Urgent -Manager / Assistant Manager – Quality

Job Details

Level: Mid-Level Management

Job Location: Gurgaon

Position Type: Full Time

Job Shift: Morning / Night

Job Category: Middle Management

Job Summary

Responsible for performing ongoing quality checks to ensure client Quality SLAs are met and identify continuous potential areas of improvement. Maintain the Standard Operating procedures for all processes and conduct Quality feedback sessions. Responsible to conduct Refresher trainings to the team besides conducting system tests and PKTs on a regular basis.

Physical Demands

Requires visual and auditory acuity adequate for frequent use of computers and occasional use of other office equipment. Ability to move through the Office to supervise employees and activities, to sit for long periods, and to perform desk, office, and administrative activities.

Mental Demands

Requires detailed analytical ability, frequent and constant judgment, self-ownership, ability to make decisions and motivation to collect every dollar. Requires English language skills for constant high-level written and interpersonal communications.

Position Competencies

• Values Fit: Demonstrates behaviors consistent with company culture - On Time, Zero Defect, SOPs, Self-Audit & Escalations
• Professional Maturity: Possessing the self-awareness to accept and implement developmental feedback without taking the feedback personally; Capable of preventing and resolving interpersonal conflicts.
• Accountable: Holds self-100% personally accountable to achieve results; Follows through on commitments. Quickly gains trust of teammates and customers; Has an attitude of ownership; personal alignment with company's vision and objectives.
• Achievement Orientation: The ability and sense of urgency to prioritize and act in a way that leads to getting the right work done.
• Collaborative: Ability to work well with others on projects and tasks, analyzes issues, and processes; Reaches out to peers, cooperates with supervisor, establishes collaborative relationships.
• Intellectual Agility: The ability to seek input, make connections, and recognize patterns that lead to effective decision-making and action.
• Self-Confidence/Resilience: The belief in oneself and ability to make the right decisions

Essential Job Functions

• Perform ongoing quality checks to ensure client Quality SLAs are met
• Process level audits are performed to meet the client requirement
• Setting up QA process for upcoming clients
• Interacting with the client to understand and capture all requirements of the process
• Assisting Operations team to identify potential areas of improvement and actively participate in improvement initiatives
• Maintenance of the Standard Operating procedures for all the processes
• Train the team on the quality concepts and identify improvement areas
• Responsible to prepare weekly and monthly Quality Dashboards and act accordingly to fulfill the quality control requirements
• Responsible for conducting Quality feedback sessions and update the team on the findings
• Responsible to conduct Refresher trainings to the team in conjunction with the Trainer
• Preparing the MOM and circulating it with all the stake holders
• Should have sound knowledge on the QA documents and documentations
• Develop clinical outcome based quality programs
• Analyze and evaluate data from evaluation and outcome related projects
• Conduct system tests and PKTs
• Adhere to company policies and standard operating procedures
• Protect organization's value by keeping information confidential
• Work with Team Leaders and Operational Leadership & make sure each Revenue Cycle delivery function (Charge Capture, AR, PP, Billing, etc.) is performed per the SOP
• Own the audit process for each clinic by process

Desired Job Skills

• Quick learner, with excellent retention of responsibilities
• Goal oriented and spirited competitor
• Strong organizational and time management skills
• Knowledge of and adherence to company policies and protocols
• Knowledge of and adherence to HIPAA and safety guidelines
• Excellent communication and presentation skills
• Be able to work with minimal supervision
• Excellent oral, written communication and interpersonal skills
• Excellent MS Office working skills
• Ability to multi-task in a high pressure environment
• Experience in driving process improvements
• Understanding industry trends in the healthcare provider space
• Knowledge of Quality Control tools
• Detail-oriented with ability to multi-task and prioritize in a fast-paced environment

Position Outcomes

• Create a highly compliant and result oriented culture
• Create a quality conscious environment
• Help to collect 100% of actual revenue
• Ensure no steps are missed in the process
• Ensure all documentation is always updated

Qualification

• Should be a Graduate
• Qualification: Graduate - B.Sc, B.Com, B.A. Preferable Statistics graduate
• Lean Six Sigma Green Belt Training / certification from reputed institute would be added advantage
• Strong understanding of major health insurances
• Knowledge of complete medical terminology
• Demonstrated professionalism in dealing with confidential and sensitive patient information
• Experience in RCM is a must