Director Of Quality – US Healthcare RCM Full Time

Company Description

GeBBS Healthcare Solutions is a KLAS-rated leader in Revenue Cycle Management (RCM) services and Risk Adjustment solutions. With a global workforce of over 14,000 professionals and innovative technology, GeBBS supports healthcare clients in improving financial performance, ensuring compliance, and enhancing patient experiences. Headquartered in East Haven, CT, the company is backed by EQT, a premier private equity firm in Europe. Recognized for its excellence, GeBBS has achieved rankings such as Modern Healthcare’s Top 10 Largest RCM Firms and Inc. 5000’s fastest-growing private companies in the U.S.

Role: Director – Quality

Department: Accounts Receivable

Job Location: Airoli, Navi Mumbai

Shift: US Hours

Work Mode: Work from Office

Principal Duties and Responsibilities

• Lead performance management of quality analysts, addressing their developmental needs effectively.
• Ensure comprehensive quality coverage across various work scopes within the project.
• Allocate work aligned with productivity goals and organizational guidelines.
• Monitor and enhance the performance of quality analysts by identifying and improving areas of opportunity.
• Maintain a minimum of 98% calibration of quality analysts with client quality standards.
• Develop dashboards, conduct analyses, and establish sampling methodologies along with other performance-indicative MIS.
• Understand and translate customer requirements into practical, viable processes.
• Manage customer complaints and concerns, implementing agreed-upon action plans promptly.
• Consistently meet and exceed organizational Quality Management System (QMS) expectations.
• Drive and support Business Excellence initiatives, including high-impact, cross-functional, and cross-geographical projects.
• Assist in tracking initiatives and coordinate internal and external audits for ISO certifications and internal processes.
• Implement strong governance to oversee Operations Quality and Improvement projects.
• Support and lead strategic Lean, Six Sigma, and other continuous improvement projects by providing data analytics, dashboards, and project coordination.
• Facilitate independent reporting practices such as troubled account status and contractual metrics tracking.
• Generate measurable business impact through continual improvement initiatives.

Minimum Job Requirements

• Experience: 13+ years in US Healthcare Revenue Cycle Management (RCM), with at least 3 years in leadership role in Operations or Quality
• Current Role: Senior Manager or above
• Skills:
• Strong team management and leadership capabilities.
• Proficient in change management and facilitation.
• Excellent program and project management skills.
• Deep understanding of quality concepts and tools.
• Expertise in end-to-end process mapping and process improvement/re-engineering.
• Interested candidates may share their profiles at: anandi.bandekar@gebbs.com