31 Jul
|
Prochant India
|
Chennai
31 Jul
Prochant India
Chennai
Associate Director - Quality (RCM)(15+yrs)
Prochant is seeking a highly experienced RCM leader to oversee complete revenue cycle operations across intake, eligibility verification, prior authorization, billing, and accounts receivable. This senior leadership role will ensure seamless patient onboarding, payer compliance, claim accuracy, and denial prevention across the full RCM continuum.
Job Summary
The Associate Director – Quality is responsible for leading the quality strategy, governance, and continuous improvement initiatives across healthcare Revenue Cycle Management (RCM) operations. This role ensures compliance with client requirements, regulatory standards, and organizational quality objectives while driving operational excellence, process standardization, and performance improvement across functions such as Medical Billing, Accounts Receivable (AR), Denial Management, Payment Posting, Eligibility Verification, Prior Authorization, and Medical Coding.
Key Responsibilities
Quality Leadership & Governance
Develop and execute the quality management framework for RCM operations.
Establish quality goals, KPIs, and performance metrics aligned with organizational objectives.
Lead quality governance reviews with senior leadership and client stakeholders.
Drive a culture of quality, accountability, and continuous improvement across teams.
Process Excellence & Continuous Improvement
Identify process gaps, root causes, and prospects for operational improvement.
Lead Lean Six Sigma, quality improvement, and transformation initiatives.
Implement corrective and preventive action (CAPA) plans to improve quality performance.
Drive standardization of processes, SOPs, and best practices across accounts and business units.
Quality Monitoring & Audits
Oversee quality audits, transaction monitoring, calibration sessions, and compliance reviews.
Ensure consistent application of quality standards across all RCM functions.
Analyze audit findings, tren
📌 Associate Director Quality Chennai
🏢 Prochant India
📍 Chennai