Job DescriptionAbout AGS Health
nAGS 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.
nRESPONSIBILITIES
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Lead and drive overall quality strategy across end-to-end RCM functionsn
Define and implement quality frameworks, SOPs, and audit mechanisms aligned with client and regulatory standardsn
Ensure compliance with CMS, HIPAA, provider guidelines, and industry regulationsn
Establish robust governance models, KPIs,



and quality scorecards for performance trackingn
Drive continuous quality improvement initiatives using RCA, Six Sigma, and Lean methodologiesn
Identify trends in denials, errors, and audit failures and implement corrective actionsn
Manage internal & external audits, ensuring audit readiness and compliance adherencen
Partner with operations teams to reduce rework, improve accuracy, and enhance first-pass yieldn
Lead client quality reviews (QBRs) and act as the point of contact for quality-related escalationsn
Ensure client SLA adherence, service excellence, and long-term retentionn
Build and manage high-performing QA teams, including hiring, training, and capability developmentn
Drive a culture of quality ownership, accountability, and continuous improvementn
Leverage automation, analytics, and AI tools to improve quality monitoring and predictive insightsn
Work closely w

📌 General Manager Quality Hyderabad (India)
🏢 AGS Health
📍 India