About AGS Health

AGS Health is a leading strategic growth partner to healthcare providers across the U. S. Working alongside each client as one team, we improve revenue cycle performance by orchestrating data, AI, automation, and human expertise across every workflow.

Our proven model complements customers' existing teams, technology, and processes, deploying the right capabilities to improve efficiency, strengthen financial performance, and enhance the patient financial experience. Supported by a global team of more than 16,000 clinical and revenue cycle experts across onshore, nearshore, and offshore locations, AGS Health helps customers achieve measurable results across diverse care settings and specialties.

RESPONSIBILITIES

Lead and drive overall quality strategy across end-to-end RCM functions

Define and implement quality frameworks, SOPs, and audit mechanisms aligned with client and regulatory standards

Ensure compliance with CMS, HIPAA, provider guidelines, and industry regulations

Establish solid governance models, KPIs, and quality scorecards for performance tracking

Drive continuous quality improvement initiatives using RCA, Six Sigma, and Lean methodologies

Identify trends in denials, errors, and audit failures and implement corrective actions

Manage internal & external audits, ensuring audit readiness and compliance adherence





Partner with operations teams to reduce rework, improve accuracy, and enhance first-pass yield

Lead client quality reviews (QBRs) and act as the point of contact for quality-related escalations

Ensure client SLA adherence, service excellence, and long-term retention

Build and manage high-performing QA teams, including hiring, training, and capability development

Drive a culture of quality ownership, accountability, and continuous improvement

Leverage automation, analytics, and AI tools to improve quality monitoring and predictive insights

Work closely with leadership on strategic initiatives, process transformation, and cost optimization

COMPETENCIES, SKILLS, AND OTHER REQUISITES

Service Delivery Leadership

Strategic Thought leadership to grow business.

External and Internal Stakeholder Management

Problem Solving and Analytical Skills

Unflinching integrity and personal work ethics

Self-starter who strives for self and team excellence

Attention to detail and concern for accuracy.

Excellent time management skills and multi-tasking ability

Excellent written and spoken English.

PROFESSIONAL BACKGROUND

Minimum 15 years of experience in US Healthcare (RCM - AR Operations/End to End RCM ) Experience is must.

Must have experience in Quality

📌 General Manager Quality (Mumbai)
🏢 AGS Health
📍 Mumbai