will have deep domain expertise in RCM, strong leadership capabilities, and a proven track record in driving process excellence, compliance, and continuous improvement. This role will work closely with Operations, Compliance, Training, and Client Engagement teams to ensure best-in-class service delivery and client satisfaction.
 

Key Responsibilities:

• Strategic Leadership:
• Define and execute the quality strategy aligned with organizational goals.
• Develop and lead a high-performing quality team, including quality analysts, auditors, and trainers.
   

Quality Assurance & Compliance:

• Oversee internal audits, RCA, and CAPA activities across RCM functions – coding, billing, AR, payment posting, denial management, etc.
• Ensure adherence to client SLAs, HIPAA, and other compliance standards.
• Develop and implement robust QA frameworks, SOPs, and audit mechanisms.

Process Improvement:

• Identify performance and process gaps; drive Six Sigma/Lean initiatives.
• Analyze error trends, conduct root cause analysis (RCA), and recommend process improvements.
• Work with training and operations to reduce rework and improve first-pass yield.
   

Client Engagement:

• Support client onboarding from a quality standpoint.
• Participate in client reviews, present quality metrics, and demonstrate improvement plans.
• Build strong relationships with clients through transparent communication and responsiveness.

Data Analysis & Reporting:

• Define KPIs, dashboards, and reporting mechanisms to monitor quality performance.
• Provide insights to leadership and clients on trends, risks, and opportunities.

Team Management:

• Mentor and develop a cross-functional quality team.
• Conduct regular reviews, performance evaluations, and upskilling initiatives.

Qualifications:

Any Graduation.

Master’s degree in business administration preferred.

15+ years of overall RCM experience, out of which a minimum 5 years in team handling of a team size ranging between 250 – 600 team members. with a strong background in Quality Management.

Certified in Six Sigma (Green Belt or higher), Lean, or equivalent process excellence frameworks.

•Excellent knowledge of US healthcare revenue cycle processes.

•Strong analytical, problem-solving, and communication skills.

•Outstanding organizational skills.

•Ability to influence stakeholders across levels and functions.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.